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The Effects of Functional Progressive Strength and Power Training in Children With Unilateral Cerebral Palsy

Kaya Kara, Ozgun PT, PhD; Livanelioglu, Ayse PT, PhD; Yardımcı, Bilge Nur PT, MSc; Soylu, Abdullah Ruhi MD

doi: 10.1097/PEP.0000000000000628
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Purpose: The purpose of this study was to investigate the effects of a novel functional strength and power-training program on gait and gross motor function in participants with unilateral cerebral palsy.

Methods: This 12-week trial of functional strength and power training included 30 participants with cerebral palsy, randomly assigned to the experimental or comparison group. The primary outcomes, 1-minute walk test, muscle power, and the Gross Motor Function Measure, were assessed at baseline and 12 weeks after the intervention. Secondary outcomes included dynamic balance as measured by Timed Up and Go, muscle strength, and 1-repetition maximum measures.

Results: Significantly greater improvements were seen in the experimental group for muscle power, Gross Motor Function Measure E score, and 1-minute walk test (P < .05), as well as for dynamic balance, 1-repetition maximum, and muscle strength.

Conclusion: Functional strength training combined with plyometric exercises improved gait and gross motor function, dynamic balance, muscle strength, and power.

Video Abstract: For more insights from the authors, access Supplemental Digital Content 1, available at: http://links.lww.com/PPT/A254

The aim of this study was to investigate effects of a novel functional strength and power-training program on gait and gross motor function in children with unilateral cerebral palsy.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences (Drs Kaya Kara and Livanelioglu, and Ms Yardımcı) and Department of Biophysics, Faculty of Medical Sciences (Dr Soylu), Hacettepe University, Ankara, Turkey.

Correspondence: Ozgun Kaya Kara, PT, PhD, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, 06100 Ankara, Turkey (ozgun_kaya@yahoo.com or ozgun.kaya@hacettepe.edu.tr).

The authors declare that there are no conflicts of interest or funding in study design, data collection and analysis, and manuscript preparation.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.pedpt.com).

The authors declare no conflicts of interest with respect to the research, authorship, and/or publication of this article.

Copyright © 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association