Efficacy of gait trainer as an adjunct to traditional physical therapy on walking performance in hemiparetic cerebral palsied children: a randomized controlled trial
The objective of this study was to assess the effects of additional gait trainer assisted walking exercises on walking performance in children with hemiparetic cerebral palsy. Design: A randomized controlled study. Setting: Paediatric physical therapy outpatient clinic. Subjects: Thirty spastic hemiparetic cerebral palsied children of both sexes (10-13 years – 19 girls and 11 boys). [...]
The effect of injections of botulinum toxin type A combined with casting on the equinus gait of children with cerebral palsy
The aim of this study was to evaluate the effect of adding inhibitory casting to the treatment of young children with cerebral palsy who received injections of botulinum neurotoxin A (BoNT-A) to gastrocnemius for equinus gait. Of the 20 patients in the series, 11 in group A had inhibitory casts applied on the day of [...]
Pediatric endurance and limb strengthening (PEDALS) for children with cerebral palsy using stationary cycling: a randomized controlled trial.
Effective interventions to improve and maintain strength (force-generating capacity) and endurance are needed for children with cerebral palsy (CP). This study was performed to examine the effects of a stationary cycling intervention on muscle strength, locomotor endurance, preferred walking speed, and gross motor function in children with spastic diplegic CP. Sixty-two ambulatory children aged 7 [...]
Neuromuscular adaptations to eccentric strength training in children and adolescents with cerebral palsy.
The aim of this study was to determine the neuromuscular outcomes of an eccentric strength-training programme for children and adolescents with cerebral palsy (CP). In this randomised, parallel-group trial with waiting control, 14 participants with CP (six males, eight females; mean age 11y, SD 2y range 9-15y), diagnosed with upper-limb spasticity were compared with 14 [...]
The prevalence, distribution, and effect of pain among adolescents with cerebral palsy.
The purpose of this study was to describe the prevalence, distribution, and intensity of pain and determine the relationship between pain intensity and effect on daily activities in adolescents with cerebral palsy. A sample of 104 girls and 126 boys, mean ages 14.7 (SD = 1.7) and 14.8 (SD = 1.7) years, were asked “Have [...]
Pain in children with cerebral palsy: implications for pediatric physical therapy.
This literature review explores pain assessment tools and psychosocial pain management methods that are pertinent to physical therapy (PT) for children with cerebral palsy (CP). Children with CP experience considerable pain that affects quality of life and cooperation during healthcare procedures. Physical therapist-led research on interventions to address pain in this population is limited, despite [...]
Can Strength Training Predictably Improve Gait Kinematics? A Pilot Study on the Effects of Hip And Knee Extensor Strengthening on Lower-Extremity Alignment in Cerebral Palsy
The goal of this study was to determine whether strength training can diminish the degree of crouched, internally rotated gait in children with spastic diplegic CP. Eight children with CP participated in an 8-week progressive resistance exercise program, with 3-dimensional gait analysis and isokinetic testing performed before and after the program. Secondary measures included passive [...]
Management of motor problems in cerebral palsy: a critical update for the clinician.
Currently there is no specific treatment for the brain insults leading to motor dysfunction in cerebral palsy. The available symptomatic therapeutic options place cerebral palsy among the costliest chronic childhood conditions. Therefore, it is necessary to make well-informed decisions in an effort to match cost-effectiveness with patient and family needs. This presentation aims to analyze [...]
Bound for Success: A Systematic Review of Constraint-Induced Movement Therapy in Children With Cerebral Palsy Supports Improved Arm and Hand Use
Huang HH, Fetters L, Hale J, McBride A The objectives of this systematic review are: (1) to investigate whether CIMT is supported with valid research of its effectiveness and (2) to identify key characteristics of the child and intervention protocol associated with the effects of CIMT. The 2 objectives of the review were addressed by: [...]
A randomized controlled trial to compare two botulinum toxin injection techniques on the functional improvement of the leg of children with cerebral palsy
Kaishou Xu, , Tiebin Yan, , Jianning Mai, The objective of this study was to compare the efficacy of botulinum toxin type A injection guided by different localizing techniques, electrical stimulation and palpation, to treat spasticity of the ankle plantar flexors. Sixty-five children with spastic hemiplegic or diplegic cerebral palsy underwent Botulinum toxin injection guided [...]
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