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Effects of Strength Training on Plan...

Lopez, Christine.

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Effects of Strength Training on Plantarflexor Strength, Spasticity, and Gait Speed in Young Individuals with Cerebral Palsy: A Meta-Analysis.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Effects of Strength Training on Plantarflexor Strength, Spasticity, and Gait Speed in Young Individuals with Cerebral Palsy: A Meta-Analysis./
Author:	Lopez, Christine.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	45 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-10, Section: B.
Contained By:	Dissertations Abstracts International82-10B.
Subject:	Physical therapy. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28413898
ISBN:	9798597097732

Effects of Strength Training on Plantarflexor Strength, Spasticity, and Gait Speed in Young Individuals with Cerebral Palsy: A Meta-Analysis.
Lopez, Christine.

Effects of Strength Training on Plantarflexor Strength, Spasticity, and Gait Speed in Young Individuals with Cerebral Palsy: A Meta-Analysis. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 45 p.

Source: Dissertations Abstracts International, Volume: 82-10, Section: B.

Thesis (D.P.T.)--California State University, Fresno, 2021.

This item must not be sold to any third party vendors.

Objective: The purposes of this meta-analysis were to determine if plantarflexor (PF) strength improves gait function through a strength training protocol and to determine whether PF strength training improves spasticity in young individuals with spastic cerebral palsy (CP).Methods: A systematic search was performed using PubMed, CINAHL, and EbscoHost. PEDro scales were used to assess methodological quality of the studies. Means and standard deviations were used to compute effect sizes (ES) for PF strength, spasticity, and gait speed. Heterogeneity was assessed based on Q-value, p-value, and I2.Results: Eight studies were analyzed. PF strength had a large ES [0.91(0.60,1.22)] and was heterogenous (Q=26.1, p<0.05). Spasticity was found to have a small ES[0.22(-0.15, 0.60)] and was homogenous (Q=11.6, p0.05). A subgroup analysis was performed based on the levels of the Gross Motor Function Classification System (GMFCS). GMFCS levels I-II was favored for increasing PF strength [ES=2.03(1.47,2.59)] and gait speed [ES=0.92(0.38, 1.46)], whereas levels III-IV had a smaller effecton PF strength [ES=0.42(0.04, 0.79)] and gait speed [ES=0.13(-0.35, 0.61)].Conclusion: This meta-analysis suggests that strength training can increase PF strength and gait speed in individuals with spastic CP, especially those classified inGMFCS levels I-II. Strength training alone was not effective for improving spasticity; therefore, it is important to utilize various treatment methods to optimize mobility and function.

ISBN: 9798597097732Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Cerebral palsy

Effects of Strength Training on Plantarflexor Strength, Spasticity, and Gait Speed in Young Individuals with Cerebral Palsy: A Meta-Analysis.
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245 1 0 $a Effects of Strength Training on Plantarflexor Strength, Spasticity, and Gait Speed in Young Individuals with Cerebral Palsy: A Meta-Analysis.
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500 $a Source: Dissertations Abstracts International, Volume: 82-10, Section: B.
500 $a Advisor: Sarmento, Caio.
502 $a Thesis (D.P.T.)--California State University, Fresno, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Objective: The purposes of this meta-analysis were to determine if plantarflexor (PF) strength improves gait function through a strength training protocol and to determine whether PF strength training improves spasticity in young individuals with spastic cerebral palsy (CP).Methods: A systematic search was performed using PubMed, CINAHL, and EbscoHost. PEDro scales were used to assess methodological quality of the studies. Means and standard deviations were used to compute effect sizes (ES) for PF strength, spasticity, and gait speed. Heterogeneity was assessed based on Q-value, p-value, and I2.Results: Eight studies were analyzed. PF strength had a large ES [0.91(0.60,1.22)] and was heterogenous (Q=26.1, p<0.05). Spasticity was found to have a small ES[0.22(-0.15, 0.60)] and was homogenous (Q=11.6, p0.05). A subgroup analysis was performed based on the levels of the Gross Motor Function Classification System (GMFCS). GMFCS levels I-II was favored for increasing PF strength [ES=2.03(1.47,2.59)] and gait speed [ES=0.92(0.38, 1.46)], whereas levels III-IV had a smaller effecton PF strength [ES=0.42(0.04, 0.79)] and gait speed [ES=0.13(-0.35, 0.61)].Conclusion: This meta-analysis suggests that strength training can increase PF strength and gait speed in individuals with spastic CP, especially those classified inGMFCS levels I-II. Strength training alone was not effective for improving spasticity; therefore, it is important to utilize various treatment methods to optimize mobility and function.
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