Article

This study investigated the effect of an eight-week community-based
strength and balance exercise group for children with cerebral palsy (CP).
METHOD: Ten children with CP participated in the study (8-15 years; six male;
GMFCS I = 6, II = 4; five diplegia; five hemiplegia). Muscle strength was
assessed using dynamometry and functional strength tests (seated throw, distance
jump, vertical jump). Balance was assessed using the Bruninks-Oseretsky Test of
Motor Proficiency, the Movement Assessment Battery for Children (MABC), lateral
and forward reach tests and the Timed-up and Go.
RESULTS: Muscle strength
improved in dominant side elbow flexors, hip abductors, ankle dorsiflexors and
ankle plantarflexors (p = 0.018-0.042). Functional strength improved in seated
throw (t = 2.7; p = 0.024), distance jump (t = -2.8; p = 0.025) and lateral
step-up (p < 0.05). Balance improved on the MABC (t = 2.4; p = 0.040), lateral (p
< 0.05) and forward reach (p < 0.05). CONCLUSION: This feasibility study
translated research into sustainable practice, showing that a community-based,
low dose, group exercise program can improve the balance and strength of children
with CP within current funding capacity. Implications for Rehabilitation It has
been known that strength and balance training in the clinical research setting
with specialized equipment is effective for children with CP, but this study
demonstrates the translation of research into clinical practice in a low-cost,
low-dose group program. Significant gains in both muscle strength and balance can
be achieved in an eight-week community-based gym group using simple equipment.

Langue : ANGLAIS