Muscle strengthening is not effective in children with cerebral palsy: A systematic review
Journal article
Scianni, Aline A., Butler, Jane Margaret, Ada, Louise and Teixeira-Salmela, Luci F.. (2009). Muscle strengthening is not effective in children with cerebral palsy: A systematic review. Australian Journal of Physiotherapy. 55(2), pp. 81 - 87. https://doi.org/10.1016/S0004-9514(09)70037-6
Authors | Scianni, Aline A., Butler, Jane Margaret, Ada, Louise and Teixeira-Salmela, Luci F. |
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Abstract | Question: Do strengthening interventions increase strength without increasing spasticity and improve activity, and is there any carryover after cessation in children and adolescents with cerebral palsy? Design: Systematic review with meta-analysis of randomised trials. Participants: Children with spastic cerebral palsy between school age and 20 years. Intervention: Strengthening interventions that involved repetitive, strong, or effortful muscle contractions and progressed as ability changed, such as biofeedback, electrical stimulation, and progressive resistance exercise. Outcome measures: Strength was measured as continuous measures of maximum voluntary force or torque production. Spasticity was measured as velocity-dependent resistance to passive stretch. Activity was measured as continuous measures, eg, 10-m Walk Test, or using scales eg, the Gross Motor Function Measure. Results: Six studies were identified and five had data that could be included in a metaanalysis. Strengthening interventions had no effect on strength (SMD 0.20, 95% CI −0.17 to 0.56), no effect on walking speed (MD 0.02 m/s, 95% CI −0.13 to 0.16), and had a small statistically-significant but not clinically-worthwhile effect on Gross Motor Function Measure (MD 2%, 95% CI 0 to 4). Only one study measured spasticity but did not report the between-group analysis. Conclusion: In children and adolescents with cerebral palsy who are walking, the current evidence suggests that strengthening interventions are neither effective nor worthwhile. |
Keywords | cerebral palsy; physical therapy techniques; rehabilitation; review systematic; meta-analysis; randomised controlled trials; muscle weakness; children |
Year | 2009 |
Journal | Australian Journal of Physiotherapy |
Journal citation | 55 (2), pp. 81 - 87 |
Publisher | Australian Physiotherapy Association |
ISSN | 0004-9514 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/S0004-9514(09)70037-6 |
Page range | 81 - 87 |
Research Group | School of Allied Health |
Place of publication | Australia |
https://acuresearchbank.acu.edu.au/item/8q79x/muscle-strengthening-is-not-effective-in-children-with-cerebral-palsy-a-systematic-review
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