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
AuthorsScianni, Aline A., Butler, Jane Margaret, Ada, Louise and Teixeira-Salmela, Luci F.
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.

Keywordscerebral palsy; physical therapy techniques; rehabilitation; review systematic; meta-analysis; randomised controlled trials; muscle weakness; children
Year2009
JournalAustralian Journal of Physiotherapy
Journal citation55 (2), pp. 81 - 87
PublisherAustralian Physiotherapy Association
ISSN0004-9514
Digital Object Identifier (DOI)https://doi.org/10.1016/S0004-9514(09)70037-6
Page range81 - 87
Research GroupSchool of Allied Health
Place of publicationAustralia
Permalink -

https://acuresearchbank.acu.edu.au/item/8q79x/muscle-strengthening-is-not-effective-in-children-with-cerebral-palsy-a-systematic-review

  • 133
    total views
  • 0
    total downloads
  • 11
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Parent-collected oropharyngeal swabs in cystic fibrosis
Doumit, Michael, Cox, Aiden, Butler, Jane, Luxton, Nia, Jaffe, Adam and Chuang, Sandra. (2021). Parent-collected oropharyngeal swabs in cystic fibrosis. Pediatrics. 148(6), p. Article e2021053822. https://doi.org/10.1542/peds.2021-053822
Changes in direct patient care from physiotherapy student to new graduate
Stoikov, Susan, Gooding, Mark, Shardlow, Kassie, Maxwell, Lyndal, Butler, Jane and Kuys, Suzanne. (2021). Changes in direct patient care from physiotherapy student to new graduate. Physiotherapy Theory and Practice: an international journal of physical therapy. 37(2), pp. 323-330. https://doi.org/10.1080/09593985.2019.1628138
Learning to lead : A discussion of development programs for academic leadership capability in Australian Universities
Butler, Jane. (2020). Learning to lead : A discussion of development programs for academic leadership capability in Australian Universities. Journal of Higher Education Policy and Management. 42(4), pp. 424-437. https://doi.org/10.1080/1360080X.2019.1701855
Quality of clinical practice guidelines for management of limb amputations : A systematic review
Kwah, Li Khim, Green, Jordan, Butler, Jane and Lam, Lawrence. (2019). Quality of clinical practice guidelines for management of limb amputations : A systematic review. Physical Therapy. 99(5), pp. 577-590. https://doi.org/10.1093/ptj/pzz006
Teaching manually assisted cough to caregivers of children with neuromuscular disease
Amelia F. Kan, Jane Butler, Meghan Hutchence, Kristi Jones, John Widger and Michael Doumit. (2018). Teaching manually assisted cough to caregivers of children with neuromuscular disease. Respiratory Care: A monthly science journal. 63(12), pp. 1520-1527. https://doi.org/10.4187/respcare.06213
Identification of a core set of exercise tests for children and adolescents with celebral palsy :a Delphi survey of researchers and clinicians
Verschuren, Olaf, Ketelaar, Marjolijn, Keefer, Daniel, Wright, Virginia, Butler, Jane Margaret, Ada, Louise, Maher, Carol, Reid, Siobhan, Wright, Marilyn, Dalziel, Blythe, Wiart, Lesley, Fowler, Eileen, Unnithan, Viswanath, Maltais, Desiree, Van Den Berg-Emons, Rita and Takken, Tim. (2011). Identification of a core set of exercise tests for children and adolescents with celebral palsy :a Delphi survey of researchers and clinicians. Developmental Medicine and Child Neurology. 53(5), pp. 449 - 456. https://doi.org/10.1111/j.1469-8749.2010.03899.x
Characteristics of associated reactions in people with hemiplegic cerebral palsy
Chiu, Hsiu-Ching, Ada, L, Butler, Jane Margaret and Coulson, S. (2011). Characteristics of associated reactions in people with hemiplegic cerebral palsy. Physiotherapy Research International. 16(3), pp. 125 - 132. https://doi.org/10.1002/pri.487
Effect of cardiorespiratory training on aerobic fitness and carryover to activity in children with cerebral palsy : a systematic review
Butler, Jane Margaret, Scianni, A A. and Ada, Louise. (2010). Effect of cardiorespiratory training on aerobic fitness and carryover to activity in children with cerebral palsy : a systematic review. International Journal of Rehabilitation Research. 33(2), pp. 97 - 103. https://doi.org/10.1097/MRR.0b013e328331c555
Relative contribution of motor impairments to limitations in activity and restrictions in participation in adults with hemiplegic cerebral palsy
Chiu, Hsiu-Ching, Ada, Louise, Butler, Jane Margaret and Coulson, S. (2010). Relative contribution of motor impairments to limitations in activity and restrictions in participation in adults with hemiplegic cerebral palsy. Clinical Rehabilitation. 24(5), pp. 454 - 462. https://doi.org/10.1177/0269215509353263
Lessons from the field: An examination of count errors in the operating theatre
Butler, Margaret, Ford, Rosemary, Boxer, Elaine and Sutherland-Fraser, Sally. (2010). Lessons from the field: An examination of count errors in the operating theatre. ACORN : The Journal of Perioperative Nursing in Australia. 23(3), pp. 6 - 16.
Integrate research results and clinical judgement
Ada, Louise, Butler, Jane Margaret, Scianni, Aline A. and Texeira-Salmela, Luci. (2009). Integrate research results and clinical judgement. Australian Journal of Physiotherapy. 55(4), pp. 292 - 292. https://doi.org/10.1016/S0004-9514(09)70019-4
The state of play for physiotherapy intervention for children with cerebral palsy
Butler, Jane. (2009). The state of play for physiotherapy intervention for children with cerebral palsy. Australian Physiotherapy Association (APA) Conference. Australia: Australian Physiotherapy Association. pp. 4 - 4
The relative contribution of motor impairments to limitation in physical activity
Chiu, Hsiu-Ching, Ada, Louise, Coulson, Susan and Butler, Jane Margaret. (2008). The relative contribution of motor impairments to limitation in physical activity. United States of America: Mac Keith Press. pp. 50 - 50 https://doi.org/10.1111/j.1469-8749.2008.00049.x