Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy: A Secondary Analysis

Liesbeth F van Vulpen; Sonja de Groot; Eugene A A Rameckers; Jules G Becher; Annet J Dallmeijer

doi:10.1097/PEP.0000000000000764

Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy: A Secondary Analysis

Liesbeth F van Vulpen
, Sonja de Groot
, Eugene A A Rameckers
, Jules G Becher
, Annet J Dallmeijer

Research output: Contribution to Journal › Article › Academic › peer-review

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Abstract

PURPOSE: To evaluate whether changes in lower-limb muscle strength explain changes in walking capacity during 14-week periods of usual care, power training and follow-up for children with spastic cerebral palsy.

METHODS: Secondary analysis of a previously conducted double-baseline controlled trial of 22 children with spastic cerebral palsy. Generalized estimating equations were used to evaluate the relationships between within-subject changes in isometric muscle strength and walking capacity over 3 periods.

RESULTS: Changes in hip abductor strength were associated with changes in the Muscle Power Sprint Test, changes in gastrocnemius and hip abductor strength were associated with changes in the Shuttle Run Test, and changes in gastrocnemius strength were associated with changes in the 1-minute walk test. All associations supported better walking capacity with increased strength.

CONCLUSION: Walking capacity, especially sprint capacity, can be improved by increasing strength by functional power training in this population.

Original language	English
Pages (from-to)	24-30
Number of pages	7
Journal	Pediatric physical therapy
Volume	33
Issue number	1
Early online date	2 Dec 2020
DOIs	https://doi.org/10.1097/PEP.0000000000000764
Publication status	Published - Jan 2021

Funding

Grant Support: This study has been funded by Mitialto Foundation, Duyvensz-Nagel Foundation, Dutch Rehabilitation Fund and Royal Dutch Society for Physical Therapy.

Funders
Dutch Rehabilitation Fund
Duyvensz-Nagel Foundation
Mitialto Foundation
Koninklijk Nederlands Genootschap voor Fysiotherapie

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10.1097/PEP.0000000000000764

Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral PalsyFinal published version, 304 KBLicence: Article 25fa Dutch Copyright Act

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title = "Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy: A Secondary Analysis",

abstract = "PURPOSE: To evaluate whether changes in lower-limb muscle strength explain changes in walking capacity during 14-week periods of usual care, power training and follow-up for children with spastic cerebral palsy.METHODS: Secondary analysis of a previously conducted double-baseline controlled trial of 22 children with spastic cerebral palsy. Generalized estimating equations were used to evaluate the relationships between within-subject changes in isometric muscle strength and walking capacity over 3 periods.RESULTS: Changes in hip abductor strength were associated with changes in the Muscle Power Sprint Test, changes in gastrocnemius and hip abductor strength were associated with changes in the Shuttle Run Test, and changes in gastrocnemius strength were associated with changes in the 1-minute walk test. All associations supported better walking capacity with increased strength.CONCLUSION: Walking capacity, especially sprint capacity, can be improved by increasing strength by functional power training in this population.",

author = "\{van Vulpen\}, \{Liesbeth F\} and \{de Groot\}, Sonja and Rameckers, \{Eugene A A\} and Becher, \{Jules G\} and Dallmeijer, \{Annet J\}",

year = "2021",

month = jan,

doi = "10.1097/PEP.0000000000000764",

language = "English",

volume = "33",

pages = "24--30",

journal = "Pediatric physical therapy",

issn = "0898-5669",

publisher = "Lippincott Williams and Wilkins Ltd.",

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TY - JOUR

T1 - Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy

T2 - A Secondary Analysis

AU - van Vulpen, Liesbeth F

AU - de Groot, Sonja

AU - Rameckers, Eugene A A

AU - Becher, Jules G

AU - Dallmeijer, Annet J

PY - 2021/1

Y1 - 2021/1

N2 - PURPOSE: To evaluate whether changes in lower-limb muscle strength explain changes in walking capacity during 14-week periods of usual care, power training and follow-up for children with spastic cerebral palsy.METHODS: Secondary analysis of a previously conducted double-baseline controlled trial of 22 children with spastic cerebral palsy. Generalized estimating equations were used to evaluate the relationships between within-subject changes in isometric muscle strength and walking capacity over 3 periods.RESULTS: Changes in hip abductor strength were associated with changes in the Muscle Power Sprint Test, changes in gastrocnemius and hip abductor strength were associated with changes in the Shuttle Run Test, and changes in gastrocnemius strength were associated with changes in the 1-minute walk test. All associations supported better walking capacity with increased strength.CONCLUSION: Walking capacity, especially sprint capacity, can be improved by increasing strength by functional power training in this population.

AB - PURPOSE: To evaluate whether changes in lower-limb muscle strength explain changes in walking capacity during 14-week periods of usual care, power training and follow-up for children with spastic cerebral palsy.METHODS: Secondary analysis of a previously conducted double-baseline controlled trial of 22 children with spastic cerebral palsy. Generalized estimating equations were used to evaluate the relationships between within-subject changes in isometric muscle strength and walking capacity over 3 periods.RESULTS: Changes in hip abductor strength were associated with changes in the Muscle Power Sprint Test, changes in gastrocnemius and hip abductor strength were associated with changes in the Shuttle Run Test, and changes in gastrocnemius strength were associated with changes in the 1-minute walk test. All associations supported better walking capacity with increased strength.CONCLUSION: Walking capacity, especially sprint capacity, can be improved by increasing strength by functional power training in this population.

U2 - 10.1097/PEP.0000000000000764

DO - 10.1097/PEP.0000000000000764

M3 - Article

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SN - 0898-5669

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JO - Pediatric physical therapy

JF - Pediatric physical therapy

IS - 1

ER -

Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy: A Secondary Analysis

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