Relations between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy

Maaike M Eken, Han Houdijk, Caroline A M Doorenbosch, Francisca E.M. Kiezebrink, Coen A.M. van Bennekom, Jaap Harlaar, Annet J. Dallmeijer

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Aim: To investigate the relation between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy (CP) and peers with typical development. Method: In this case–control study, knee extensor muscle endurance was estimated from individual load–endurance curves as the load corresponding to a 15-repetition maximum in 17 adolescents with spastic CP (six males, 11 females; age 12–19y) and 18 adolescents with typical development (eight males, 10 females; age 13–19y). Questionnaires were used to assess subjectively reported fatigue (Pediatric Quality of Life Inventory Multidimensional Fatigue Scale) and participation (Life-Habits questionnaire). Walking capacity was assessed using the 6-minute walk test. Relations were determined using multiple regression analyses. Results: Muscle endurance related significantly to subjectively reported fatigue and walking capacity in adolescents with CP, while no relations were found for adolescents with typical development (subjectively reported fatigue: regression coefficient β [95% confidence intervals] for CP=23.72 [6.26 to 41.18], for controls=2.72 [−10.26 to 15.69]; walking capacity β for CP=125m [−87 to 337], for controls=2m [−86 to 89]). The 15-repetition maximum did not relate to participation in adolescents with CP. Interpretation: Subjectively reported fatigue and reduced walking capacity in adolescents with CP are partly caused by lower muscle endurance of knee extensors. Training of muscle endurance might contribute to reducing the experience of fatigue and improving walking capacity. Reduced muscle endurance seems to have no effect on participation.

Original languageEnglish
Pages (from-to)814-821
Number of pages8
JournalDevelopmental Medicine and Child Neurology
Volume58
Issue number8
DOIs
Publication statusPublished - 1 Aug 2016

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Cerebral Palsy
Walking
Fatigue
Muscles
Knee
Habits
Regression Analysis
Quality of Life
Confidence Intervals
Pediatrics
Equipment and Supplies

Cite this

Eken, Maaike M ; Houdijk, Han ; Doorenbosch, Caroline A M ; Kiezebrink, Francisca E.M. ; van Bennekom, Coen A.M. ; Harlaar, Jaap ; Dallmeijer, Annet J. / Relations between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy. In: Developmental Medicine and Child Neurology. 2016 ; Vol. 58, No. 8. pp. 814-821.
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abstract = "Aim: To investigate the relation between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy (CP) and peers with typical development. Method: In this case–control study, knee extensor muscle endurance was estimated from individual load–endurance curves as the load corresponding to a 15-repetition maximum in 17 adolescents with spastic CP (six males, 11 females; age 12–19y) and 18 adolescents with typical development (eight males, 10 females; age 13–19y). Questionnaires were used to assess subjectively reported fatigue (Pediatric Quality of Life Inventory Multidimensional Fatigue Scale) and participation (Life-Habits questionnaire). Walking capacity was assessed using the 6-minute walk test. Relations were determined using multiple regression analyses. Results: Muscle endurance related significantly to subjectively reported fatigue and walking capacity in adolescents with CP, while no relations were found for adolescents with typical development (subjectively reported fatigue: regression coefficient β [95{\%} confidence intervals] for CP=23.72 [6.26 to 41.18], for controls=2.72 [−10.26 to 15.69]; walking capacity β for CP=125m [−87 to 337], for controls=2m [−86 to 89]). The 15-repetition maximum did not relate to participation in adolescents with CP. Interpretation: Subjectively reported fatigue and reduced walking capacity in adolescents with CP are partly caused by lower muscle endurance of knee extensors. Training of muscle endurance might contribute to reducing the experience of fatigue and improving walking capacity. Reduced muscle endurance seems to have no effect on participation.",
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Relations between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy. / Eken, Maaike M; Houdijk, Han; Doorenbosch, Caroline A M; Kiezebrink, Francisca E.M.; van Bennekom, Coen A.M.; Harlaar, Jaap; Dallmeijer, Annet J.

In: Developmental Medicine and Child Neurology, Vol. 58, No. 8, 01.08.2016, p. 814-821.

Research output: Contribution to JournalArticleAcademicpeer-review

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AU - Houdijk, Han

AU - Doorenbosch, Caroline A M

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N2 - Aim: To investigate the relation between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy (CP) and peers with typical development. Method: In this case–control study, knee extensor muscle endurance was estimated from individual load–endurance curves as the load corresponding to a 15-repetition maximum in 17 adolescents with spastic CP (six males, 11 females; age 12–19y) and 18 adolescents with typical development (eight males, 10 females; age 13–19y). Questionnaires were used to assess subjectively reported fatigue (Pediatric Quality of Life Inventory Multidimensional Fatigue Scale) and participation (Life-Habits questionnaire). Walking capacity was assessed using the 6-minute walk test. Relations were determined using multiple regression analyses. Results: Muscle endurance related significantly to subjectively reported fatigue and walking capacity in adolescents with CP, while no relations were found for adolescents with typical development (subjectively reported fatigue: regression coefficient β [95% confidence intervals] for CP=23.72 [6.26 to 41.18], for controls=2.72 [−10.26 to 15.69]; walking capacity β for CP=125m [−87 to 337], for controls=2m [−86 to 89]). The 15-repetition maximum did not relate to participation in adolescents with CP. Interpretation: Subjectively reported fatigue and reduced walking capacity in adolescents with CP are partly caused by lower muscle endurance of knee extensors. Training of muscle endurance might contribute to reducing the experience of fatigue and improving walking capacity. Reduced muscle endurance seems to have no effect on participation.

AB - Aim: To investigate the relation between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy (CP) and peers with typical development. Method: In this case–control study, knee extensor muscle endurance was estimated from individual load–endurance curves as the load corresponding to a 15-repetition maximum in 17 adolescents with spastic CP (six males, 11 females; age 12–19y) and 18 adolescents with typical development (eight males, 10 females; age 13–19y). Questionnaires were used to assess subjectively reported fatigue (Pediatric Quality of Life Inventory Multidimensional Fatigue Scale) and participation (Life-Habits questionnaire). Walking capacity was assessed using the 6-minute walk test. Relations were determined using multiple regression analyses. Results: Muscle endurance related significantly to subjectively reported fatigue and walking capacity in adolescents with CP, while no relations were found for adolescents with typical development (subjectively reported fatigue: regression coefficient β [95% confidence intervals] for CP=23.72 [6.26 to 41.18], for controls=2.72 [−10.26 to 15.69]; walking capacity β for CP=125m [−87 to 337], for controls=2m [−86 to 89]). The 15-repetition maximum did not relate to participation in adolescents with CP. Interpretation: Subjectively reported fatigue and reduced walking capacity in adolescents with CP are partly caused by lower muscle endurance of knee extensors. Training of muscle endurance might contribute to reducing the experience of fatigue and improving walking capacity. Reduced muscle endurance seems to have no effect on participation.

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