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Critical Reviews™ in Physical and Rehabilitation Medicine

Publicado 4 números por año

ISSN Imprimir: 0896-2960

ISSN En Línea: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Cardiorespiratory Endurance, Flexibility and Lower-Extremity Muscle Strength in Children and Adolescents with Cerebral Palsy

Volumen 32, Edición 2, 2020, pp. 75-83
DOI: 10.1615/CritRevPhysRehabilMed.2020033814
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SINOPSIS

Low levels of physical activity are a global health concern. Children with cerebral palsy (CP) demonstrate lower physical-activity levels than typically developing (TD) peers. Engaging in regular physical activity combats premature aging, maintains desired body weight and muscle strength/endurance, and reduces the impact of associated morbidities. Health-related fitness is known to improve cardiorespiratory endurance, flexibility, muscle strength, and muscular endurance. Currently, evaluation and exercise programs for children with CP predominantly focus on locomotor function, with comprehensive physical fitness often overlooked. Evaluation of all physical-fitness components can help optimize recommendations and rehabilitation programs, necessitating evaluation of health-related physical fitness in children with CP. We evaluated physical-fitness levels in 30 children aged 6-18 yr with spastic diplegia and gross motor function classification system levels II−III as well as 30 age-matched TD children. In children with CP, we found cardiopulmonary endurance (6-min walk test) to be 70% lower than that in TD children, muscle flexibility (sit-and-reach test) 39% lower, muscle strength (hand-grip test) 67% lower (p < 0.001), and muscle endurance (30-s chair-stand test) 62% lower (p < 0.001). We conclude that children with CP demonstrate markedly lower physical fitness compared to age-matched TD children. Rehabilitation protocols must address all components of physical fitness in addition to sensory-motor training during routine clinical practice to help children with CP achieve maximum functional independence.

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