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Critical Reviews™ in Physical and Rehabilitation Medicine

年間 4 号発行

ISSN 印刷: 0896-2960

ISSN オンライン: 2162-6553

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

Indexed in

Lower Extremity Muscle Strength and Endurance in Ambulatory Children with Cerebral Palsy

巻 31, 発行 1, 2019, pp. 75-84
DOI: 10.1615/CritRevPhysRehabilMed.2019029963
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要約

Muscle weakness in children with cerebral palsy (CP) results from reduction in central activation and abnormalities in neural maturation along with a disorganized motor recruitment pattern. Inability to produce isolated maximum voluntary muscle contraction from individual muscles results in stereotypical movements, consequently, early fatigue during ambulation causing further deterioration in muscle endurance. Limited information on lower extremity muscle strength and muscle endurance drove the present study with a purpose to inform clinician variation in lower extremity muscle strength and endurance in children with CP compared to typically developing children to improve ambulation. Thirty children with CP (15 males, 15 females, GMFCS level I–II) and 30 age-matched healthy children were evaluated for muscle strength and endurance using functional tests such as 30-second chair stand test, step-up test, timed up and go test, timed floor to stand test, 30-meter walk test, calf-raise test, and 14 stair climb test. Performance of children with CP was 54–73% lower on all tests compared to healthy children. In conclusion, markedly lower strength and endurance of all major lower extremity muscle groups, namely, hip flexors, hip extensors, hip abductors, knee extensors, and ankle plantar flexors, reiterates a strong need for objective functional evaluation and targeted training to improve ambulatory performance in children with CP. Gender and GMFCS level did not influence strength-endurance evaluation.

参考
  1. Mutch L, Alberman E, Hagberg B, Kodama K, Perat MV. , Cerebral palsy epidemiology: where are we now and where are we going? Dev Med Child Neurol.1992;34:547–51.

  2. Oskoui M, Coutinho F, Dykeman J, Jette N, Pringsheim T. , An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013;55:509–19.

  3. Kusumoto Y, Takaki K, Matsuda T, Nitta O. , Relation of selective voluntary motor control of the lower extremity and extensor strength of the knee joint in children with spastic diplegia. J Phys Ther Sci. 2016;28:1868–71.

  4. Ross SA, Engsberg JR. , Relationships between spasticity, strength, gait, and the GMFM-66 in persons with spastic diplegia cerebral palsy. Arch Phys Med Rehabil. 2007;88:1114–20.

  5. Van der Krogt MM, Delp SL, Schwartz MH. , How robust is human gait to muscle weakness? Gait Posture. 2012;36:113–9.

  6. Tedroff K, Knutson LM, Soderberg GL. , Synergistic muscle activation during maximum voluntary contractions in children with and without spastic cerebral palsy. Dev Med Child Neurol. 2006;48:789–96.

  7. Brown JK, Rodda J, Walsh EG, Wright GW. , Neurophysiology of lower-limb function in hemiplegic children. Dev Med Child Neurol. 1991;33:1037–47.

  8. Mockford M, Caulton JM. , The pathophysiological basis of weakness in children with cerebral palsy. Pediatr Phys Ther. 2010;22:222–33.

  9. Ferland C, Lepage C, Moffet H, Maltais DB. , Relationships between lower limb muscle strength and locomotor capacity in children and adolescents with cerebral palsy who walk independently. Phys Occup Ther Pediatr. 2012;32:320–32.

  10. Bjornson KF, Belza B, Kartin D, Logsdon R, McLaughlin JF. , Ambulatory physical activity performance in youth with cerebral palsy and youth who are developing typically. Phys Ther. 2007;87:248–57.

  11. Ross SM, MacDonald M, Bigouette JP. , Effects of strength training on mobility in adults with cerebral palsy: a systematic review. Disabil Health J. 2016;9:375–84.

  12. Wiley ME, Damiano DL. , Lower-extremity strength profiles in spastic cerebral palsy. Dev Med Child Neurol. 1998;40:100–7.

  13. Damiano DL, Dodd K, Taylor NF. , Should we be testing and training muscle strength in cerebral palsy? Dev Med Child Neurol. 2002;44:68–72.

  14. Damiano DL, Martellotta TL, Sullivan DJ, Granata KP, Abel MF. , Muscle force production and functional performance in spastic cerebral palsy: relationship of cocontraction. Arch Phys Med Rehabil. 2000;81:895–900.

  15. Palisano RJ, Chiarello LA, King GA, Novak I, Stoner T, Fiss A. , Participation-based therapy for children with physical disabilities. Disabil Rehabil. 2012;34:1041–52.

  16. Dallmeijer AJ, Baker R, Dodd KJ, Taylor NF. , Association between isometric muscle strength and gait joint kinetics in adolescents and young adults with cerebral palsy. Gait Posture. 2011;33(3):326–32.

  17. Toonstra J, Mattacola CG. , Test-retest reliability and validity of isometric knee-flexion and-extension measurement using 3 methods of assessing muscle strength. J Sport Rehabil. 2013;22(7):1–5.

  18. Hislop H, Avers D, Brown M. , Daniels and Worthingham’s muscle testing-e-book: techniques of manual examination and performance testing. New York: Elsevier Health Sciences; 2013.

  19. Damiano DL, Kelly LE, Vaughn CL. , Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995;75:658–67.

  20. World Health Organization: International classification of functioning, disability and health: ICF Short version. Geneva: World Health Organization; 2001.

  21. Verschuren O, Ketelaar M, Takken T, Van Brussel M, Helders PJ, Gorter JW. , Reliability of hand-held dynamometry and functional strength tests for the lower extremity in children with cerebral palsy. Disability Rehabil. 2008;30:1358–66.

  22. Carey H, Martin K, Combs-Miller S, Heathcock JC. , Reliability and responsiveness of the Timed Up and Go Test in children with cerebral palsy. Pediatr Phys Ther. 2016;28:401–8.

  23. Chrysagis N, Skordilis EK, Tsiganos G, Koutsouki D. , Validity evidence of the Lateral Step Up (LSU) test for adolescents with spastic cerebral palsy. Disability Rehabil. 2013;35:875–80.

  24. Parent A, Raison M, Pouliot-Laforte A, Marois P, Maltais DB, Ballaz L. , Impact of a short walking exercise on gait kinematics in children with cerebral palsy who walk in a crouch gait. Clin Biomech. 2016;34:18–21.

  25. Jones CJ, Rikli RE, Beam WC. , A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 2013;70:113–9.

  26. Millor N, Lecumberri P, Gomez M, Martínez-Ramírez A, Izquierdo M. , An evaluation of the 30-s chair stand test in older adults: frailty detection based on kinematic parameters from a single inertial unit. J Neuroeng Rehabil. 2013;10:86.

  27. Blankevoort CG, Heuvelen MJG, Scherder EJA. , Reliability of six physical performance tests in older people with dementia. PhysTher. 2012;93:69–78.

  28. Weingarten G, Kaplan S. , Reliability and validity of the timed floor to stand test–natural in school-aged children. Pediatr Phys Ther. 2015;27:113–8.

  29. Hebert-Losier K, Newsham-West RJ, Schneiders AG, Sullivan SJ. , Raising the standards of the calf-raise test: a systematic review. J Sci Med Sport. 2009;12:594–602.

  30. Ross CM. , Test-retest reliability of the lateral step-up test in young adult healthy subjects. J Orthop Sports Phys Ther. 1997;25:128–32.

  31. Zaino CA, Marchese VG, Westcott SL. , Timed up and down stairs test: preliminary reliability and validity of a new measure of functional mobility. Pediatr Phys Ther. 2004;16:90–8.

  32. Moreau NG, Falvo MJ, Damiano DL. , Rapid force generation is impaired in cerebral palsy and is related to decreased muscle size and functional mobility. Gait Posture. 2012;35:154–8.

  33. Sharkey JR, Giuliani C, Haines PS, Branch LG, Busby-Whitehead J, Zohoori N. , Summary measure of dietary musculoskeletal nutrient (calcium, vitamin D, magnesium, and phosphorus) intakes is associated with lower-extremity physical performance in homebound elderly men and women. Am J Clin Nutr. 2003;77:847–56.

  34. Oberhofer K, Stott NS, Mithraratne K, Anderson IA. , Subject-specific modelling of lower limb muscles in children with cerebral palsy. Clin Biomech. 2010;25:88–94.

  35. Rose J, McGill KC. , Neuromuscular activation and motor-unit firing characteristics in cerebral palsy. Dev Med Child Neurol. 2005;47:329–36.

  36. Damiano DL, Wingert JR, Stanley CJ, Curatalo L. , Contribution of hip joint proprioception to static and dynamic balance in cerebral palsy: a case control study. J Neuroeng Rehabil. 2013;10:57.

  37. Hicks JL, Schwartz MH, Arnold AS, Delp SL. , Crouched postures reduce the capacity of muscles to extend the hip and knee during the single-limb stance phase of gait. J Biomech. 2008;41:960–7.

  38. Theologis T. , Lever arm dysfunction in cerebral palsy gait. J Child Orthop. 2013:14:379–82.

  39. de Boer MD, Seynnes OR, Di Prampero PE, Pišot R, Mekjavić IB, Biolo G, Narici MV. , Effect of 5 weeks horizontal bed rest on human muscle thickness and architecture of weight bearing and non-weight bearing muscles. Eur J Appl Physiol. 2008;104:401–7.

  40. Meyns P, Van Gestel L, Bar-On L, Goudriaan M, Wambacq H, Aertbeliën E, Bruyninckx H, Molenaers G, De Cock P, Ortibus E, Desloovere K. , Children with spastic cerebral palsy experience difficulties adjusting their gait pattern to weight added to the waist, while typically developing children do not. Frontiers Human Neurosci. 2016;10:657.

  41. Unnithan VB, Dowling JJ, Frost G, Volpe BA, Bar-Or O. , Cocontraction and phasic activity during GAIT in children with cerebral palsy. Electromyogr Clin Neurophysiol. 1996;36:487–94.

  42. Bratteby Tollerz LU, Forslund AH, Olsson RM, Lidström H, Holmbäck U. , Children with cerebral palsy do not achieve healthy physical activity levels. Acta Paediatr. 2015;104:1125–9.

  43. Maltais DB, Pierrynowski MR, Galea VA, Al-Mutawaly N, Bar-Or O. , Minute-by-minute differences in co-activation during treadmill walking in cerebral palsy. Electromyogr Clin Neurophysiol. 2004;44:477–87.

  44. Eken MM, Dallmeijer AJ, Doorenbosch CA, Dekkers H, Becher JG, Houdijk H., Coactivation during dynamometry testing in adolescents with spastic cerebral palsy. Phys Ther. 2016;96:1438–47.

  45. Campanozzi A, Capano G, Miele E, Romano A, Scuccimarra G, Del Giudice E, Strisciuglio C, Militerni R, Staiano A. , Impact of malnutrition on gastrointestinal disorders and gross motor abilities in children with cerebral palsy. Brain Dev. 2007;29:25–9.

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