Effects of a lower extremity strength training program on range of motion in children with spastic cerebral palsy

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Published: Dec 29, 2020
Keywords:
Cerebral palsy Exercise Strength training Range of motion ROM

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Ratchadaporn Borkam
Student of Doctor of Philosophy Program in Human Movement Sciences (International Program), Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.; Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand.
Wanida Donpunha
Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand.; School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.
Punnee Peungsuwan
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.
Raoyrin Chanavirut
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.
Sainatee Pratanaphon
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand.
Pisamai Malila
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.

Abstract

Muscle weakness and limited range of motion (ROM) are common problems which cause activity limitation in children with spastic cerebral palsy (CP). A sliding rehabilitation machine is a rehabilitation machine that allows closed kinetic chain exercises of the lower extremity and exercise using the sliding rehabilitation machine can improve muscle strength and walking ability of children with CP. The objective of this study was to evaluate the effects of a lower extremity strength training program using a sliding rehabilitation machine on active range of motion (AROM) of the lower extremity in children with spastic CP. A single-blind randomized controlled trial was conducted in children with spastic CP, aged 7-18 years, who were randomly allocated into either an exercise (EG) or control group (CG). EG received a lower extremity strength training program using a sliding rehabilitation machine, 3 times per week for 6 weeks. The training loads were progressed every 2 weeks. Both EC and CG received prolonged muscle stretching by standing on a tilt table for 30 minutes, once a week for 6 weeks. AROM of the lower extremity was measured before and after the
training. The result showed that AROM for hip extension, hip flexion, knee flexion and ankle dorsiflexion in the EG were improved significantly greater than that in the CG (all, p-value < 0.05). In conclusions, the strength training program using a sliding rehabilitation machine could improve AROM of the lower extremity in children with spastic CP.

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1.
Borkam R, Donpunha W, Peungsuwan P, Chanavirut R, Pratanaphon S, Malila P. Effects of a lower extremity strength training program on range of motion in children with spastic cerebral palsy. Arch AHS [Internet]. 2020 Dec. 29 [cited 2024 Apr. 19];32(3):39-4. Available from: https://he01.tci-thaijo.org/index.php/ams/article/view/213684
Issue
Vol. 32 No. 3 (2020): September - December
Section
Original article
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biographies

Wanida Donpunha, Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand.; School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.

Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand

Punnee Peungsuwan, School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.

Department of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand

Raoyrin Chanavirut, School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.

Department of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand

Sainatee Pratanaphon, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand.

Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand

Pisamai Malila, School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand.

Department of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand

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