Exercise intervention protocol in children and young adults with cerebral palsy : the effects of strength, flexibility and gait training on physical performance, neuromuscular mechanisms and cardiometabolic risk factors (EXECP)
Valadão, P., Piitulainen, H., Haapala, E. A., Parviainen, T., Avela, J., & Finni, T. (2021). Exercise intervention protocol in children and young adults with cerebral palsy : the effects of strength, flexibility and gait training on physical performance, neuromuscular mechanisms and cardiometabolic risk factors (EXECP). BMC Sports Science, Medicine and Rehabilitation, 13, Article 17. https://doi.org/10.1186/s13102-021-00242-y
Published in
BMC Sports Science, Medicine and RehabilitationAuthors
Date
2021Discipline
LiikuntalääketiedeBiomekaniikkaPsykologiaMonitieteinen aivotutkimuskeskusHyvinvoinnin tutkimuksen yhteisöSports and Exercise MedicineBiomechanicsPsychologyCentre for Interdisciplinary Brain ResearchSchool of WellbeingCopyright
© 2021 the Authors
Background
Individuals with cerebral palsy (CP) have problems in everyday tasks such as walking and climbing stairs due to a combination of neuromuscular impairments such as spasticity, muscle weakness, reduced joint flexibility and poor coordination. Development of evidence-based interventions are in pivotal role in the development of better targeted rehabilitation of CP, and thus in maintaining their motor function and wellbeing. Our aim is to investigate the efficacy of an individually tailored, multifaceted exercise intervention (EXECP) in children and young adults with CP. EXECP is composed of strength, flexibility and gait training. Furthermore, this study aims to verify the short-term retention of the adaptations three months after the end of the EXECP intervention.
Methods
Twenty-four children and young adults with spastic CP will be recruited to participate in a 9-month research project with a 3-month training intervention, consisting of two to three 90-min sessions per week. In each session, strength training for the lower limbs and trunk muscles, flexibility training for the lower limbs and inclined treadmill gait training will be performed. We will evaluate muscle strength, joint flexibility, neuromuscular and cardiometabolic parameters. A nonconcurrent multiple baseline design with two pre-tests and two post-tests all interspaced by three months is used. In addition to the CP participants, 24 typically developing age and sex-matched participants will perform the two pre-tests (i.e. no intervention) to provide normative data.
Discussion
This study has a comprehensive approach examining longitudinal effects of wide variety of variables ranging from physical activity and gross motor function to sensorimotor functions of the brain and neuromuscular and cardiometabolic parameters, providing novel information about the adaptation mechanisms in cerebral palsy. To the best of our knowledge, this is the first intervention study providing supervised combined strength, flexibility and gait training for young individuals with CP.
...
Publisher
Springer Science and Business Media LLCISSN Search the Publication Forum
2052-1847Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/51752480
Metadata
Show full item recordCollections
Related funder(s)
Research Council of FinlandFunding program(s)
Research costs of Academy Research Fellow, AoFAdditional information about funding
This work was supported by the Olvi Foundation, University of Jyväskylä, Academy of Finland (grants #296240, #307250 and #327288) and Jane and Aatos Erkko Foundation. None of the funding organizations participated in the creation of the study design, data collection, data analyses or writing the manuscript.License
Related items
Showing items with similar title or keywords.
-
Effects of multicomponent exercise intervention on cardiometabolic risk factors in children and young adults with cerebral palsy : a multiple-baseline trial
Savikangas, Tiina; Valadão, Pedro; Haapala, Eero A.; Finni, Taija (BioMed Central, 2024)Background Adults with cerebral palsy (CP) have a high risk of cardiometabolic diseases. It is unknown whether this risk is elevated in young people with CP and whether exercise can reduce this risk. Therefore, we ... -
Effects of the EXECP Intervention on Motor Function, Muscle Strength and Joint Flexibility in Individuals with Cerebral Palsy
Valadão, Pedro; Cenni, Francesco; Piitulainen, Harri; Avela, Janne; Finni, Taija (Lippincott Williams & Wilkins, 2024)Purpose Numerous exercise interventions to enhance motor function in cerebral palsy (CP) have been proposed, with varying degrees of effectiveness. Since motor function requires a combination of muscle strength, joint ... -
Improving gait in cerebral palsy : effects of a combined strength, flexibility and gait training Intervention on lower limb gait kinematics and kinetics in children and young adults with spastic cerebral palsy
Thamm, Antonia (2021)INTRODUCTION. Walking ability is a fundamental skill enabling participation and independence. For people with cerebral palsy (CP) gait can be impaired due to altered musculoskeletal development resulting from a lesion of ... -
Effectiveness of a workplace physical exercise intervention on the functioning, work ability, and subjective well-being of office workers : a cluster randomised controlled cross-over trial with a one-year follow-up
Sjögren, Tuulikki (University of Jyväskylä, 2006)The main aim of this study was to investigate the feasibility and the effects of workplace physical exercise intervention on physical and psychosocial functioning, work ability, and general subjective well-being. Dose of ... -
Acute Neuromuscular and Hormonal Responses to Power, Strength, and Hypertrophic Protocols and Training Background
Kotikangas, Johanna; Walker, Simon; Toivonen, Sara; Peltonen, Heikki; Häkkinen, Keijo (Frontiers Media SA, 2022)This study investigated how two slightly different athlete groups would differ in acute neuromuscular and endocrine responses to specific resistance exercise loadings and recovery compared to untrained participants. Power ...