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 inBMC Sports Science, Medicine and Rehabilitation
DisciplineLiikuntalääketiedeBiomekaniikkaPsykologiaMonitieteinen aivotutkimuskeskusSports and Exercise MedicineBiomechanicsPsychologyCentre for Interdisciplinary Brain Research
© 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. ...
PublisherSpringer Science and Business Media LLC
Publication in research information system
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Related funder(s)Academy of Finland
Funding program(s)Research costs of Academy Research Fellow, AoF
Additional information about fundingThis 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.
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