Effects of the EXECP Intervention on Motor Function, Muscle Strength and Joint Flexibility in Individuals with Cerebral Palsy
Valadão, P., Cenni, F., Piitulainen, H., Avela, J., & Finni, T. (2024). Effects of the EXECP Intervention on Motor Function, Muscle Strength and Joint Flexibility in Individuals with Cerebral Palsy. Medicine and Science in Sports and Exercise, 56(1), 1-12. https://doi.org/10.1249/mss.0000000000003273
Julkaistu sarjassa
Medicine and Science in Sports and ExercisePäivämäärä
2024Tekijänoikeudet
© 2023 the Authors
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 flexibility and motor coordination, we designed a supervised multicomponent exercise intervention (EXECP) for individuals with CP. Our aim was to evaluate the effects of the EXECP intervention and its retention after it ceased.
Methods
The EXECP intervention combined strength training for the lower limbs and trunk muscles, passive stretching for the lower limb muscles and inclined treadmill gait training. Eighteen participants with CP (mean age: 14, 13 males) were tested twice before the three-month intervention and twice after the intervention, each test separated by three months. Seventeen typically developing age and sex-matched controls were tested twice. Motor function was assessed with the six minutes walking test (6MWT) and the gross motor function measure (GMFM) dimensions D and E. Passive joint flexibility was measured with goniometry. Isometric and concentric muscle strength were assessed at the knee, ankle and trunk joints.
Results
The EXECP intervention successfully increased 6MWT (p < 0.001), GMFM (p = 0.004) and muscle strength for knee and trunk muscles (p < 0.05), although no changes were observed for ankle joint muscles. Hip and knee joint flexibility also increased (p < 0.05). After the retention period, all tested variables except the 6MWT and knee joint flexibility regressed and were not different from the pre-tests.
Conclusions
The improvements in strength, flexibility, and possibly motor coordination brought by the EXECP intervention were transferred to significant functional gains. The regression towards baseline after the intervention highlights that training must be a life-long decision for individuals with CP.
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Julkaisija
Lippincott Williams & WilkinsISSN Hae Julkaisufoorumista
0195-9131Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/184168285
Metadata
Näytä kaikki kuvailutiedotKokoelmat
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Rahoittaja(t)
Suomen Akatemia; Opetus- ja kulttuuriministeriöRahoitusohjelmat(t)
Profilointi, SA; Akatemiatutkija, SA; Muut; Akatemiatutkijan tutkimuskulut, SALisätietoja rahoituksesta
This work was supported by the Olvi Foundation, Research Foundation of Cerebral Palsy Alliance (PHD00321), Finnish Cultural Foundation, University of Jyväskylä, Academy of Finland (grants #296240, #307250, #327288, #311877, #326988), including “Brain changes across the lifespan” profiling funding to University of Jyväskylä, Jane and Aatos Erkko Foundation (#602.274) and Ministry of Education and Culture (OKM/28/626/2022). ...Lisenssi
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