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Endurance, Walking Capacity and Participation in Adolescents with Cerebral Palsy

Endurance, Walking Capacity and Participation in Adolescents with Cerebral PalsyDevelopmental Medicine and Child Neurology published research comparing 17 adolescents with spastic cerebral palsy to their typically developing peers to examine the relationship between muscle endurance and subjectively reported fatigue, walking capacity, and participation.  For each participant, knee extensor muscle endurance was estimated from individual load–endurance curves as the load corresponding to a 15-repetition maximum. The Pediatric Quality of Life Inventory Multidimensional Fatigue Scale was used to subjectively report fatigue.  The Life-Habits questionnaire was used to investigate participation. Walking capacity was evaluated with the 6-minute walk test.  The results indicated the following:

  1.  muscle endurance related significantly to subjectively reported fatigue and walking capacity in adolescents with cerebral palsy.
  2.  no relationship was found for adolescents with typical development  with regards to subjectively reported fatigue or walking capacity .
  3.  the 15-repetition maximum did not relate to participation in adolescents with cerebral palsy.

The researchers concluded that subjectively reported fatigue and reduced walking capacity in adolescents with cerebral palsy are partially a result of lower muscle endurance of knee extensors. They suggest training of muscle endurance to reduce fatigue and improve walking capacity. Reduced muscle endurance did not have an effect on participation.

Reference:  Eken, M. M., Houdijk, H., Doorenbosch, C. A. M., Kiezebrink, F. E. M., van Bennekom, C. A. M., Harlaar, J. and Dallmeijer, A. J. (2016), Relations between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy. Developmental Medicine & Child Neurology. doi: 10.1111/dmcn.13083

Teaching Motor Skills to Children with Cerebral Palsy - http://yourtherapysource.com/CPmotorskills.html

Teaching Motor Skills to Children with Cerebral Palsy and Similar Movement
Disorders – A Guide for Parents and Professionals
Author: Sieglinde Martin M.S., P.T.

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