Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Schranz, C.
Does home-based progressive resistance or high intensity circuit training improve strength, function, activity or participation in children with cerebral palsy?
Doktoratsstudium der Medizinischen Wissenschaft; Humanmedizin; [ Dissertation ] Medical University of Graz; 2019. pp. 100
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Pieber Thomas
- Steinwender Gerhardt
- Svehlik Martin
- Altmetrics:
- Abstract:
- Objective: Does home-based progressive resistance or high intensity circuit training improve strength, function, activity or participation in children with cerebral palsy? Design: This was the first study on high intensity circuit training for children with cerebral palsy. This study was conducted as a randomized prospective controlled pilot-study. Setting: Evaluation took place at the gait laboratory of the university hospital, training sessions were performed at home. Participants: 22 children with CP (average age:12 years, 10 months, 19 GMFCS I, 3 GMFCS II) were randomly assigned either to PRT or HICT. Interventions: The PRT-group trained with progressive overload while the HICT-group performed as many repetitions as possible within 30s-intervals (8-weeks, 3 times weekly in both groups). Outcome measures: Outcome measures stretched over all domains of the International Classification of Functioning, Disability and Health and included muscle strength, Muscle power sprint test, Timed-stairs-test, 6-minute walking test, Gait Profile Score, Timed-up-and-go test and participation questionnaires. Results: Only the HICT-group was able to improve strength. Furthermore, HICT-group scored better in the Muscle power sprint test while PRT-participants improved in the timed-stairs-test and Timed-up-and-go test. Finally, the HICT-group showed improvement in the subscale of the parent reported questionnaire PODCI. There was no change of any other measures of mobility or participation. Conclusion: Both programs improved function specific to intervention. However, only HICT-group showed significant strength improvements. Compliance was decent in both groups, but the average training unit was shorter in the HICT-group. Both exercise programs showed functional benefits but HICT might be the preferable option for strengthening in highly functional children with CP.