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Efficacy of constant versus intermittent strength training to enhance the operative abilities in children with spastic diplegia

Author: 
Mudasir Rashid Baba
Subject Area: 
Health Sciences
Abstract: 

Background: The weakness of muscles results in impairment of motor skills affecting daily activities in children with cerebral palsy (CP). It has been reported that children with cerebral palsy when subjected to strengthening interventions produce improvements in functional abilities. This paper describes the effects of constant strength training of a school-based progressive functional development for children with CP. Aims: To determine the outcome of continuous versus intermittent strength training using 10 metre walking test (10MWT) in improving the functional abilities in children with spastic diplegia. Methods: Thirty (30) spastic diplegic children with Gross Motor Function Classification level I to II (GMFCS) aged 5 to 12 years were randomly enrolled. The children were equally distributed, 15 each in intervention group (Group A) and control group (Group B) and were subjected to 10MWT (32.8feet) before and after intervention. Group A received 5days of intervention every week for 8 weeks, whereas (Group B) was subjected to 3 days of intervention every week for 8 weeks. The start time was taken at 2 meters distance from the start up distance and three successive trials were taken. The average of three trials was considered. Results: Continuous strengthening program had shown statistically significant alteration in functional outcome measured by (10MWT) (P<0.05) Conclusion: There is a significant improvement on functional abilities and the walking speed in children who underwent constant strengthening training. The time taken to cover 10 meter distance also showed a marked reduction.

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