Beta
318643

Effect of contralateral isokinetic training on strength and reaching skill in children with spastic hemiplegic cerebral palsy: randomized control trail

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

Physical Therapy

Abstract

Background: Hemiplegic cerebral palsy (CP) occurs as a result of injury to the sensorimotor cortex that controls one side of the body. It affects one side of the body, including the limbs, trunk, and potentially the neck. The ability of hemiplegic children to reach, hold, and manipulate objects with their hands is one of their biggest challenges. Purpose: The study aimed to identify how cross-education affected the activity and function of the affected upper limb in children with spastic hemiplegic cerebral palsy. Additionally, it aimed to determine the effect of contralateral isokinetic resistance training on strength in children with spastic hemiplegic cerebral palsy. Methodology: Thirty two spastic hemiplegic cerebral palsied children aged from 5 to 7 years participated in this study. They were assigned randomly into two equal groups: Control group (A) received a designed physical therapy program for 60 min / three sessions per week and study group (B) received the same designed physical therapy program given to control group (A) in addition to isokinetic resistance training for the shoulder abductors of the contralateral upper limb in concentric mode at the angular velocity of 180 degree/ second. The concentric isokinetic shoulder abductors peak torque in Newton- meters and average power were assessed by isokinetic dynamometer apparatus. The ability of the child to perform the reaching skills was assessed by the Modified Functional Scale for Reaching. All variables were assessed before and after two successive months of intervention. Results: The results revealed significant improvement in the shoulder abductor torque, power average and reaching in both groups with favor of study group (B). Conclusion: Adding contralateral isokinetic training to the designed physical therapy program is effective for improvement of strength and reaching skill in children with spastic hemiplegic cerebral palsy.

DOI

10.21608/dusj.2023.318643

Keywords

Contralateral isokinetic training, Strength, reaching, Hemiplegia, cerebral paly

Authors

First Name

Amira H.

Last Name

Mohammed

MiddleName

-

Affiliation

Department of Physical Therapy for Pediatric and its surgery, Faculty of Physical Therapy, Delta University for Science and Technology, Gamasa, Egypt.;

Email

-

City

-

Orcid

-

First Name

Hend M.

Last Name

Elsharkawy

MiddleName

-

Affiliation

Department of Physical Therapy for Neurology and Its Surgery, Faculty of Physical Therapy, Delta University for Science and Technology, Gamasa, Egypt.;

Email

-

City

-

Orcid

-

First Name

Samah M.

Last Name

Sheha

MiddleName

-

Affiliation

Department of Physical Therapy for Pediatric and its surgery, Faculty of Physical Therapy, Misr University for Science and Technology, Egypt.

Email

-

City

-

Orcid

-

Volume

6

Article Issue

2

Related Issue

43625

Issue Date

2023-09-01

Receive Date

2023-09-25

Publish Date

2023-09-01

Page Start

147

Page End

157

Print ISSN

2636-3046

Online ISSN

2636-3054

Link

https://dusj.journals.ekb.eg/article_318643.html

Detail API

https://dusj.journals.ekb.eg/service?article_code=318643

Order

318,643

Type

Original research papers

Type Code

1,769

Publication Type

Journal

Publication Title

Delta University Scientific Journal

Publication Link

https://dusj.journals.ekb.eg/

MainTitle

Effect of contralateral isokinetic training on strength and reaching skill in children with spastic hemiplegic cerebral palsy: randomized control trail

Details

Type

Article

Created At

28 Dec 2024