Effect of leg pedaling exercise from an inclined position on functional ability and strength in children with diplegia.

Amira F El-Sheikh, Alaa B Hassan, Nanees E Mohamed
Author Information
  1. Amira F El-Sheikh: Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  2. Alaa B Hassan: Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  3. Nanees E Mohamed: Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Abstract

Objectives: Children with spastic diplegic cerebral palsy (SDCP) can develop various complications that affect their daily activities and quality of life, such as impaired functional ability, trunk control, and muscle weakness. This study evaluated the effects of lower extremity pedaling exercise from an inclined position on functional ability, trunk control, and muscle strength in these children.
Methods: Thirty children diagnosed with SDCP, aged 6-9 years, were randomly assigned to two groups: a study group (Group A) and a control group (Group B). Both groups followed a designated physical therapy program for 45 min three times weekly for two consecutive months. Group A performed leg pedaling exercises for 30 min per session from an inclined position. Functional ability, trunk control, and muscle strength were assessed before and after the study using the Gross Motor Function Measure, Trunk Control Measurement Scale, and a handheld dynamometer, respectively.
Results: Both groups demonstrated statistically significant improvements in the assessed variables post-treatment (P < 0.05). Group A exhibited substantial improvements in functional ability, trunk control, and muscle strength following treatment (P < 0.05).
Conclusions: For children with SDCP, integrating leg pedaling exercises from an inclined position into their therapeutic program can improve their functional ability, trunk control, and muscle strength.

Keywords

References

  1. J Phys Ther Sci. 2021 Jan;33(1):52-56 [PMID: 33519075]
  2. Transl Pediatr. 2020 Feb;9(Suppl 1):S125-S135 [PMID: 32206590]
  3. Res Dev Disabil. 2012 Jul-Aug;33(4):1087-94 [PMID: 22502833]
  4. Phys Ther Res. 2023;26(2):65-70 [PMID: 37621569]
  5. Phys Occup Ther Pediatr. 2019;39(6):692-707 [PMID: 31148494]
  6. Healthcare (Basel). 2023 Jan 16;11(2): [PMID: 36673647]
  7. Phys Ther. 2005 Feb;85(2):159-68 [PMID: 15679467]
  8. Sensors (Basel). 2024 Mar 14;24(6): [PMID: 38544123]
  9. J Taibah Univ Med Sci. 2020 Dec 19;16(3):379-386 [PMID: 34140865]
  10. Clin Rehabil. 2019 Jul;33(7):1113-1129 [PMID: 30935240]
  11. Dev Med Child Neurol. 2007 Jul;49(7):522-7 [PMID: 17593125]
  12. Neoreviews. 2024 Jun 1;25(6):e350-e360 [PMID: 38821909]
  13. Disabil Rehabil Assist Technol. 2013 Jan;8(1):30-7 [PMID: 22536951]
  14. J Phys Ther Sci. 2019 Mar;31(3):211-216 [PMID: 30936633]
  15. Am J Phys Med Rehabil. 2003 May;82(5):357-63 [PMID: 12704274]
  16. Front Bioeng Biotechnol. 2020 Aug 18;8:998 [PMID: 32974319]
  17. Dev Neurorehabil. 2019 Feb;22(2):120-125 [PMID: 29652201]
  18. Rehabil Res Pract. 2021 Aug 19;2021:9758640 [PMID: 34462670]
  19. Brain Sci. 2022 Jan 04;12(1): [PMID: 35053819]
  20. PLoS One. 2021 Aug 5;16(8):e0251977 [PMID: 34351943]
  21. Int J Environ Res Public Health. 2023 Mar 15;20(6): [PMID: 36982053]
  22. Clin Rehabil. 2022 Jan;36(1):4-14 [PMID: 34407619]
  23. Ann Rehabil Med. 2019 Jun;43(3):289-296 [PMID: 31311250]

Word Cloud

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