Effects of a Postoperative Strength-Training Program on the Walking Ability of Children With Cerebral Palsy: A Randomized Controlled Trial Dimitrios.

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Effects of a Postoperative Strength-Training Program on the Walking Ability of Children With Cerebral Palsy: A Randomized Controlled Trial Dimitrios Patikas, PhD, Sebastian I. Wolf, PhD, Katrin Mund, PT, Petra Armbrust, PT, Waltraud Schuster, MTA, Leonhard Döderlein, MD Archives of Physical Medicine and Rehabilitation Volume 87, Issue 5, Pages 619-626 (May 2006) DOI: 10.1016/j.apmr.2006.01.023 Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 Flow diagram of the randomization procedure. Archives of Physical Medicine and Rehabilitation 2006 87, 619-626DOI: (10.1016/j.apmr.2006.01.023) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 (A—D) Spatiotemporal parameters for the control (CG) and strength-training (SG) groups, before (E0), 1 year after (E1), and 2 years after (E2) the surgery. The normative values with SD are represented by the continuous horizontal line and the grey zone (n=29). NOTE. Values are mean ± SD. *Significant differences between the measurements for the merged group (CG+SG) that were examined at E0, E1, and E2. Archives of Physical Medicine and Rehabilitation 2006 87, 619-626DOI: (10.1016/j.apmr.2006.01.023) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Normalcy index and kinematic parameters for the control and strength-training groups, prior to, 1 year after, and 2 years after surgery. (A) Normalcy index, (B) minimum knee flexion during terminal swing, (C) maximum hip extension, and (D) maximum plantarflexion during stance to swing transition. The normative values with SD are represented by the continuous horizontal line and the grey zone (n=29). NOTE. Values are mean ± SD. *Significant differences between the measurements for the merged group (CG+SG) that were examined at E0, E1, and E2. Archives of Physical Medicine and Rehabilitation 2006 87, 619-626DOI: (10.1016/j.apmr.2006.01.023) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Kinetic parameters for the control and strength-training groups prior to, 1 year after, and 2 years after surgery. (A) Maximum hip power absorption, (B) maximum plantarflexor moment, (C) maximum knee power absorption during loading responses, and (D) maximum ankle power generation. The normative values with SD are represented by the continuous horizontal line and the grey zone (n=29). NOTE. Values are mean ± SD. *Significant differences between the measurements for the merged group (CG+SG) that were examined at E0, E1, and E2. Archives of Physical Medicine and Rehabilitation 2006 87, 619-626DOI: (10.1016/j.apmr.2006.01.023) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions