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FAST CP: protocol of a randomised controlled trial of the efficacy of a 12-week combined Functional Anaerobic and Strength Training programme on muscle properties and mechanical gait deficiencies in adolescents and young adults with spastic-type cerebral palsy.

BMJ open
January 1, 1970
Jarred G Gillett et al. (4 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine if combined functional anaerobic and strength training improves muscle strength, structure, and walking ability in adolescents and young adults with cerebral palsy.

Results Summary

The study hypothesizes that combined strength and functional training may enhance muscle properties and walking ability, with potential long-term benefits for slowing muscle function deterioration in spastic-type CP. Results are pending as the study is ongoing.

Population

Adolescents and young adults with cerebral palsy (CP).

Effective Dosage

3 × 75 min sessions per week, consisting of 5 lower limb resistance exercises and 2-3 functional anaerobic exercises per session.

Duration

12-week training program with a 3-month follow-up.

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Progressive resistance training
increase
muscle size and strength
-
-
leads to increases
#1
resistance training alone
no change
other activities such as walking
Individuals with cerebral palsy (CP)
-
may not transfer to improve
#2
combined functional anaerobic and strength training
increase
muscle strength, structure and function
adolescents and young adults with CP
-
influencing
#3
combined functional anaerobic and strength training
increase
walking ability and gross motor functional capacity and performance
adolescents and young adults with CP
-
impact on
#4
combined strength and functional training
increase
muscle properties
-
-
change
#5
combined strength and functional training
decrease
muscle function
people with spastic-type CP
-
long-term benefits in slowing the deterioration
#6
Abstract

INTRODUCTION: Individuals with cerebral palsy (CP) have muscles that are smaller, weaker and more resistant to stretch compared to typically developing people. Progressive resistance training leads to increases in muscle size and strength. In CP, the benefits of resistance training alone may not transfer to improve other activities such as walking; however, the transfer of strength improvements to improved mobility may be enhanced by performing training that involves specific functional tasks or motor skills. This study aims to determine the efficacy of combined functional anaerobic and strength training in (1) influencing muscle strength, structure and function and (2) to determine if any changes in muscle strength and structure following training impact on walking ability and gross motor functional capacity and performance in the short (following 3 months of training) and medium terms (a further 3 months post-training). METHODS AND ANALYSIS: 40 adolescents and young adults with CP will be recruited to undertake a 12-week training programme. The training programme will consist of 3 × 75 min sessions per week, made up of 5 lower limb resistance exercises and 2-3 functional anaerobic exercises per session. The calf muscles will be specifically targeted, as they are the most commonly impacted muscles in CP and are a key muscle group involved in walking. If, as we believe, muscle properties change following combined strength and functional training, there may be long-term benefits of this type of training in slowing the deterioration of muscle function in people with spastic-type CP. ETHICS AND DISSEMINATION: Ethical approval has been obtained from the ethics committees at The University of Queensland (2014000066) and Children's Health Queensland (HREC/15/QRCH/30). The findings will be disseminated by publications in peer-reviewed journals, conferences and local research organisations' media. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Registry (ACTRN12614001217695).

Medical Subject Headings (MeSH)
AdolescentAustraliaCerebral PalsyClinical ProtocolsExerciseExercise TherapyFemaleGait Disorders, NeurologicHumansMaleMuscle SpasticityMuscle StrengthMuscle, SkeletalNew ZealandProgram EvaluationResistance TrainingTreatment OutcomeWalkingYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations8
Citations/Year0.8
Relative Citation Ratio0.55
NIH Percentile29.9%
Research Impact Scores
APT Score0.25
Weight Score1.69
Normalized Score0.67
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