Effect of Sit-To-Stand Training versus Manual Strengthening Exercises on Mobility and Function in Children with Cerebral Palsy: A Randomized Controlled Trial
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Abstract
Background: Cerebral palsy poses significant challenges to mobility and function in affected children. This study addresses the need for evidence-based rehabilitation interventions by comparing the impact of sit-to-stand training and manual strengthening exercises.
Objective: To evaluate and compare the effectiveness of sit-to-stand training and manual strengthening exercises in improving mobility and function in children with cerebral palsy.
Method: A randomized controlled trial involving 44 participants (22 in each group) was conducted. Baseline characteristics were assessed, and interventions were implemented over a 12-week period. Regular assessments tracked changes, employing statistical analyses to compare outcomes between the two groups.
Results: Both interventions led to positive changes, with a statistically significant superiority favoring the Sit-to-Stand Group at the 12-week mark. Baseline comparability was established, reinforcing the credibility of the findings.
Conclusion: Sit-to-stand training, emphasizing weight-bearing activities, demonstrated notable efficacy in enhancing mobility and function. The study provides valuable insights for clinicians, guiding evidence-based practices in pediatric rehabilitation.
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References
Liao HF, Gan SM, Lin KH, Lin JJ. Effects of weight resistance on the temporal parameters and electromyography of sit-to-stand movements in children with and without cerebral palsy. American journal of physical medicine & rehabilitation. 2010;89(2):99-106.
Bilde PE, Kliim-Due M, Rasmussen B, Petersen LZ, Petersen TH, Nielsen JB. Individualized, home-based interactive training of cerebral palsy children delivered through the Internet. BMC neurology. 2011;11:32.
Boyd RN. Functional progressive resistance training improves muscle strength but not walking ability in children with cerebral palsy. Journal of physiotherapy. 2012;58(3):197.
Kumban W, Amatachaya S, Emasithi A, Siritaratiwat W. Effects of task-specific training on functional ability in children with mild to moderate cerebral palsy. Developmental neurorehabilitation. 2013;16(6):410-7.
Chrysagis N, Skordilis EK, Koutsouki D. Validity and clinical utility of functional assessments in children with cerebral palsy. Archives of physical medicine and rehabilitation. 2014;95(2):369-74.
Lorentzen J, Greve LZ, Kliim-Due M, Rasmussen B, Bilde PE, Nielsen JB. Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities. BMC neurology. 2015;15:75.
Kenis-Coskun O, Giray E, Eren B, Ozkok O, Karadag-Saygi E. Evaluation of postural stability in children with hemiplegic cerebral palsy. Journal of physical therapy science. 2016;28(5):1398-402.
Tarakci D, Ersoz Huseyinsinoglu B, Tarakci E, Razak Ozdincler A. Effects of Nintendo Wii-Fit(®) video games on balance in children with mild cerebral palsy. Pediatrics international : official journal of the Japan Pediatric Society. 2016;58(10):1042-50.
Peungsuwan P, Parasin P, Siritaratiwat W, Prasertnu J, Yamauchi J. Effects of Combined Exercise Training on Functional Performance in Children With Cerebral Palsy: A Randomized-Controlled Study. Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association. 2017;29(1):39-46.
Schram Christensen M, Jensen T, Voigt CB, Nielsen JB, Lorentzen J. To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children. BMC neurology. 2017;17(1):112.
Armstrong EL, Boyd RN, Kentish MJ, Carty CP, Horan SA. Effects of a training programme of functional electrical stimulation (FES) powered cycling, recreational cycling and goal-directed exercise training on children with cerebral palsy: a randomised controlled trial protocol. BMJ open. 2019;9(6):e024881.
Suriyaamarit D, Boonyong S. Mechanical work, kinematics, and kinetics during sit-to-stand in children with and without spastic diplegic cerebral palsy. Gait & posture. 2019;67:85-90.
Armstrong EL, Boyd RN, Horan SA, Kentish MJ, Ware RS, Carty CP. Functional electrical stimulation cycling, goal-directed training, and adapted cycling for children with cerebral palsy: a randomized controlled trial. Developmental medicine and child neurology. 2020;62(12):1406-13.
Khan MT, Shareef F, Farooq U, Tahir A. Impact of Facility Characteristics on Patient Safety, Patient Experience, and Service Availability for Procedures in Hospitals. Pakistan Journal of Rehabilitation. 2022;11(1):136-44.
Makki ARK, Tahir M, Amin U, Tabassum MMB, Kamran M, Tahir F. Mechanism of Meniscal Injury and its Impact on Performance in Athletes: Meniscal Injury in Athletes. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2022;2(3):232-7.
Malik J, Farooq U, Tahir M, Ayyaz A, khalid Makki AR. Impact of Attending Online Classes on Mental Health Among University Students During COVID-19 Pandemic in Lahore: Impact of Online Classes in Covid-19. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2022;2(2):162-9.
Saeed A, Kemall F, Iqbal J, Sarwar R, Mustafa M, Tahir M. Effect of Resistance Exercise Training Program on Quality of Life in Women with and without Polycystic Ovary Syndrome; A Cross Sectional Survey. Pakistan Journal of Medical & Health Sciences. 2022;16(07):956-.
Tahir A, Fatima A, Khan MT. Association of depression in patients with fibromyalgia syndrome. Pakistan Journal of Rehabilitation. 2022;11(1):174-83.
Asghar M, Safdar Z, Tahir M. Quality of life and functional Outcomes among Burn Patients: A Cross Sectional Survey. Journal of Health and Rehabilitation Research. 2023;3(2):293-8.
Safdar Z, Asghar M, Tahir M. Level of Quality of Life among Post Stroke Patients; A Cross Sectional Survey. Journal of Health and Rehabilitation Research. 2023;3(2):299-304.
Tahir M, Maqsood M, Azhar N, Safdar Z, Amin U, Waheed TS. Association of Knee Pain in Long Standing and Sitting among University Teachers: Association of Knee Pain in University Teachers. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2023;3(1):314-21.
Tahir M, Tariq F, Saeed HW, Nauman M, Usman M, Ali S. Impact of Air Pollution on Respiratory Health of Traffic Wardens in Lahore: Air Pollution and Respiratory Health. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2023;3(7):703-9.
Tahir M, Tehzeeb K, Javaid F, Khan UA, Ayyaz A, Usama M. EFFECTS OF ROUTINE PHYSICAL THERAPY WITH AND WITHOUT HIGH INTENSITY INTERVAL TRAINING ON BALANCE, QUALITY OF LIFE AND FUNCTION IN PARKINSON’S DISEASE PATIENTS. Journal of Population Therapeutics and Clinical Pharmacology. 2023;30(19):483-90.
Bahar-Özdemir Y, Ünal-Ulutatar Ç, Karali-Bingül D, Karadağ-Saygı E. Efficacy of foot-ankle orthosis on balance for children with hemiplegic cerebral palsy: An observational study. Turkish journal of physical medicine and rehabilitation. 2021;67(3):336-43.
Chaovalit S, Dodd KJ, Taylor NF. Sit-to-stand training for self-care and mobility in children with cerebral palsy: a randomized controlled trial. Developmental medicine and child neurology. 2021;63(12):1476-82.
Armstrong EL, Boyd RN, Horan SA, Kentish MJ, Ware RS, Carty CP. Maintenance of Functional Gains Following a Goal-Directed and FES-Assisted Cycling Program for Children With Cerebral Palsy. Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association. 2022;34(4):480-7.
Gonzalez NA, Sanivarapu RR, Osman U, Latha Kumar A, Sadagopan A, Mahmoud A, et al. Physical Therapy Interventions in Children With Cerebral Palsy: A Systematic Review. Cureus. 2023;15(8):e43846.
Peungsuwan P, Chatchawan U, Donpunha W, Malila P, Sriboonreung T. Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy. Children (Basel, Switzerland). 2023;10(3).
Chaovalit S, Dodd KJ, Taylor NF. Caregivers' Perceptions of a High Repetition Sit-To-Stand Exercise Program for Children with Cerebral Palsy Who Have Mobility Limitations. Physical & occupational therapy in pediatrics. 2022;42(5):566-78.
Gulzar A, Waris M. Effects of 8 weeks functional training programme on posture control and functional mobility in spastic hemiplegic cerebral palsy. JPMA The Journal of the Pakistan Medical Association. 2022;72(7):1278-81.
Gunes D, Karadag-Saygi E, Giray E, Kurt S. Characteristics of sit-to-stand movement are associated with trunk and lower extremity selective control in children with cerebral palsy: a cross-sectional study. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2022;45(3):279-86.
Hanssen B, Peeters N, De Beukelaer N, Vannerom A, Peeters L, Molenaers G, et al. Progressive resistance training for children with cerebral palsy: A randomized controlled trial evaluating the effects on muscle strength and morphology. Frontiers in physiology. 2022;13:911162.
Lim HK, Ko J, Lee D, Han DU. Modified desk height helps children with cerebral palsy perform sit-to-stand. Disability and rehabilitation Assistive technology. 2022;17(2):221-7.
Spittle A. Critically appraised paper: A task-specific sit-to-stand training program for children with cerebral palsy improves mobility and self-care function [synopsis]. Journal of physiotherapy. 2022;68(1):69.
Toovey R. Critically appraised paper: A task-specific sit-to-stand training program for children with cerebral palsy improves mobility and self-care function [commentary]. Journal of physiotherapy. 2022;68(1):69.
Wang YL, Chi WC, Chen CL, Yang CH, Teng YL, Yeung KT. Effects of Hinged versus Floor-Reaction Ankle-Foot Orthoses on Standing Stability and Sit-to-Stand Performance in Children with Spastic Diplegic Cerebral Palsy. International journal of environmental research and public health. 2022;19(1).