Gavin Colquitt1, Keagan Kiely1, Manuela Caciula2, Li Li1, Robert L Vogel3, Noelle G Moreau4. 1. Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA. 2. Department of Fitness, Exercise and Sports, New Jersey City University, Jersey City, NJ, USA. 3. Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA. 4. Department of Physical Therapy, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Abstract
Aim: To examine the effects of an upper-extremity, community-based, and power-training intervention. Methods: Twelve participants with cerebral palsy (CP) [8 males, 4 females; mean age 14 years 6 months (SD 5 years 4 months), range 7-24] were randomly assigned to a rest-training (RT; n = 6) or training-rest (n = 6) group in this randomized, cross-over design. Training took place in participants' home or school, three times per week for 6 weeks. We examined changes in upper extremity average power output (Pavg) in watts (W) and changes in function via the Pediatric Outcomes Data Collection Instrument (PODCI). Results: Each participant completed at least 15 of the 18 total training sessions (91.2% adherence). Pavg increased 92.2% on average among participants (p < .05). There was a significant three-way interaction among treatment, sequence, and period with the data stratified by (Bimanual Fine Motor Function [BFMF]) level on the pain subscale of the PODCI (p = 0.0118). All participants decreased pain after training with the exception of individuals with lower functioning (BFMF II-V) in the RT group. Conclusion: A community-based upper extremity power-training intervention was feasible and effective at improving power among young people with CP and has the potential to improve pain.
RCT Entities:
Aim: To examine the effects of an upper-extremity, community-based, and power-training intervention. Methods: Twelve participants with cerebral palsy (CP) [8 males, 4 females; mean age 14 years 6 months (SD 5 years 4 months), range 7-24] were randomly assigned to a rest-training (RT; n = 6) or training-rest (n = 6) group in this randomized, cross-over design. Training took place in participants' home or school, three times per week for 6 weeks. We examined changes in upper extremity average power output (Pavg) in watts (W) and changes in function via the Pediatric Outcomes Data Collection Instrument (PODCI). Results: Each participant completed at least 15 of the 18 total training sessions (91.2% adherence). Pavg increased 92.2% on average among participants (p < .05). There was a significant three-way interaction among treatment, sequence, and period with the data stratified by (Bimanual Fine Motor Function [BFMF]) level on the pain subscale of the PODCI (p = 0.0118). All participantsdecreased pain after training with the exception of individuals with lower functioning (BFMF II-V) in the RT group. Conclusion: A community-based upper extremity power-training intervention was feasible and effective at improving power among young people with CP and has the potential to improve pain.
Entities:
Keywords:
Cerebral palsy; community-based exercise; pain; power training; upper extremity