Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia.


BACKGROUND AND PURPOSE:Despite evidence of weakness in children with cerebral palsy, the use of strength training in this population remains controversial. SUBJECTS:Fourteen children with spastic diplegia, ranging in age from 6 to 14 years (X = 9.1, SD = 2.5), participated in a bilateral quadriceps femoris muscle strengthening program. METHODS:The children exercised three times per week for 6 weeks using ankle weights at loads of approximately 65% of each child's maximum isotonic force production. The maximal voluntary contraction of the quadriceps femoris muscles was measured before, at the midpoint of, and immediately following the exercise program at 30, 60, and 90 degrees of knee flexion. Gait analyses were performed before and after the strengthening program to determine whether quadriceps femoris muscle strengthening influenced gait. RESULTS:Children with spastic diplegia can increase quadriceps femoris muscle strength through heavy resistance exercise. Repeated-measures analysis of variance and multivariate analysis of variance procedures were used to assess changes in force and in gait variables. Improvement in the degree of crouch at initial floor contact at the freely selected speed and an increase in stride length at free and fast speeds were found. CONCLUSION AND DISCUSSION:These findings suggest that resistance exercise is an effective treatment strategy and as such should be considered as one component in the habilitation of children with cerebral palsy.


Phys Ther


Physical therapy


Damiano DL,Kelly LE,Vaughn CL




Has Abstract


1995-08-01 00:00:00


658-67; discussion 668-71










  • A physical therapy model for the treatment of low back pain.

    abstract::Low back pain is commonly seen in physical therapy practice, and many methods of treatment are used to reduce it. In this article, we discuss the magnitude of the low back pain problem, outline the various treatment methods, and develop a strategy to classify and standardize the treatment of the patient who has low ba...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: DeRosa CP,Porterfield JA

    更新日期:1992-04-01 00:00:00

  • Financial model to determine the effect of clinical education programs on physical therapy departments.

    abstract::The purpose of this study was to develop a financial model to help administrators determine the financial effect of physical therapy clinical education programs on facilities. I developed the model from an analysis of actual field data collected on the financial and time variables involved in the clinical education pr...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Lopopolo RB

    更新日期:1984-09-01 00:00:00

  • Computer-assisted instruction in curricula of physical therapist assistants.

    abstract::This article compares the effectiveness of computer-assisted instruction (CAI) with written, programmed instruction between two groups of physical therapist assistant students. No significant difference in the amount of material learned or retained after completion of testing using either CAI or a written, programmed ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Thompson EC

    更新日期:1987-08-01 00:00:00

  • Association of body mass index with self-report and performance-based measures of balance and mobility.

    abstract:BACKGROUND:The incidence of obesity is increasing in older adults, with associated worsening in the burden of disability. Little is known about the impact of body mass index (BMI) on self-report and performance-based balance and mobility measures in older adults. OBJECTIVE:The purposes of this study were (1) to examin...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Hergenroeder AL,Wert DM,Hile ES,Studenski SA,Brach JS

    更新日期:2011-08-01 00:00:00

  • Effects of unilateral brain damage on contralateral and ipsilateral upper extremity function in hemiplegia.

    abstract::This article describes the long-term effects of unilateral penetrating hemispheric lesions on contralateral and ipsilateral upper extremity motor performance and functional outcome. Activities-of-daily-living skill and gross motor performance contralateral to the lesions were compared among 32 left-sided and 19 right-...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Smutok MA,Grafman J,Salazar AM,Sweeney JK,Jonas BS,DiRocco PJ

    更新日期:1989-03-01 00:00:00

  • Role-model concepts before and after the formal professional socialization period.

    abstract::Physical therapy students in baccalaureate-degree programs used a forced-choice Q sort of 49 characteristics of physical therapists to describe their concepts of a physical therapy role model at the beginning and again at the end of basic professional training. In ranking the items with the 10 highest mean values (mos...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Jacobson BF

    更新日期:1980-02-01 00:00:00

  • Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

    abstract::Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the potential for growth and sustainability of these models. This Pers...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Lentz TA,Goode AP,Thigpen CA,George SZ

    更新日期:2020-04-17 00:00:00

  • Transdisciplinary therapy model for the infant with Down's syndrome.

    abstract::Following a discussion of the motor deficits commonly associated with Down's syndrome, a transdisciplinary developmental therapy model is proposed for use with infants with Down's syndrome. The model includes components from various existing intervention programs for infants as well as some current therapeutic appraoc...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Harris SR

    更新日期:1980-04-01 00:00:00

  • Impairment-based examination and disability management of an elderly woman with sacroiliac region pain.

    abstract:BACKGROUND AND PURPOSE:The purpose of this case report is to describe the use of a cluster of sacroiliac tests in conjunction with an impairment-based model of examination, diagnosis, and management of sacroiliac region pain. CASE DESCRIPTION:The patient was a 74-year-old woman with an 18-month history of low back, le...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Godges JJ,Varnum DR,Sanders KM

    更新日期:2002-08-01 00:00:00

  • Reproducibility and validity of the 10-meter shuttle ride test in wheelchair-using children and adolescents with cerebral palsy.

    abstract:BACKGROUND:For children with cerebral palsy (CP) who are able to walk or run, the 10-m shuttle run test is currently the test of choice to assess cardiorespiratory fitness. This test, however, has not yet been examined in wheelchair-using youth with CP. OBJECTIVE:The purpose of this study was to investigate the test-r...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Verschuren O,Zwinkels M,Ketelaar M,Reijnders-van Son F,Takken T

    更新日期:2013-07-01 00:00:00

  • Comparison of two outcome measures for infants with cerebral palsy and infants with motor delays.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to compare the Gross Motor Function Measure (GMFM) and the Peabody Developmental Gross Motor Scale (PDMS-GM) as measures of change in infants with cerebr-al palsy (CP) and infants with motor delays. We hypothesized that mean change scores would be greater for the GMF...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Kolobe TH,Palisano RJ,Stratford PW

    更新日期:1998-10-01 00:00:00

  • Mandatory continuing education--a survey of current activity. A special communication.

    abstract::The purposes of this article are 1) to present a review of the literature addressing issues related to mandatory continuing education (MCE) and 2) to report the responses from three surveys conducted by the Task Force on Mandatory Continuing Education of the Florida Physical Therapy Association, Inc. Questionnaires we...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审


    authors: Finley C

    更新日期:1988-03-01 00:00:00

  • BDNF Val66Met Polymorphism Is Related to Motor System Function After Stroke.

    abstract:BACKGROUND:The val(66)met polymorphism in brain-derived neurotrophic factor (BDNF) has been associated with poorer outcomes after stroke. The mechanism for this finding remains uncertain but might be related to the reduced motor system activation associated with this polymorphism in healthy people. OBJECTIVE:The curre...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Kim DY,Quinlan EB,Gramer R,Cramer SC

    更新日期:2016-04-01 00:00:00

  • Cross-sectional study of gross and fine motor development. Birth to 6 years of age.

    abstract::A total of 187 healthy children between birth and six years of age were administered a comprehensive gross and fine motor development assessment. The assessment device was a hybrid instrument consisting of 192 items derived from 15 commonly used instruments. The purpose of the study was to 1) define motor behavior rel...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Noller K,Ingrisano D

    更新日期:1984-03-01 00:00:00

  • Factors influencing information seeking by physical therapists providing stroke management.

    abstract:BACKGROUND:Searching and reading the research literature are essential activities for enhancing the use of research and optimizing the quality of physical therapist practice. OBJECTIVES:The objectives of this study were to identify practitioner, organization, and research characteristics that are associated with searc...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Salbach NM,Guilcher SJ,Jaglal SB,Davis DA

    更新日期:2009-10-01 00:00:00

  • Shifts in pelvic inclination angle and parasympathetic tone produced by Rolfing soft tissue manipulation.

    abstract::The effects of soft tissue manipulation (Rolfing method) were evaluated on young healthy men using two dependent variables: 1) angle of pelvic inclination and 2) parasympathetic activity. Pelvic inclination was assessed by determining the angle of standing pelvic tilt (SPT) with an inclinometer. Autonomic tone was ass...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Cottingham JT,Porges SW,Richmond K

    更新日期:1988-09-01 00:00:00

  • Sleep enhances learning of a functional motor task in young adults.

    abstract:BACKGROUND:Sleep has been demonstrated to enhance simple motor skill learning "offline" in young adults. "Offline learning" refers to either the stabilization or the enhancement of a memory through the passage of time without additional practice. It remains unclear whether a functional motor task will benefit from slee...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验


    authors: Al-Sharman A,Siengsukon CF

    更新日期:2013-12-01 00:00:00

  • McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study.

    abstract:BACKGROUND:Patellar taping is widely used clinically to treat patients with patellofemoral pain syndrome (PFPS). Although patellar taping has been demonstrated to reduce patellofemoral pain in patients with PFPS, the kinematic source for this pain reduction has not been identified. OBJECTIVE:The purpose of this study ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Derasari A,Brindle TJ,Alter KE,Sheehan FT

    更新日期:2010-03-01 00:00:00

  • Evaluation of a treatment-based classification algorithm for low back pain: a cross-sectional study.

    abstract:BACKGROUND:Several studies have investigated criteria for classifying patients with low back pain (LBP) into treatment-based subgroups. A comprehensive algorithm was created to translate these criteria into a clinical decision-making guide. OBJECTIVE:This study investigated the translation of the individual subgroup c...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Stanton TR,Fritz JM,Hancock MJ,Latimer J,Maher CG,Wand BM,Parent EC

    更新日期:2011-04-01 00:00:00

  • Application of 24-hour burst TENS in a back school.

    abstract::The Back School program consists of exercises and education designed to reduce back pain. Sixty-six percent of the patients had too much back pain to participate. The purpose of this clinical report is to describe how 24-hour burst transcutaneous electrical nerve stimulation (TENS) treatment enabled these patients wit...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Brill MM,Whiffen JR

    更新日期:1985-09-01 00:00:00

  • Developmental Trajectories for the Early Clinical Assessment of Balance by Gross Motor Function Classification System Level for Children With Cerebral Palsy.

    abstract:Background:Children with cerebral palsy (CP) characteristically present with impairments in balance. Currently, the pattern and timing of the development of balance ability have not been described for children with CP of varying Gross Motor Function Classification System (GMFCS) levels. Objective:The purpose of this s...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: LaForme Fiss A,McCoy SW,Bartlett D,Avery L,Hanna SE,On Track Study Team.

    更新日期:2019-02-01 00:00:00

  • Predicting Success for Student Physical Therapists on the National Physical Therapy Examination: Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:In physical therapist education, the National Physical Therapy Examination (NPTE) is the predominant measure of student success. Because the NPTE is a high-stakes examination, predicting NPTE performance is important for physical therapist students and programs. PURPOSE:The purpose of this study was to dete...

    journal_title:Physical therapy

    pub_type: 杂志文章,meta分析


    authors: Wolden M,Hill B,Voorhees S

    更新日期:2020-01-23 00:00:00

  • Current principles in the nonoperative management of structural adolescent idiopathic scoliosis.

    abstract::Physical therapists routinely identify and manage adolescents with idiopathic scoliosis. Therefore, it is essential that we maintain a current understanding of both the condition and the treatment principles. This paper includes both a discussion of the personal impact on those left untreated and a review of current c...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审


    authors: Farady JA

    更新日期:1983-04-01 00:00:00

  • Orthopedic surgeons and physical therapists differ in assessment of need for physical therapy after traumatic lower-extremity injury.

    abstract:BACKGROUND:Lower-extremity injuries constitute the leading cause of trauma hospitalizations among people under the age of 65 years. Rehabilitation has the potential to favorably influence the outcomes associated with traumatic lower-extremity injuries. OBJECTIVES:The objectives of this study were to explore variabilit...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究


    authors: Archer KR,Mackenzie EJ,Castillo RC,Bosse MJ,LEAP Study Group.

    更新日期:2009-12-01 00:00:00

  • Learning Gait Modifications for Musculoskeletal Rehabilitation: Applying Motor Learning Principles to Improve Research and Clinical Implementation.

    abstract::Gait modifications are used in the rehabilitation of musculoskeletal conditions like osteoarthritis and patellofemoral pain syndrome. While most of the research has focused on the biomechanical and clinical outcomes affected by gait modification, the process of learning these new gait patterns has received little atte...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Charlton JM,Eng JJ,Li LC,Hunt MA

    更新日期:2020-12-22 00:00:00

  • Reliability of the scores for the finger-to-nose test in adults with traumatic brain injury.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine the intrarater and interrater reliability of measurements of three clinical features of coordination based on the performance of the "finger-to-nose" test. SUBJECTS:Thirty-seven persons with traumatic brain injury (26 male, 11 female), aged 17 to 64 yea...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Swaine BR,Sullivan SJ

    更新日期:1993-02-01 00:00:00

  • Opportunities for early intervention based on theory, basic neuroscience, and clinical science.

    abstract::Therapeutic approaches in the pediatric population have generally been less aggressive than those implemented for younger and older adults. Several factors contribute to this, starting with the challenge of engaging infants in the "goal" of therapy, their resistance to initiating behaviors that are uncomfortable or fa...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审


    authors: Ulrich BD

    更新日期:2010-12-01 00:00:00

  • Electromyographic activity of selected leg musculature in subjects with normal and chronically sprained ankles performing on a BAPS board.

    abstract::The purpose of this study was to evaluate the magnitude and temporal features of tibialis anterior, peroneus longus, and gastrocnemius muscle activity during exercises performed on a Biomechanical Ankle Platform System (BAPS) board by subjects with normal and chronically sprained ankles. Fourteen participants in each ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Soderberg GL,Cook TM,Rider SC,Stephenitch BL

    更新日期:1991-07-01 00:00:00

  • Reliability of a clinical kinematic assessment of the sit-to-stand movement.

    abstract::We examined the reproducibility of a kinematic assessment of the sit-to-stand movement in 15 healthy subjects using a standardized protocol. We examined the within-rater and between-rater reliability of the assessment using a clinically feasible method, the video-goniometric measurement method, to analyze the task. Tw...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Jeng SF,Schenkman M,Riley PO,Lin SJ

    更新日期:1990-08-01 00:00:00

  • Measuring deterioration in international classification of functioning domains of people with multiple sclerosis who are ambulatory.

    abstract:BACKGROUND AND PURPOSE:Measures to detect important effects related to physical therapy interventions must be able to detect an important change. The purpose of this study was to select the most responsive physical functioning measures for multiple sclerosis (MS) using the International Classification of Functioning, D...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Paltamaa J,Sarasoja T,Leskinen E,Wikström J,Mälkiä E

    更新日期:2008-02-01 00:00:00