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The efficacy of strength training combined with functional skills training on muscle structure and function in young adults with cerebral palsy.

Not Applicable
Completed
Conditions
Cerebral palsy
Neurological - Other neurological disorders
Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation
Registration Number
ACTRN12614001217695
Lead Sponsor
Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
34
Inclusion Criteria

a) Aged between 15 and 30 years
b) Have a confirmed diagnosis of spastic hemiplegia or diplegia type CP
c) Can walk independently
d) Are Gross Motor Function Classification System (GMFCS) levels I or II
e) Who have maximum passive ankle dorsiflexion range of motion of <5 degrees (knee fully extended).

Exclusion Criteria

a) Have had previous lower limb surgery in the last 2 years and/or Botulinum toxin-A injections to the lower extremities within the last 6 months
b) Cannot provide sufficient cooperation and cognitive understanding to participate in the intervention exercises
c) Have undertaken lower limb resistance training within the last 6 months.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Gastrocnemii, Soleus (SOL), and Tibialis Anterior (TA) muscle volume as assessed by Magnetic Resonance Imaging (MRI)[All outcome measures will be taken at baseline (pre-training), immediately following training (12 weeks), and 12 weeks following the cessation of training (24 weeks).];Neuromechanical properties of the Medial Gastrocnemius (MG) muscle:<br>Passive and active mechanical properties of the MG muscle will be assessed using 2-dimensional B-mode ultrasound and a Biodex isokinetic dynamometer. Neural properties of the MG muscle will be measured using EMG data recorded from surface electrodes placed over the muscle bellies of the MG, Lateral Gastrocnemius (LG), SOL and TA. The level of voluntary activation of the MG muscle will be assessed using the interpolated twitch technique. <br><br><br>[All outcome measures will be taken at baseline (pre-training), immediately following training (12 weeks), and 12 weeks following the cessation of training (24 weeks).]
Secondary Outcome Measures
NameTimeMethod
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