Vpliv progresivne vadbe proti uporu na mišično zmogljivost in funkcijo pri otrocih in mladostnikih s cerebralno paralizo

Grapar Žargi, Tina (author)

Uvod: Otroci in mladostniki s cerebralno paralizo se spoprijemajo s težavami pri nadzoru gibanja in drže, ki so med drugim tudi posledica slabe mišične zmogljivosti. Vključevanje elementov progresivne vadbe proti uporu je ena izmed metod, ki je usmerjena v vzdrževanje in pridobivanje mišične jakosti, da bi optimizirali funkcijo in tako vplivali na izboljšanje kakovosti življenja. Metode: Iskanje literature je potekalo s pregledom podatkovnih zbirk PubMed in Web of Science marca 2023. Pregledane so bile raziskave, objavljene po letu 2013, objavljene v angleškem jeziku. Rezultati: V pregled je bilo vključenih 12 raziskav. Avtorji večinoma poročajo o pozitivnem prirastu mišične jakosti ciljnih mišičnih skupin brez hujših neželenih učinkov ali povišanja mišičnega tonusa oziroma spastičnosti. Prenos v funkcijo je boljši pri programih, pri katerih so vključene vaje, ki vključujejo funkcijsko vadbo s progresivnim uporom pri višjih hitrostih gibanja, z zadostno frekvenco in količino vadbe. Zaključek: Pri otrocih in mladostnikih s spastično cerebralno paralizo je uporaba progresivne vadbe proti uporu smiselna in varna izbira za krepitev mišic, sta pa zaradi velike variabilnosti klinične slike za zagotavljanje optimalnih učinkov in varne izvedbe potrebna individualizacija programa in nadzor nad pravilno izvedbo izbranih vaj.

• Language: Slovenian
• Keywords: progresivna vadba proti uporu, cerebralna paraliza, otroci, mladostniki, funkcija
• Work type: Article
• Typology: 1.02 - Review Article
• Organization: ZF - Faculty of Health Sciences
• Publication status: Published
• Publication version: Version of Record
• Publication date: 01.06.2023
• Year: 2023
• Number of pages: Str. 11-19
• Numbering: Letn. 31, št. 1
• PID: 20.500.12556/RUL-148327
• UDC: 615.82/.84:616.831-053.2
• ISSN on article: 1318-2102
• COBISS.SI-ID: 161330691
• Publication date in RUL: 16.08.2023

Record is a part of a journal

• Title: Fizioterapija
• Shortened title: Fizioterapija
• Publisher: Društvo fizioterapevtov Slovenije, Društvo fizioterapevtov Slovenije, Združenje fizioterapevtov Slovenije
• ISSN: 1318-2102
• COBISS.SI-ID: 30074880

Secondary language

• Language: English
• Title: The effects of progressive resistance training on muscle strength and function of children and adolescents with cerebral palsy

Abstract

Background: Children and adolescents with mild to moderate spastic cerebral palsy experience several difficulties with motor control and posture. Combined with deficits in muscle strength this manifests as difficulties in daily activities. Including elements of progressive resistance training in therapeutic program targets maintaining and improving muscle strength aims improvements in muscle function and quality of life. Methods: Databases PubMed and Web of Science were reviewed in March 2023. Studies written in English language published after 2013 were included. Results: 12 studies were included in the final review. Most studies reported significant gains in muscle strength, with little or no adverse effects and no negative influence on muscle tone and spasticity. Transfer of strength gains into function was better with programs focusing on high velocity functional strength training with sufficient exercise frequency and volume. Conclusions: The use of progressive resistance training is sensible and safe option with children and adolescents with spastic cerebral palsy, however high diversity of symptoms requires individualization and expert supervision in order to achieve safe execution and optimal results.

• Keywords: progressive resistance training, cerebral palsy, children, adolescents, function