Cerebral Palsy Clinical Trial
Official title:
Effects of Flywheel Resistance Exercise Training on Muscle and Walking Function in Teenagers and Young Adults With Cerebral Palsy
The main purpose of this project is to improve physical function and muscle health in
teenagers and young adults with cerebral palsy (CP) by using an eccentric-overload resistance
exercise model
Specific aims
1. To compare the efficacy of eccentric-overload vs. weight stack resistance exercise in
inducing muscle, functional and gait performance adaptations in teenagers with CP.
2. To increase force, power and muscle mass in the lower limbs of patients with cerebral
palsy.
3. To improve gross motor function, balance and gait through eccentric-overload resistance
exercise in teenagers suffering from cerebral palsy.
We hypothesize that the time-effective flywheel resistance exercise paradigm will result in
greater gains in muscle mass and function in teenagers with CP, when compared with
conventional weight-stack technology. Importantly, we believe these adaptations will be
translated into enhanced gross motor function, balance and gait performance.
Forty teenagers and young adults (age range 16-23 yr) with spastic CP will be recruited. They
will be randomly assigned to flywheel (FL; n=20) or weight-stack (WS; n=20) resistance
exercise. During 8 weeks, all the teenagers will follow a standard resistance exercise
training program within the Stockholm Habilitation Center system. In addition, patients will
perform either flywheel (FL group) or conventional (WS group) leg press resistance exercise
twice per week. Muscle force, power and activity (electromyography; EMG), leg extension lag,
co-contraction, balance, functional mobility, gait quality, and muscle and fat thickness of
lower extremities are assessed in all patients before and after the 8-week intervention (Fig.
1).
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