Subscribe to RSS
DOI: 10.1055/s-0034-1390431
Effect of Range of Motion on Aerobic Capacity in Adults with Cerebral Palsy
Publication History
accepted after revision 11 August 2014
Publication Date:
22 January 2015 (online)
Abstract
The aim of the study was to examine the relationship between whole body range of motion (ROM) and aerobic capacity based on the fact that motor ability is closely related to ROM in adults with cerebral palsy (CP). The subjects were ambulant adults with CP (N=56). Their age, height, weight, and BMI were 36.4±9.2 years, 162.6±9.5 cm, 58.9±11.0 kg, and 22.2±3.4 kg·m − 2, respectively. Active ROM (AROM) was measured in this study. Measurements included 25 AROMs of the cervical spine, shoulder, elbow, wrist, hip, knee, and ankle. Peak oxygen uptake (VO2peak) was measured during a maximal treadmill test. Correlation analysis revealed that shoulder abduction and hip abduction were significantly associated with many other AROMs. Many AROMs including the cervical spine (rotation), shoulder (flexion, extension, and abduction), hip (internal rotation, external rotation, abduction and adduction), knee (flexion) and ankle (dorsiflexion and plantarflexion) were significantly correlated with VO2peak (p<0.05). The highest correlation coefficient was observed in the relationship between ankle dorsiflexion and VO2peak (p<0.01). Ankle dorsiflexion and cervical rotation of AROMs were maintained within the regression model of factors associated with VO2peak. The present study demonstrated a strong relationship between ankle dorsiflexion and cervical rotation of AROMs and VO2peak in ambulant adults with CP.
-
References
- 1 American Academy of Orthopaedic Surgeons . Joint Motion: Methods of Measuring and Recording. Chicago: AAOS; 1965
- 2 American Medical Association . Guides to the Evaluation of permanent Impairment. 3rd ed. Milwaukee: AMA; 1990
- 3 Balemans AC, Van Wcly L, De Heer SJ, Van den Brink J, De Koning JJ, Becher JG, Dallmeijer AJ. Maximal aerobic and anaerobic exercise responses in children with cerebral palsy. Med Sei Sports Exerc 2013; 45: 56l-568
- 4 Bartlett DJ, Hanna SE, Avery L, Stevenson RD, Galuppi B. Correlates of decline in gross motor capacity in adolescents with cerebral palsy in Gross Motor Function Classification System levels III to V: an exploratory study. Dev Med Child Neurol 2010; 52: 155-160
- 5 Bell KJ, Ounpuu S, DeLuca PA, Romness MJ. Natural progression of gait in children with cerebral palsy. J Pediatr Orthop 2002; 22: 677-682
- 6 Boyd RN, Graham HK. Objective measures of clinical findings in the use of botulinum toxin type A for the management of children with cerebral palsy. Eur J Neurol 1999; 6 (Suppl. 04) 523-535
- 7 Braendvik SM, Elvrum AK, Vereijken B, Roeleveld K. Relationship between neuromuscular body functions and upper extremity activity in children with cerebral palsy. Dev Med Child Neurol 2010; 52: e29-e34
- 8 Brashear A. The botulinum toxins in the treatment of cervical dystonia. Semin Neurol 2001; 21: 85-90
- 9 Fernandez J, Pitetti K, Betzen M. Physiological capacities of individuals with cerebral palsy. Human Factors 1990; 4: 457-466
- 10 Fosang A, Galea M, McCoy A, Reddihough D, Story I. Measures of muscle and joint performance in the lower limb of children with cerebral palsy. Dev Med Child Neurol 2003; 45: 664-670
- 11 Fuji T, Yonenobu K, Fujiwara K, Yamashita K, Ebara S, Ono K, Okada K. Cervical radiculopathy or myelopathy secondary to athetoid cerebral palsy. J Bone Joint Surg Am 1987; 69: 815-821
- 12 Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther 1987; 67: 1867-1872
- 13 Harada T, Ebara S, Anwar MM, Okawa A, Kajiura I, Hiroshima K, Ono K. The cervical spine in athetoid cerebral palsy: A radiologic study of 180 cases. J Bone Joint Surg 1996; 78: 613-619
- 14 Harris DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013 Dec; 34: 1025-1028
- 15 Hirose G, Kadoya S. Cervical spondylotic radiculo-myelopathy in patients with athetoid-dystonic cerebral palsy: clinical evaluation and surgical treatment. J Neurol Neurosurg Psychiatr 1984; 47: 775-780
- 16 Hoofwijk M, Unnithan VB, Bar-Or O. Maximal treadmill performance of children with cerebral palsy. Ped Exerc Sci 1995; 7: 305-313
- 17 Jahnsen R, Villien L, Egelamd T, Stanghelle JK, Holm I. Locomotion skills in adults with cerebral palsy. Clin Rehabil 2004; 18: 309-316
- 18 Jankovic J, Schwartz K. Botulinum toxin injections for cervical dystonia. Neurology 1990; 40: 277-280
- 19 Kawarada S, Kondo I, Sonoda S, Yokoyama E, Tazawa Y, Yabunaka Y. Relationship between range of motion of lower extremity and gross motor function in children with cerebral palsy who have walking ability. Jpn J Compr Rehabil Sci 2011; 2: 82-88
- 20 Kessler KR, Skutta M, Benecke R. Long-term treatment of cervical dystonia with botulinum toxin A: efficacy, safety, and antibody frequency. German Dystonia Study Group. J Neurol 1999; 246: 265-274
- 21 Kilgour GM, McNair PJ, Stott NS, Polytechnic C. Range of motion in children with spastic diplegia, GMFCSI-II compared to age and gender matched controls. Phys Occup Ther Pediatr 2005; 25: 61-79
- 22 Kusano S, Iwasaki Y, Tobimatsu Y, Suyama T. Cardiorespiratory endurance and work efficiency of people with cerebral palsy measured using an arm ergometer. J Phys Ther Sci 2001; 13: 49-52
- 23 Liptak GS, O’Donnell M, Conaway M, Chumlea WC, Worley G, Henderson RC, Fung E, Stallings VA, Samon-Fang L, Calvert R, Rosenbaum P, Stevenson RD. Health status of children with moderate to severe cerebral palsy. Dev Med Child Neurol 2001; 43: 364-370
- 24 Lokan C, Mendes E. Cross-company and single-company effort models using the ISBSG Database: a further replicated study. Proceedings of the ISESE’06 2006; 75-84
- 25 Lundberg A. Longitudinal study of physical working capacity of young people with spastic cerebral palsy. Dev Med Child Neurol 1984; 26: 328-334
- 26 Lundberg A. Maximal aerobic capacity of young people with spastic cerebral palsy. Dev Med Child Neurol 1978; 20: 205-210
- 27 Lundberg A. Oxygen consumption in relation to work load in students with cerebral palsy. J Appl Physiol 1976; 40: 873-875
- 28 Macedo OG, Carazzato JG, Meirelles ES, Paula A, Santos CA, Neto RB, Junio RM. Comparative study of skin folding of dominant and nondominant hemibodies in spastic hemiplegic cerebral palsy. Clinics (Sao Paulo) 2008; 63: 601-606
- 29 McCluer S. Cervical spondylosis with myelopathy as a complication of cerebral palsy. Paraplegia 1982; 20: 308-312
- 30 McDowell BC, Salazar-Torres JJ, Kerr C, Cosgrove AP. Passive range of motion in a population-based sample of children with spastic cerebral palsy who walk. Phys Occup Ther Pediatr 2012; 32: 139-150
- 31 Mutch L, Alberman E, Hagberg B, Kodama K, Perat M. Cerebral Palsy Epidemiology: Where are We Now, and Where are We Going?. Dev Med Child Neurol 1992; 34: 547-555
- 32 Nieuwenhuijsen C, van der Slot WM, Beelen A, Arendzen JH, Roebroeck ME, Stam HJ, van den Berg-Emons RJ. Inactive lifestyle in adults with bilateral spastic cerebral palsy. J Rehabil Med 2009; 41: 375-381
- 33 Nishihara N, Tanabe G, Nakahara S, Imai T, Murakawa H. Surgical treatment of cervical spondylotic myelopathy complicating athetoid cerebral palsy. J Bone Joint Surg Br 1984; 66: 504-508
- 34 Nitta O, Nakajima K, Saitou H, Ono Y. Factors Relating to Range of Motion in Adults with Cerebral Palsy. Physical Therapy Japan 1993; 20: 347-354
- 35 Nordmark E, Hagglund G, Lauge-Pedersen H, Wagner P, Westbom L. Development of the lower limb range of motion from early childhood to adolescence in cerebral palsy: A population-based study. BMC Medicine 2009; 7: 65
- 36 Norkin CC, White DJ. Measurement of joint motion: A guide to goniometry. Philadelphia, PA: FA Davis Co; 2011
- 37 Pandya S, Florence JM, King WM, Robison JD, Oxman M, Province MA. Reliability of goniometric measurement in patients with Duchenne muscular dystrophy. Phys Ther 1985; 65: 1339-1342
- 38 Sandstrom K, Alinder J, Oberg B. Descriptions of functioning and health and relations to a gross motor Classification in adults with cerebral palsy. Disabil Rehabil 2004; 26: 1023-1031
- 39 Silver D. Measurement of the range of motion in joint. J Bone Joint Surg 1923; 21: 569-578
- 40 Tobimatsu Y, Nakamura R, Kusano S, Iwasaki Y. Cardiorespiratory endurance in people with cerebral palsy measured using an arm ergometer. Arch Phys Med Rehabil 1998; 79: 991-993
- 41 Trockel MT, Barnes MS, Egget DL. Health-related variables and academic performance among first-year college students: implications for sleep and other behaviors. J Am Coll Health 2000; 49: 125-130
- 42 van der Slot WM, Roebroeck ME, Landkroon AP, Terburg M, Berg-Emons RJ, Stam HJ. Everyday physical activity and community participation of adults with hemiplegic cerebral palsy. Disabil Rehabil 2007; 29: 179-189
- 43 van Meeteren J, van Rijn RM, Selles RW, Roebroeck ME, Stam HJ. Grip strength parameters and functional activities in young adults with unilateral cerebral palsy compared with healthy subjects. J Rehabil Med 2007; 39: 598-604
- 44 Verschuren O, Takken T. Aerobic capacity in children and adolescents with cerebral palsy. Res Dev Disabil 2010; 31: 1352-1357
- 45 Verschuren O, Takken T, Ketelaar M, Gorter JW, Helders PJM. Reliability and validity of data for 2 newly developed shuttle run tests in children with cerebral palsy. Phys Ther 2006; 86: 1107-1117