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Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy: A Secondary Analysis.

Pediatr Phys Ther

January 2021

Amsterdam Rehabilitation Research Center/Reade (Drs van Vulpen and de Groot), Amsterdam, the Netherlands; Centre for Human Movement Sciences, University Medical Center Groningen, University of Groningen (Dr de Groot), Groningen, the Netherlands; Department of Rehabilitation Medicine, School for Public Health and Primary Care (CAPHRI) (Dr Rameckers), Maastricht University, Maastricht, the Netherlands, and Rehabilitation Science, University of Hasselt (Dr Rameckers), Hasselt, Belgium, and Adelante Center of Expertise in Rehabilitation and Audiology (Dr Rameckers), Valkenburg and Hoensbroek, the Netherlands, and University for Professionals for Pediatric Physical Therapy, AVANSplus (Dr Rameckers), Breda, the Netherlands; Amsterdam Movement Sciences, Department of Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam (Drs Becher and Dallmeijer), Amsterdam, the Netherlands.

Purpose: To evaluate whether changes in lower-limb muscle strength explain changes in walking capacity during 14-week periods of usual care, power training and follow-up for children with spastic cerebral palsy.

Methods: Secondary analysis of a previously conducted double-baseline controlled trial of 22 children with spastic cerebral palsy. Generalized estimating equations were used to evaluate the relationships between within-subject changes in isometric muscle strength and walking capacity over 3 periods.

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