PMID- 22114847 OWN - NLM STAT- MEDLINE DCOM- 20130117 LR - 20120709 IS - 1541-3144 (Electronic) IS - 0194-2638 (Linking) VI - 32 IP - 3 DP - 2012 Aug TI - Relationships between lower limb muscle strength and locomotor capacity in children and adolescents with cerebral palsy who walk independently. PG - 320-32 LID - 10.3109/01942638.2011.631102 [doi] AB - This study aimed to quantify relationships between lower limb muscle strength and locomotor capacity for children and adolescents with cerebral palsy (CP) to identify key muscle groups for strength training. Fifty 6- to 16-year-olds with CP (Gross Motor Function Classification System level I or II) participated. Isometric muscle strength of hip flexor and abductor, knee flexor and extensor, and ankle dorsiflexor muscles was measured using hand-held dynamometry. Ankle plantar flexor concentric muscle strength was assessed as the maximal number of unilateral heel rises. Locomotor capacity was evaluated by the 6-min walk test (6MWT), 10-meter Shuttle Run Test (10mSRT), and Timed Up and Down Stairs Test (TUDS). With control for age, sex, and height, hip flexor and ankle plantar flexor strength explained 47.8% of the variance in the 6MWT and 32.9% of variance in the TUDS and hip abductor isometric strength explained 43.5% of the variance in the 10mSRT. Avenues for future research include randomized controlled trials that specifically target hip flexor muscles, as this has not previously been done, and determining factors other than strength that are likely related to locomotor capacity of children and adolescents with CP. FAU - Ferland, Chantale AU - Ferland C AD - Quebec Rehabilitation Institute, Quebec City, Canada. FAU - Lepage, Celine AU - Lepage C FAU - Moffet, Helene AU - Moffet H FAU - Maltais, Desiree B AU - Maltais DB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111124 PL - England TA - Phys Occup Ther Pediatr JT - Physical & occupational therapy in pediatrics JID - 8109120 SB - IM MH - Adolescent MH - Cerebral Palsy/*physiopathology/rehabilitation MH - Child MH - Disability Evaluation MH - Exercise Test MH - Female MH - Gait/physiology MH - Humans MH - Lower Extremity MH - Male MH - *Mobility Limitation MH - *Muscle Strength MH - Muscle Strength Dynamometer MH - Muscle, Skeletal/*physiopathology MH - Walking/*physiology EDAT- 2011/11/26 06:00 MHDA- 2013/01/18 06:00 CRDT- 2011/11/26 06:00 PHST- 2011/11/26 06:00 [entrez] PHST- 2011/11/26 06:00 [pubmed] PHST- 2013/01/18 06:00 [medline] AID - 10.3109/01942638.2011.631102 [doi] PST - ppublish SO - Phys Occup Ther Pediatr. 2012 Aug;32(3):320-32. doi: 10.3109/01942638.2011.631102. Epub 2011 Nov 24.