Systematic review of progressive strength training in children and adolescents with cerebral palsy who are ambulatory

Pediatr Phys Ther. 2008 Winter;20(4):318-33. doi: 10.1097/PEP.0b013e31818b7ccd.


Purpose: To capture and analyze the evidence concerning the effects of progressive strength training on function and gait in children and adolescents with cerebral palsy (CP) who are ambulatory.

Method: A language-inclusive search was conducted for controlled or noncontrolled studies of strength training for subjects with CP who were ambulatory and aged 4 to 20 years, using objective outcome measures. Quality was assessed with the Maastricht-Amsterdam List. Data were extracted and analyzed.

Results: The 13 included articles favored treatment without significant adverse effects. Function and gait improved more following isotonic rather than isokinetic training, and in younger rather than older subjects.

Conclusions: Function and gait improvements were greater in preadolescents.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Adult
  • Cerebral Palsy / physiopathology
  • Cerebral Palsy / therapy*
  • Child
  • Child, Preschool
  • Disability Evaluation
  • Exercise Therapy / methods*
  • Gait
  • Humans
  • Young Adult