Pedals cerebral palsy

Patients with athetoid cerebral palsy may develop cervical myelopathy owing to repetitive involuntary motion. In these patients, MRI evaluation is required; involuntary motion is problematic, and general anaesthesia and immobilisation may be necessary. However, MRI studies requiring muscle relaxation and general anesthesia in adults are rare. A 65-year-old man with a history of athetoid cerebral palsy required an MRI of the cervical spine under general anaesthesia. General anaesthesia was administered with 5 mg of midazolam and 50 mg of rocuronium in a room adjacent to the MRI room...

This narrative review aims to provide a general overview of the literature about frame running, which is a recent modality of Para-Athletics. Frame running is practiced by using a tricycle without pedals called PETRA RaceRunner, by people with moderate to severe cerebral palsy and other lower limb functional limitations. Briefly, the movement pattern is very similar to walking and running. This review includes studies from scientific databases and content of official sports web sites by using the keywords "framerunning," "racerunning," and "petra racerunning...

Walking and balance capabilities can be improved upon using repetitive ankle dorsiflexion exercises. Here we developed two types of pedal switches incorporated with training devices to improve their walking and balance performance of children with cerebral palsy. The first type of pedal switch can be used to operate a home appliance, while the second type of pedal switch can connect them to web games. Pedal switches can be used for home rehabilitation. This randomized controlled trial included patients in the intervention (n = 24) and control (n = 24) groups who completed 15 weeks of ankle training...

Cerebral palsy is the most common childhood disability impacting motor function. The International Classification of Functioning, Disability and Health defines outcomes that should be achieveable within the Activities and Participation domain. However, many children with cerebral palsy have significant difficulties in achieving activity goals within a typical recreational environment. Despite the well documented benefits of cycling for persons with cerebral palsy for example, it is often difficult to access commercially available adaptive tricycles due to prohibitive costs and varying needs...

INTRODUCTION: There is consistent evidence that people with cerebral palsy (CP) do not engage in the recommended physical activity guidelines for the general population from a young age. Participation in moderate-to-vigorous physical activity is particularly reduced in people with CP who have a moderate-to-severe disability. RaceRunning is a growing disability sport that provides an opportunity for people with moderate-to-severe disability to participate in physical activity in the community...

BACKGROUND: Individuals with cerebral palsy (CP) are less physically active, spend more time sedentary and have lower cardiorespiratory endurance as compared to typically developed individuals. RaceRunning enables high-intensity exercise in individuals with CP with limited or no walking ability, using a three-wheeled running bike with a saddle and a chest plate for support, but no pedals. Training adaptations using this type of exercise are unknown. METHODS: Fifteen adolescents/young adults (mean age 16, range 9-29, 7 females/8 males) with CP completed 12 weeks, two sessions/week, of RaceRunning training...

OBJECTIVES: RaceRunning enables athletes with limited or no walking ability to propel themselves independently using a three-wheeled running bike that has a saddle and a chest plate for support but no pedals. For RaceRunning to be included as a Para athletics event, an evidence-based classification system is required. Therefore, the aim of this study was to assess the association between a range of impairment measures and RaceRunning performance. METHODS: The following impairment measures were recorded: lower limb muscle strength assessed using Manual Muscle Testing (MMT), selective voluntary motor control assessed using the Selective Control Assessment of the Lower Extremity (SCALE), spasticity recorded using both the Australian Spasticity Assessment Score (ASAS) and Modified Ashworth Scale (MAS), passive range of motion (ROM) of the lower extremities and the maximum static step length achieved on a stationary bike (MSSL)...

OBJECTIVE: To test if the gross motor function measure (GMFM) could be used to improve game balancing allowing youth with cerebral palsy (CP) with different physical abilities to play a cycling-based exercise videogame together. Our secondary objective determined if exergaming with the GMFM Ability-Based algorithm was enjoyable. MATERIALS AND METHODS: Eight youth with CP, 8-14 years of age, GMFM scores between 25.2% and 87.4% (evenly distributed between Gross Motor Function Classification System levels II and III), competed against each other in head-to-head races, totaling 28 unique race dyads...

Cerebral palsy is a group of neurodevelopmental disorders that affect a person's ability to move and to maintain balance and posture. People with cerebral palsy have also perception and space orientation deficits so that special assistance devices should be developed to compensate these handicaps. The objective was to optimize an adapted electric bicycle (E-bike) for youths with neurodevelopmental disorders. An adapted E-bike was provided with ultrasonic sensors that measure distances to objects. If the distance to other objects reduces, an acoustic signal is sent...

AIM: The aim of this study was to assess health-related quality of life (HRQOL) following a stationary cycling intervention in children with cerebral palsy (CP). METHOD: This was a phase I multisite randomized controlled trial with single blinding. HRQOL was evaluated using the Pediatric Quality of Life Inventory SF15 (PedsQL; children) and Pediatric Outcomes Data Collection Instrument (PODCI; parent proxy) before and after a 3-month stationary cycling intervention...

BACKGROUND: Each of the 4 randomized clinical trials (RCTs) hosted by the Physical Therapy Clinical Research Network (PTClinResNet) targeted a different disability group (low back disorder in the Muscle-Specific Strength Training Effectiveness After Lumbar Microdiskectomy [MUSSEL] trial, chronic spinal cord injury in the Strengthening and Optimal Movements for Painful Shoulders in Chronic Spinal Cord Injury [STOMPS] trial, adult stroke in the Strength Training Effectiveness Post-Stroke [STEPS] trial, and pediatric cerebral palsy in the Pediatric Endurance and Limb Strengthening [PEDALS] trial for children with spastic diplegic cerebral palsy) and tested the effectiveness of a muscle-specific or functional activity-based intervention on primary outcomes that captured pain (STOMPS, MUSSEL) or locomotor function (STEPS, PEDALS)...

BACKGROUND: Effective interventions to improve and maintain strength (force-generating capacity) and endurance are needed for children with cerebral palsy (CP). OBJECTIVE: This study was performed to examine the effects of a stationary cycling intervention on muscle strength, locomotor endurance, preferred walking speed, and gross motor function in children with spastic diplegic CP. DESIGN: This was a phase I randomized controlled trial with single blinding...

BACKGROUND: We showed that subjects with cerebral palsy had greater transverse and frontal plane hip and knee motion, increased duration of muscle activity, increased cocontraction, and decreased efficiency during recumbent cycling than subjects with typical development. However, it is also important to understand the forces exerted on the pedals. The purpose of this report was to compare pedal forces during cycling between adolescents with and without cerebral palsy. METHODS: Ten subjects (3 male, 7 female) with spastic diplegic or quadriplegic cerebral palsy (15...

This study investigated the effects of exercise on the motor function of 11 young people (10 females, one male; age range 11-15y; mean age 12y 7mo [SD 1y 4mo]) with cerebral palsy (CP) who were non-ambulant (Gross Motor Function Classification System Levels IV or V), using an adapted static bicycle. Three participants had dyskinetic quadriplegia, seven had spastic quadriplegia, had spastic quadriplegia, and one had spastic diplegia. The study used an ABA design with participants acting as their own controls with 6-week baseline, 6-week exercise (three sessions a week), and 6-week follow-up periods...

BACKGROUND AND PURPOSE: The purpose of this study was to compare the biomechanics of recumbent cycling between adolescents with cerebral palsy (CP) classified at Gross Motor Function Classification System (GMFCS) levels III and IV and adolescents with typical development (TD). SUBJECTS: Twenty subjects, ages (X+/-SD) 15.2+/-1.6 years (10 with TD, 10 with CP), participated. METHODS: Lower-extremity kinematics and muscle activity were measured at 30 and 60 rpm while subjects pedaled on a recumbent cycle...

BACKGROUND: In the past, effortful exercises were considered inappropriate for children with spastic cerebral palsy (CP) due to concern that they would escalate abnormalities including spasticity and abnormal movement patterns. Current scientific evidence indicates that these concerns were unfounded and that therapeutic interventions focused on muscle strengthening can lead to improved functional ability. However, few studies have examined the potential benefits of cardiorespiratory fitness exercises in this patient population...

Pedaling smoothness and electromyography patterns were quantified in children with spastic diplegic cerebral palsy (CP) and a cohort of children with typical development. Video analysis of the pedaling rhythm yielded equivalent time periods for the control group and irregular time periods in the group with CP, with greater time spent at the bottom of the pedaling cycle. Electromyography patterns of the tibialis anterior, rectus femoris, medial hamstring and lateral gastrocnemius muscle groups yielded greater percentages of muscle activity time and co-contraction time at both the ankle and knee in the group with CP; however, the control group had longer ankle co-contraction times than were expected from previous adult studies...

The purpose of this study was to design, construct, and validate an alternative subject/instrument interface to collect metabolic data for individuals who, because of impairment, are unable to use a mouthpiece. An industrial designer directed the development of an interface design which would facilitate subject acceptance. A total of 13 subjects (eight children with cerebral palsy and five nonneurologically impaired) participated in the validation study. Metabolic data were collected at rest and during three levels of exercise, using both the traditional mouthpiece and the interface designed for this study...

This study used a method specifically adapted to motor handicap, one which measured pedaling rate and basal oxygen consumption. Its aim was to investigate whether bicycle ergometer work could distinguish any difference in mechanical efficiency between two groups with cerebral palsy. 10 patients aged between 18 and 30 years (six dyskinetic/ataxic, four spastic) were studieed. Six non-handicapped young adults formed a control gorup. The results showed a highly significant difference between the dyskinetic/ataxic group and the spastic group...

Thirty-four spastic cerebral palsied (CP) post-poliomyelitic (P) adolescents (mean age--17.9 years) participated in a twice-a-week mild conditioning program, lasting 12 months. Nine CP adolescents served as a control inactive group. The post-conditioning submaximal heart rates of the CP active group were significantly lower during 75 and 150 kpm/min work loads on an arm ergometer, compared with the respective values at the beginning of the program. Peak O2 uptake values, directly measured during an all-out arm pedalling test, were improved by some 8% in the CP active group...