+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Comprehensive Hand Repetitive Intensive Strengthening Training (CHRIST)-induced morphological changes in muscle size and associated motor improvement in a child with cerebral palsy: an experimenter-blind study

Comprehensive Hand Repetitive Intensive Strengthening Training (CHRIST)-induced morphological changes in muscle size and associated motor improvement in a child with cerebral palsy: an experimenter-blind study

Neurorehabilitation 24(2): 109-117

This case study was conducted to determine Comprehensive Hand Repetitive Intensive Strengthening Training (CHRIST)-induced morphological changes in the commonly affected extensor carpi radialis (ECR) and triceps brachii (TRI) muscle and associated muscle strength and motor performance in a child with hemiparetic cerebral palsy (CP) using standardized clinical tests and ultrasound imaging. A single case study with pre-/post-test. A 4.9-year-old female, diagnosed with hemiparetic CP. The child received a 5-week course of CHRIST course, comprising of 60-minute periods a day, five times a week. A real-time ultrasound imaging was performed to determine the CHRIST-induced changes in cross-sectional area (CSA) of the ECR and TRI. Clinical tests including the modified Wolf Motor function test (WMFT), the modified Jebsen-taylor hand function test (Jebsen hand) and the modified Pediatric Motor Activity Log (PMAL) questionnaire were used to compare the intervention-related changes in motor performance in upper extremity. Ultrasound imaging data showed that the CSAs of both ECR and TRI muscles of the affected upper limb at relaxation and contraction states were enhanced and these therapy-induced morphological changes were associated with enhanced muscle strength and gross motor performance in reaching and grasping skills. Our results suggest that the CHRIST is effective in treating muscle weakness and motor function in a child with hemiparetic CP. This is the first evidence in literature that might shed light on the therapeutic efficacy of our novel intervention on muscle size, associated muscle strength and motor improvement.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 052269606

Download citation: RISBibTeXText

PMID: 19339750

DOI: 10.3233/NRE-2009-0460

Related references

The Effect of Comprehensive Hand Repetitive Intensive Strength Training (CHRIST) Using Motion Analysis in Children with Cerebral Palsy. Annals of Rehabilitation Medicine 36(1): 39-46, 2012

Innovative strength training-induced neuroplasticity and increased muscle size and strength in children with spastic cerebral palsy: an experimenter-blind case study--three-month follow-up. Neurorehabilitation 35(1): 131-136, 2015

Effects of the progressive walking-to-running technique on gait kinematics, ultrasound imaging, and motor function in spastic diplegic cerebral palsy - an experimenter-blind case study. Neurorehabilitation 32(1): 17-26, 2013

The effect of robo-horseback riding therapy on spinal alignment and associated muscle size in MRI for a child with neuromuscular scoliosis: an experimenter-blind study. Neurorehabilitation 29(1): 23-27, 2012

Unimanual and bimanual intensive training in children with hemiplegic cerebral palsy and persistence in time of hand function improvement: 6-month follow-up results of a multisite clinical trial. Journal of Child Neurology 28(2): 161-175, 2013

The effect of an intensive physical training programme on a cerebral palsy child's physical fitness and motor ability. Liikunnan ja Kansanterveyden Julkaisuja (62): 204, 1988

Efficacy of a home-based platform for child-to-child interaction on hand motor function in unilateral cerebral palsy. Developmental Medicine and Child Neurology 2019, 2019

Does Dosage Matter? A Pilot Study of Hand-Arm Bimanual Intensive Training (HABIT) Dose and Dosing Schedule in Children with Unilateral Cerebral Palsy. Physical and Occupational Therapy in Pediatrics 38(3): 227-242, 2017

Australian Cerebral Palsy Child Study: protocol of a prospective population based study of motor and brain development of preschool aged children with cerebral palsy. Bmc Neurology 13: 57, 2013

Effects of functional movement strength training on strength, muscle size, kinematics, and motor function in cerebral palsy: a 3-month follow-up. Neurorehabilitation 32(2): 287-295, 2013

Repetitive training of complex hand and arm movements with shaping is beneficial for motor improvement in patients after stroke. Journal of Rehabilitation Medicine 42(6): 582-587, 2010

Effect of whole body vibration training on mobility in children with cerebral palsy: a randomized controlled experimenter-blinded study. Clinical Rehabilitation 27(7): 599-607, 2014

Can parents provide hand function training for their child with cerebral palsy?. Developmental Medicine and Child Neurology 59(5): 456, 2017

Muscle strengthening in children and adolescents with spastic cerebral palsy: considerations for future resistance training protocols. Physical Therapy 91(7): 1130-1139, 2011

Whole-body vibration training compared with resistance training: effect on spasticity, muscle strength and motor performance in adults with cerebral palsy. Journal of Rehabilitation Medicine 38(5): 302-308, 2006