Task-Oriented Plyometric Intervention for Augmenting Upper Extremity Strength and Function in Hemiparetic Cerebral Palsy: A Randomized Controlled Trial.
Background: Children with hemiparetic cerebral palsy (Hemi-CP) often face challenges in strength and function, limiting participation in daily activities. While plyometric exercise (Plyo-Ex) has shown promise in improving neuromuscular performance in other populations, its applications in pediatric...
| Publicado en: | NeuroRehabilitation Vol. 58; no. 1; pp. 50 - 62 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191455659&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191455659 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Feb2026 vid: 58 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 191455659 190454412 191455659 191455659 10.1177/10538135251400762 191455659 ppf: 50 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Task-Oriented Plyometric Intervention for Augmenting Upper Extremity Strength and Function in Hemiparetic Cerebral Palsy: A Randomized Controlled Trial. aug: au: Elnaggar, Ragab K Ramirez-Campillo, Rodrigo Elfakharany, Mahmoud S Alrawaili, Saud M Alghadier, Mshari Alotaibi, Mazyad A El-Basatiny, Heba MY Elsaeed, Tamer M affil: Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia sug: subj: Cerebral Palsy Rehabilitation Hemiplegia Rehabilitation Cerebral Palsy Rehabilitation Hemiplegia Rehabilitation Therapeutic Exercise Plyometrics Upper Extremity Physiology Muscle Strength Evaluation Functional Assessment Human Male Female Child Adolescence Saudi Arabia Single-Blind Studies Prospective Studies Randomized Controlled Trials Random Assignment Comparative Studies Task Performance and Analysis Dynamometry Descriptive Statistics Data Analysis Software Analysis of Variance Paired T-Tests Effect Size Funding Source Clinical Assessment Tools Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background: Children with hemiparetic cerebral palsy (Hemi-CP) often face challenges in strength and function, limiting participation in daily activities. While plyometric exercise (Plyo-Ex) has shown promise in improving neuromuscular performance in other populations, its applications in pediatric neurorehabilitation remains understudies. Objective: To assess whether a 12-week Plyo-Ex program could elicit meaningful improvement in muscle strength and upper extremity function in children with Hemi-CP. Methods: A prospective, randomized controlled trial involving 58 children with Hemi-CP was conducted. Participants were assigned to either a Plyo-Ex group or a control group receiving standard exercise approaches. The Plyo-Ex group completed supervised upper-extremity-oriented Ply-o-Ex program (∼45 min, twice weekly for 12 weeks), with at least 48 h between sessions. Measurements at the baseline and post-treatment included muscle strength (shoulder flexors, external rotators, abductors, elbow extensors, and wrist extensors), unilateral upper extremity function (movement quality, spontaneity, dynamic segmental alignment, and grasp-release capability), and bimanual hand function. Results: Compared to the control group, the Plyo-Ex group demonstrated significant moderate-to-large increases in muscle strength across all tested muscle (all P < 0.05; η 2p = 0.07–0.18). Improvements were also seen in unilateral upper extremity function [quality of function (P = 0.006, η 2p = 0.13), spontaneity (P = 0.003, η 2p = 0.14), dynamic segmental alignment (P = 0.018, η 2p = 0.10), and grasp-release capability (P = 0.033, η 2p = 0.08)] as well as the bimanual hand function (P = 0.004, η 2p = 0.14). Conclusions: Evidence from this trial indicates that Plyo-Ex may serve as a viable intervention to enhance upper extremity strength and function in children with Hemi-CP. Rehabilitation professionals may consider adopting this modality as part of a comprehensive, evidence-based therapeutic plan. Trial Registration: ClinicalTrial.gov (Identifier: NCT06980246) pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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