Evidence map›Paper›PMID 38812998›Full record

Trial reportTurkish journal of medical sciences2023

Effects of progressive functional ankle exercises in spastic cerebral palsy, plantarflexors versus dorsiflexors: a randomized trial.

Melek Volkan Yazici, Gamze Çobanoğlu, Gökhan Yazici, Bülent Elbasan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Turkish journal of medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Melek Volkan YaziciDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Yüksek İhtisas University, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-9686-0571
Gamze ÇobanoğluDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-0136-3607
Gökhan YaziciDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-9270-2290
Bülent ElbasanDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-8714-0214

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Children with cerebral palsy (CP), even those who have very mild impairment, have lower muscle strength than their typically developing peers. The ankle dorsiflexors (DFs) and plantarflexors (PFs) of children with CP are especially weak. Weakness in the ankle muscles causes problems in functional skills, mobility, and balance in spastic CP (SCP). The aim of this study was to investigate the effects of progressive functional exercises (PFEs) on the DF, PF, or dorsi-plantar flexor (DPF) muscles in children with SCP, specifically, the functional mobility, balance, and maximum voluntary contraction (MVC), and compare the effects of strengthening these muscles individually or combined. Materials and methods: This randomized trial was conducted between December 1st, 2018, and May 15th, 2019, at Gazi University, Department of Physiotherapy and Rehabilitation. Randomly assigned into groups were 27 independently ambulant patients with unilateral/bilateral SCP, where PFEs were applied to the DF, PF, or DPF muscles. Muscle tone, balance, and functional mobility were assessed. The MVC was evaluated by surface electromyography. PFEs were performed 4 times a week, for 6 weeks. Results: The spasticity of the PF muscles decreased in all of the groups. PFE of the DF muscles led to an increase in ankle joint range of motion (ROM) and improved functional mobility (p < 0.05). PFE of the PF muscles resulted in improvements in balance and functional mobility (p < 0.05). PFE of the DPF muscles brought about improvements in balance but not in functional mobility (p < 0.05). No significant difference in the MVC was observed in any of the groups (p > 0.05). Conclusion: Gains are obtained according to the function of a muscle group. By training the DF muscles, it is possible to improve function and ROM. Furthermore, training the PF muscles led to improvements in balance and functional mobility, indicating that it is possible to bring about positive changes in spastic muscles. This study showed that muscle groups must be exercised according to the intended goal.

Indexed as

Cerebral PalsyExercise TherapyAdolescentAnkleAnkle JointChildElectromyographyFemaleHumansMaleMuscle, SkeletalMuscle SpasticityMuscle StrengthRange of Motion, Articularanterior tibial muscleCerebral palsyexercisegastrocnemius muscleposture balancesurface electromyography

Identifiers

PMID38812998
PMCPMC10763803

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.