Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic Review
Background: Cerebral Palsy (CP) is a non-progressive neurological condition that results in motor impairment which increases proximally to distally along the lower extremity (i.e., greatest impairment at the ankle). Consequently, motor impairment and reduced voluntary muscle activation results in re...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2020.581892/full |
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| author | Shari M. O'Brien Shari M. O'Brien Glen A. Lichtwark Glen A. Lichtwark Timothy J. Carroll Timothy J. Carroll Lee A. Barber Lee A. Barber |
| author_facet | Shari M. O'Brien Shari M. O'Brien Glen A. Lichtwark Glen A. Lichtwark Timothy J. Carroll Timothy J. Carroll Lee A. Barber Lee A. Barber |
| author_sort | Shari M. O'Brien |
| collection | DOAJ |
| description | Background: Cerebral Palsy (CP) is a non-progressive neurological condition that results in motor impairment which increases proximally to distally along the lower extremity (i.e., greatest impairment at the ankle). Consequently, motor impairment and reduced voluntary muscle activation results in reduced neuromuscular control of the lower limb in this population. CP rehabilitation traditionally aims to improve movement proficiency for functional activities, such as walking, by using a range of active movement modalities that require volitional effort; however, the underlying neural mechanisms of improved control and function remain unknown. The primary purpose of this study was to systematically determine the efficacy of lower limb active movement interventions to improve neuromuscular control in individuals with CP.Methodology: A search for studies involving an active lower limb intervention and neurophysiological outcome measures in individuals with CP was performed in five electronic databases. Studies were assessed for methodological quality using the Downs and Black assessment tool.Results: Nine of 6,263 articles met the inclusion criteria. Methodological quality of all studies was poor, ranging from 2 to 27 out of a possible score of 32 points on the Downs and Black assessment tool. The study interventions varied extensively in modality and prescription as well as in the outcome measures used.Conclusions: Whether active movement improves neuromuscular control of the lower limb in CP is unclear due to high variability in intervention protocols and selected outcomes measures. Future active intervention studies must carefully consider the selection of neurophysiological outcome measures. |
| first_indexed | 2024-12-14T03:17:40Z |
| format | Article |
| id | doaj.art-a310841dffb440d59bd483b0b923f246 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-14T03:17:40Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-a310841dffb440d59bd483b0b923f2462022-12-21T23:19:06ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-11-011110.3389/fneur.2020.581892581892Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic ReviewShari M. O'Brien0Shari M. O'Brien1Glen A. Lichtwark2Glen A. Lichtwark3Timothy J. Carroll4Timothy J. Carroll5Lee A. Barber6Lee A. Barber7School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, QLD, AustraliaCentre for Sensorimotor Performance, The University of Queensland, Brisbane, QLD, AustraliaSchool of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, QLD, AustraliaCentre for Sensorimotor Performance, The University of Queensland, Brisbane, QLD, AustraliaSchool of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, QLD, AustraliaCentre for Sensorimotor Performance, The University of Queensland, Brisbane, QLD, AustraliaSchool of Allied Health Sciences, Griffith University, Brisbane, QLD, AustraliaChild Health Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, QLD, AustraliaBackground: Cerebral Palsy (CP) is a non-progressive neurological condition that results in motor impairment which increases proximally to distally along the lower extremity (i.e., greatest impairment at the ankle). Consequently, motor impairment and reduced voluntary muscle activation results in reduced neuromuscular control of the lower limb in this population. CP rehabilitation traditionally aims to improve movement proficiency for functional activities, such as walking, by using a range of active movement modalities that require volitional effort; however, the underlying neural mechanisms of improved control and function remain unknown. The primary purpose of this study was to systematically determine the efficacy of lower limb active movement interventions to improve neuromuscular control in individuals with CP.Methodology: A search for studies involving an active lower limb intervention and neurophysiological outcome measures in individuals with CP was performed in five electronic databases. Studies were assessed for methodological quality using the Downs and Black assessment tool.Results: Nine of 6,263 articles met the inclusion criteria. Methodological quality of all studies was poor, ranging from 2 to 27 out of a possible score of 32 points on the Downs and Black assessment tool. The study interventions varied extensively in modality and prescription as well as in the outcome measures used.Conclusions: Whether active movement improves neuromuscular control of the lower limb in CP is unclear due to high variability in intervention protocols and selected outcomes measures. Future active intervention studies must carefully consider the selection of neurophysiological outcome measures.https://www.frontiersin.org/articles/10.3389/fneur.2020.581892/fullcerebral palsylower limbinterventionmotor controlvoluntary activation |
| spellingShingle | Shari M. O'Brien Shari M. O'Brien Glen A. Lichtwark Glen A. Lichtwark Timothy J. Carroll Timothy J. Carroll Lee A. Barber Lee A. Barber Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic Review Frontiers in Neurology cerebral palsy lower limb intervention motor control voluntary activation |
| title | Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic Review |
| title_full | Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic Review |
| title_fullStr | Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic Review |
| title_full_unstemmed | Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic Review |
| title_short | Impact of Lower Limb Active Movement Training in Individuals With Spastic Type Cerebral Palsy on Neuromuscular Control Outcomes: A Systematic Review |
| title_sort | impact of lower limb active movement training in individuals with spastic type cerebral palsy on neuromuscular control outcomes a systematic review |
| topic | cerebral palsy lower limb intervention motor control voluntary activation |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2020.581892/full |
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