title: Muscle strengthening in children and adolescents with spastic cerebral palsy: considerations for future resistance training protocols.
abstract: Resistance training of the lower limbs is now commonly used in clinical practice in children and adolescents with spastic cerebral palsy (CP). However, the effectiveness of this type of training is still disputed. The most recently published systematic review with meta-analysis included interventions such as electrical stimulation and resistance training and found insufficient evidence to support or refute the efficacy of these exercises in children with CP. Thus, the aim of this article is to evaluate the extent to which training protocols from the most recent randomized controlled trials are in keeping with the evidence for effective resistance training in children who are developing typically, as reflected in the training guidelines of the National Strength and Conditioning Association.
  
  
  CONCLUSIONS
  for resistance training protocols, based on this evidence and appropriate to children with CP, are provided to help guide both future research and clinical practice for resistance training in children with CP.
authors.affiliation: Centre of Excellence, Rehabilitation Center De Hoogstraat, Rembrandtkade 10, 3583 TM Utrecht, the Netherlands. o.verschuren@dehoogstraat.nl
authors.forename: Olaf
authors.initials: O
authors.lastname: Verschuren
authors.forename: Louise
authors.initials: L
authors.lastname: Ada
authors.forename: Désirée B
authors.initials: DB
authors.lastname: Maltais
authors.forename: Jan Willem
authors.initials: JW
authors.lastname: Gorter
authors.forename: Aline
authors.initials: A
authors.lastname: Scianni
authors.forename: Marjolijn
authors.initials: M
authors.lastname: Ketelaar
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D019317:Evidence-Based Medicine; D006801:Humans; D053580:Muscle Strength; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic; D055070:Resistance Training / Q000379:methods* / Q000592:standards*