title: Functional strength training in child with cerebral palsy GMFCS IV: case report.
abstract: OBJECTIVE
  To evaluate the effectiveness of a functional strength training.
  
  
  METHODS
  A nine-year-old child with Cerebral Palsy (CP) classified as level IV according to Gross Motor Function Classification System participated in the study. Assessments were at baseline, five weeks and 10 weeks post-intervention. Lower-extremity muscles strength was evaluated with an isokinetic dynamometer. Also, Gross Motor Function Measure (GMFM-88) and Timed up & Go (TUG) tests were assessed. A functional strength training protocol, four sessions a week, for 10 weeks was applied.
  
  
  RESULTS
  Following functional strength training, it improvements were found in hip, knee and ankle muscles strength, as well as increase in GMFM-88 score and decrease in time for TUG test performance. Positives outcomes from functional strength training were obtained beyond improvements in strength, since improvements in functional motor performance were also achieved.
  
  
  CONCLUSIONS
  Therefore, individualized, specific and functional strength training seems to be an alternative to rehabilitation of children with CP with high level of functional disability.
authors.affiliation: Department of Physiotherapy, Neuropediatrics Section, Universidade Federal de São Carlos , São Carlos, SP , Brazil.
authors.forename: Adriana Neves
authors.initials: AN
authors.lastname: Dos Santos
authors.forename: Carolina Souza Neves
authors.initials: CS
authors.lastname: da Costa
authors.forename: Maria Terezinha Baldessar
authors.initials: MT
authors.lastname: Golineleo
authors.forename: Nelci Adriana Cicuto Ferreira
authors.initials: NA
authors.lastname: Rocha
mesh_terms: D000842:Ankle / Q000503:physiopathology; D002547:Cerebral Palsy / Q000503:physiopathology / Q000534:rehabilitation*; D002648:Child; D005260:Female; D006615:Hip / Q000503:physiopathology; D006801:Humans; D007717:Knee / Q000503:physiopathology; D053580:Muscle Strength / Q000502:physiology; D018482:Muscle, Skeletal / Q000503:physiopathology*; D011187:Posture; D057285:Precision Medicine / Q000379:methods; D055070:Resistance Training; D016896:Treatment Outcome