title: Effects of a group circuit progressive resistance training program compared with a treadmill training program for adolescents with cerebral palsy.
abstract: OBJECTIVE
  To determine whether goal-directed group circuit progressive resistance exercise training (GT) can improve motor function in adolescents with cerebral palsy (CP) and to compare outcomes with a treadmill training (TT) intervention.
  
  
  METHODS
  In a multi-centered matched pairs study, 95 adolescents with spastic CP (GMFCS II-III) were allocated to GT or TT interventions for 30 bi-weekly one hour training. Outcome measures of GMFM-66, GMFM-D%, GMFM-E%, TUG, 10 meter walk test (10 MWT), and 6 minute walk test (6 MWT) were made at baseline (T1), after interventions (T2) and 6 months post training (T3).
  
  
  RESULTS
  Both training programs induced significant improvement in all outcome measures (T2-T1) that were mostly retained at T3. At the end of the intervention, the GT group showed an advantage in all measured changes compared to the TT group and in percentage changes. Differences were significant (p < 0.02) for GMFM-66, GMFM-D%, GMFM-E% and TUG. The advantage trend for the GT group was less apparent at follow up (T3-T1).
  
  
  CONCLUSIONS
  Both programs were effective in improving motor function in adolescents with cerebral palsy. The GT program had generally greater benefits based on the functional measures.
authors.affiliation: a Faculty of Health Sciences, Department of Physical Therapy , Ben-Gurion University of the Negev , Beer Sheva , Israel.|b Meshi Children's Rehabilitation Center , Department of Physical Therapy , Jerusalem , Israel.
authors.forename: Ronit
authors.initials: R
authors.lastname: Aviram
authors.affiliation: c Human Motion Analysis Laboratory , Assaf-Harofeh Medical Center , Zerifin , Israel.
authors.forename: Netta
authors.initials: N
authors.lastname: Harries
authors.affiliation: d Hebron , Palestine.
authors.forename: Ibtisam
authors.initials: I
authors.lastname: Namourah
authors.affiliation: e Department of Physical Therapy , Al-Quds University , East Jerusalem , Palestine.
authors.forename: Akram
authors.initials: A
authors.lastname: Amro
authors.affiliation: a Faculty of Health Sciences, Department of Physical Therapy , Ben-Gurion University of the Negev , Beer Sheva , Israel.
authors.forename: Simona
authors.initials: S
authors.lastname: Bar-Haim
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D000066530:Neurological Rehabilitation / Q000379:methods*; D055070:Resistance Training / Q000009:adverse effects / Q000379:methods*; D000070857:Walk Test / Q000009:adverse effects / Q000379:methods*; D016138:Walking
keywords: Balance training; gross motor function measure (GMFM); strength training