Plyometric training: effectiveness and optimal duration for children with unilateral cerebral palsy

Barbara A Johnson1, Charles Salzberg, Bruce A MacWilliams

  • 1Shriners Hospitals for Children-Salt Lake City (Drs Johnson, MacWilliams, Shuckra, and D'Astous), Salt Lake City, Utah; Department of Orthopedics (Drs MacWilliams and D'Astous), University of Utah, Salt Lake City, Utah; Department of Special Education and Rehabilitation (Dr Salzberg), Utah State University, Logan, Utah.

Insights

Plyometric training enhanced gross motor ability, agility, and upper extremity power in boys with unilateral spastic cerebral palsy. Optimal training duration varied individually, ranging from 8 to 14 weeks.

Area of Science:

  • Pediatric rehabilitation
  • Neuromuscular training
  • Sports science

Background:

  • Unilateral spastic cerebral palsy (USCP) significantly impacts gross motor abilities in children.
  • Plyometric training is a potent method for enhancing neuromuscular function and power.
  • Evidence for plyometric training's effects on gross motor skills in pediatric USCP populations is limited.

Purpose of the Study:

  • To determine the optimal duration and effects of plyometric training on gross motor abilities in boys with USCP.
  • To assess changes in agility, running speed, and power following plyometric interventions.

Main Methods:

  • A multiple-baseline, single-subject experimental design was employed.
  • Intervention followed National Strength and Conditioning Association guidelines for youth.
  • Evaluations included the Gross Motor Function Measure 66 (GMFM-66), sprint tests, broad jump, and vertical jump.

Main Results:

  • Significant improvements were observed in upper extremity power, GMFM-66 scores, and agility.
  • Results for lower extremity power and running speed were inconsistent across participants.
  • Training duration varied between 8 and 14 weeks for optimal outcomes.

Conclusions:

  • Plyometric training is an effective intervention for improving gross motor ability, agility, and upper extremity power in boys with USCP.
  • Individualized treatment duration, based on capacity, task, and outcome measures, is recommended.
  • Further research is warranted to explore optimal plyometric protocols for pediatric cerebral palsy.
Abstract

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