Gillett Jarred G, Boyd Roslyn N, Carty Christopher P, Barber Lee A
Queensland Cerebral Palsy and Rehabilitation Research Centre, Child Health Research Centre, Faculty of Medicine and Biomedical Sciences, The University of Queensland, South Brisbane, Queensland, Australia.
Queensland Cerebral Palsy and Rehabilitation Research Centre, Child Health Research Centre, Faculty of Medicine and Biomedical Sciences, The University of Queensland, South Brisbane, Queensland, Australia.
Res Dev Disabil. 2016 Sep;56:183-96. doi: 10.1016/j.ridd.2016.06.003.
The aim of this study was to systematically review the current literature to determine the impact of strength training on skeletal muscle morphology and architecture in individuals aged 4-20 years with spastic type cerebral palsy.
A comprehensive search for randomised and non-randomised controlled trials, cohort studies and cross-comparison trials was performed on five electronic databases. Included studies were graded according to level of evidence and assessed for methodological quality using the Downs and Black scale. Quantitative data was analysed using effect sizes.
Six of 304 articles met the inclusion criteria. Methodological quality of the included papers ranged from 14 to 19 (out of 32). A large effect was found on muscle cross-sectional area following strength training, with small to moderate effects on muscle volume and thickness.
There is preliminary evidence that strength training leads to hypertrophy in children and adolescents with CP. A paucity of studies exist measuring morphological and architectural parameters following strength training in these individuals. Overall low study methodological quality along with heterogeneous study design, dissimilar outcome measures, and lack of adequate control groups, indicated that care is needed when interpreting the results of these studies in isolation.
本研究旨在系统回顾当前文献，以确定力量训练对4至20岁痉挛型脑瘫个体骨骼肌形态和结构的影响。
在五个电子数据库中全面检索随机和非随机对照试验、队列研究及交叉比较试验。纳入的研究根据证据水平分级，并使用唐斯和布莱克量表评估方法学质量。定量数据采用效应量进行分析。
304篇文章中有6篇符合纳入标准。纳入论文的方法学质量在14至19分（满分32分）之间。力量训练后肌肉横截面积有较大影响，对肌肉体积和厚度有小到中等影响。
有初步证据表明力量训练会导致脑瘫儿童和青少年肌肉肥大。在这些个体中，测量力量训练后形态和结构参数的研究较少。总体研究方法学质量较低，研究设计多样、结局测量不同且缺乏足够对照组，这表明单独解释这些研究结果时需谨慎。
