Immediate effects of quick trunk movement exercise on sit-to-stand movement in children with spastic cerebral palsy: a pilot study.
Abbas Abdolrahmani, Hiroyuki Sakita, Ryo Yonetsu and 1 others
PMID 28603369WHAT IT FOUND
Neither natural nor quick seated trunk exercise showed a change in trunk or ankle movement patterns, but both shortened stand-up time in five children with spastic cerebral palsy.
Key findings
01Total sit-to-stand time decreased significantly after both natural and quick seated trunk exercises, from 2.40 to 2.24 seconds and from 2.41 to 2.06 seconds.
02Neither natural nor quick seated trunk exercise produced a significant change in angular movements.
03After quick exercise, total sit-to-stand duration decreased in all participants, while after natural exercise it increased in one participant.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study included only five children, so the results are too small to generalise. The children were at GMFCS level I or II and able to perform sit-to-stand independently, so the findings do not apply to more impaired children. The study measured only immediate effects, so it does not show whether the faster sit-to-stand time lasts. The quick exercise did not significantly change trunk or ankle movement angles, so it did not show the intended effect on trunk control or abnormal movement pattern. The children were receiving regular physical therapy, and the study does not isolate the exercise effect from that therapy. The paper reports that all children received natural exercise before quick exercise after rest, and it does not state that the order was randomised.
The easy way to misread this
Do not read this as proof that quick seated trunk exercise improves sit-to-stand movement in children with cerebral palsy. It shortened stand-up time immediately in a five-child pilot, but it did not change trunk or ankle movement patterns.