Isokinetic evaluation of the knee in adults with cerebral palsy: a literature review
DOI:
https://doi.org/10.33448/rsd-v11i7.29765Keywords:
Dinamometry; Muscle strength; Torque peak; Teaching.Abstract
Objective: To verify the profile of adults with cerebral palsy (CP) included in the studies and the parameters most utilized in the isokinetic evaluation of the muscles that move the knee. Method: Bibliografh rsearches were carried out in the databases: PubMed, LILACS, Cochrane Central Register of Controlled Trials (CENTRAL), Physiotherapy Evidence Database (PEDro) e SciELO, articles published from the beginning of each database until November 2021 were searched. The search terms used were “cerebral palsy”; "adult"; “isokinetic” or “isokinetic”; “dynamometer” or “dynamometry”; “joelho”, in Portuguese and English. Results: A total of 69 articles were found in the initial search (PubMed= 34, LILACS=12, Cochrane CENTRAL= 8, PEDro= 9 and SciELO= 6. After removing the duplicates, 46 studies remained. In the first screening by title and abstract 11 studies were selected. After reading these 11 articles in full and applying the eligibility criteria, a total of seven articles remained. Conclusion: Most studies included people of both sexes, followed by men, with bilateral CP or spastic diplegia and unilateral CP or hemiparesis. Most studies included soccer athletes with CP and did not include control group. Most used the Cybex 6000 isokinetic dynamometer, evaluated the knee extensor and flexor muscles, used the concentric contraction type and 60o/s angular velocity. Peak torque was the most studied variable and the position of the individuals, the alignment of the dynamometer axis and the lever arm were described in most studies.
References
Ahlborg, L., Andersson, C., & Julin, P. (2006). Whole-body vibration training compared with resistance training: effect on spasticity, muscle strength and motor performance in adults with cerebral palsy. Journal of rehabilitation medicine, 38(5), 302–308. https://doi.org/10.1080/16501970600680262
Andersson, C., Grooten, W., Hellsten, M., Kaping, K., & Mattsson, E. (2003). Adults with cerebral palsy: walking ability after progressive strength training. Developmental medicine and child neurology, 45(4), 220–228. https://doi.org/10.1017/s0012162203000446
Andrade, M. S., Fleury, A. M., & Silva A. C. (2005). Força muscular isocinética de jogadores de futebol da seleção paraolímpica brasileira de portadores de paralisia cerebral. Revista Brasileira de Medicina do Esporte, 11(5):281-285. https://doi.org/10.1590/S1517-86922005000500007
Andrade, M. S., Giuliano, Y., Pitteti, K. H., Mello, M. T., Tufik, S., Neder, J.A., Silva, A. C., & Shinzato, G. T. (1998). A força cinética dos atletas paraolímpicos com paralisia cerebral: um estudo comparativo. O Mundo Da Saúde, 22(4):197-201.
Ayalon, M., Ben-Sira, D., Hutzler, Y., & Gilad, T. (2000). Reliability of isokinetic strength measurements of the knee in children with cerebral palsy. Developmental medicine and child neurology, 42(6), 398–402. https://doi.org/10.1017/s0012162200000724
Bittencourt. N. F. N., Amaral, G. M., Anjos, M. T. S., D’Alessandro, R., Silva, A. A., & Fonseca, S. T. (2005). Avaliação muscular isocinética da articulação do joelho em atletas das seleções brasileiras infanto e juvenil de voleibol masculino. Revista Brasileira de Medicina do Esporte, 11(6):331-336. https://doi.org/10.1590/S1517-86922005000600005
Camelo, E. S. (2013). Exercícios excêntricos e seus efeitos no nível muscular. EFDeportes.com, Revista Digital, Buenos Aires, 18(180). https://www.efdeportes.com/efd180/exercicios-excentricos-e-seus-efeitos.htm
Campos, L. F. C. C., Borin, J. P., Santos, L. C. T. F., Souza, T. M. F., Paranhos, V. M. S., Tanhoffer, R. A., Luarte, C. R., & Gorla, J. I. (2015). Avaliação isocinética em atletas da seleção brasileira de futebol de 5. Revista Brasileira de Medicina do Esporte, 21(3):220-223. https://doi.org/10.1590/1517-86922015210302121
De Groot, S., Dallmeijer, A. J., Bessems, P. J., Lamberts, M. L., van der Woude, L. H., & Janssen, T. W. (2012). Comparison of muscle strength, sprint power and aerobic capacity in adults with and without cerebral palsy. Journal of rehabilitation medicine, 44(11), 932–938. https://doi.org/10.2340/16501977-1037
De Groot, S., Janssen, T. W., Evers, M., Van der Luijt, P., Nienhuys, K. N., & Dallmeijer, A. J. (2012). Feasibility and reliability of measuring strength, sprint power, and aerobic capacity in athletes and non-athletes with cerebral palsy. Developmental medicine and child neurology, 54(7), 647–653. https://doi.org/10.1111/j.1469-8749.2012.04261.x
Lourencin, F. T. C., Macedo, O. G., Scarpellini, E. S., & Greve, J. M. D. (2012). Avaliação dos grupos musculares adutores e abdutores do quadril por meio da dinamometria isocinética. Acta Fisiátrica, 19(1):16-20. https://doi.org/10.5935/0104-7795.20120004
Macedo, O. G., Cunha, C. L., Ferreira, V. M., & Vieira, M. F. S. (2022). Differences in body composition between affected and nonaffected sides in cerebral palsy football athletes: Preliminary findings. Retos, 44:416-420. https://doi.org/10.47197/retos.v44i0.89905
Margre, A. L. M., Reis, M. G. L., & Morais, R. L. S. (2010). Caracterização de adultos com paralisia cerebral. Brazilian Journal of Physical Theraphy, 14(5): 417-425. https://doi.org/10.1590/S1413-35552010000500011
Mendes, A. P. O., Binha, A. M. P., & Silveira, V. C. (2018). Qualidade de vida em pacientes adultos com paralisia cerebral. Acta Fisiátrica, 25(2):49-53. https://doi.org/10.11606/issn.2317-0190.v25i2a162559
Rodrigues, M. M. (2018). Neurologia Infantil. In Bichuetti, D., & Batistella, G. N. R. (Eds.) Manual de Neurologia (pp. 51-52). Rio de Janeiro, Brasil: Guanabara Koogan.
Rose, J., & McGill, K. C. (2005). Neuromuscular activation and motor-unit firing characteristics in cerebral palsy. Developmental medicine and child neurology, 47(5), 329–336. https://doi.org/10.1017/s0012162205000629
Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., Bax, M., Damiano, D., Dan, B., & Jacobsson, B. (2007). A report: the definition and classification of cerebral palsy April 2006. Developmental medicine and child neurology. Supplement, 109, 8–14.
Silva, A. C., & Andrade, M. S. (2002). Avaliação isocinética em atletas paraolímpicos. Revista Brasileira de Medicina do Esporte, 8(3):99-101. https://doi.org/10.1590/S1517-86922002000300006
Terreri, A. S. A. P., Greve, J. M. D., & Amatuzzi, M. M. (2001). Avaliação isocinética no joelho do atleta. Revista Brasileira de Medicina do Esporte, 7(5):170-174. https://doi.org/10.1590/S1517-86922001000200004
van den Berg-Emons, R. J., van Baak, M. A., de Barbanson, D. C., Speth, L., & Saris, W. H. (1996). Reliability of tests to determine peak aerobic power, anaerobic power and isokinetic muscle strength in children with spastic cerebral palsy. Developmental medicine and child neurology, 38(12), 1117–1125. https://doi.org/10.1111/j.1469-8749.1996.tb15075.x
Wilk, K. E., Harrelson, G. L., Arrigo, C., & Chmielewski, T. (2005). Reabilitação do ombro. In Andrews J. R., Harrelson G. L., & Wilk, K. E (Eds.). Reabilitação Física das Lesões Desportivas (pp. 545-622). Rio de Janeiro, Brasil: Guanabara Koogan.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Osmair Gomes de Macedo; Filomena Vieira; José Irineu Gorla; Carlota Leão da Cunha; Patrícia Azevedo Garcia; Jorge Mota; Rui Corredeira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
