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BMC Neurology
Published in: BMC Neurology 1/2016

Open Access 01-12-2016 | Research article

The relevance of nerve mobility on function and activity in children with Cerebral Palsy

Authors: Petra Marsico, Amir Tal-Akabi, Hubertus J. A. van Hedel

Published in: BMC Neurology | Issue 1/2016

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Abstract

Background

In children with cerebral palsy (CP), stiffness, caused by contractile and non-contractile structures, can influence motor performance. This study sought to determine whether the nerve mobility had a relevant impact on motor performance in children with CP. We hypothesized that a positive Straight Leg Raise (SLR) test, as well as smaller SLR hip angle, would relate to lower leg muscle strength, reduced motor capacity and less motor performance in children with CP.

Methods

We applied a cross-sectional analysis on data including SLR, leg muscle strength, Gross Motor Function Measure (GMFM-66) and number of activity counts during daily life from thirty children with CP (6–18 years). We performed receiver operating characteristics and correlation analyses.

Results

Positive SLR test could distinguish well between children with low versus high muscle strength and GMFM-66 scores. The SLR hip angle correlated significant with the level of disability and with muscle strength. The correlation with the GMFM-66 and the activity counts was fair.

Conclusion

This study suggests that neural restriction of SLR is higher on functional and activity outcome than the measured SLR hip range of motion. Further studies should investigate weather improving nerve mobility can lead to an amelioration of function in children with CP.
Literature
1.
Butler DS. Mobilisation of the Nervous System. Edinburgh: Churchill Livingstone; 1991.
2.
Ridehalgh C, Moore A, Hough A. Repeatability of measuring sciatic nerve excursion during a modified passive straight leg raise test with ultrasound imaging. Man Ther. 2012;17:572–6.CrossRefPubMed
3.
Schmid A, Coppieters M, Ruitenberg M, McLachlan E. Local and remote immune-inflammation after mild peripheral nerve compression in rats. J Neuropathol Exp Neurol. 2013;72(7):662–80.
4.
Tal-Akabi A, Rushton A. An investigation to compare the effectiveness of carpal bone mobilisation and neurodynamic mobilisation as methods of treatment for carpal tunnel syndrome. Man Ther. 2000;5(4):214–22.CrossRefPubMed
5.
Heebner ML, Roddey TS. The effects of neural mobilization in addition to standard care in persons with carpal tunnel syndrome from a community hospital. J Hand Ther. 2008;21:229–40.CrossRefPubMed
6.
Rolf G. The Puzzle of Pain, Loss of Mobility, Evasive Movements and Self-Management. Danske Fysiotherapeuter. 2002;3. edition:1–21.
7.
8.
Wolny T, Saulicz E, Gnat R, Kokosz M. Butler’s neuromobilizations combined with proprioceptive neuromuscular facilitation are effective in reducing of upper limb sensory in late-stage stroke subjects: a three-group randomized trial. Clin Rehabil. 2010;24:810–21.CrossRefPubMed
9.
Godoi J, Kerppers II, Rossi LP, Corrêa FI, Costa RV, Corrêa JCF, et al. Electromyographic analysis of biceps brachii muscle following neural mobilization in patients with stroke. Electromyogr. Clin Neurophysiol. 2010;50:55–60.
10.
Castilho J, Ferreira LA, Pereira WM, Neto HP, Morelli JG, Brandalize D, et al. Analysis of electromyographic activity in spastic biceps brachii muscle following neural mobilization. J Bodyw Mov Ther. 2012;16:364–8.CrossRefPubMed
11.
Kurz MJ, Arpin DJ, Corr B. Differences in the dynamic gait stability of children with cerebral palsy and typically developing children. Gait Posture. 2012;36:600–4.CrossRefPubMed
12.
Gough M, Shortland AP. Could muscle deformity in children with spastic cerebral palsy be related to an impairment of muscle growth and altered adaptation? Dev Med Child Neurol. 2012;54:495–9.CrossRefPubMed
13.
Smith LR, Lee KS, Ward SR, Chambers HG, Lieber RL. Hamstring contractures in children with spastic cerebral palsy result from a stiffer extracellular matrix and increased in vivo sarcomere length. J Physiol. 2011;589:2625–39.CrossRefPubMedPubMedCentral
14.
Damiano DL, Quinlivan J, Owen BF, Shaffrey M, Abel MF. Spasticity versus strength in cerebral palsy: relationships among involuntary resistance, voluntary torque, and motor function. Eur J Neurol. 2001;8:40–9.CrossRefPubMed
15.
White MA a, Pape KEE. The slump test. Am J Occup Ther. 1991;46:271–4.
16.
McMulkin M, Jeff J, Williamson R, Major M, Ferguson R. Correlation of Static to Dynamic Measures of Lower Extremity Range of Motion in Cerebral Palsy and Control Population. J Pediatr Orthop. 2000;20:366–9.PubMed
17.
Marsico P, Tal-Akabi A, Van Hedel HJ. Reliability and practicability of the straight leg raise test in children with cerebral palsy. Dev Med Child Neurol. 2015;58:173–9.CrossRefPubMed
18.
Hollenweger J, Kraus de Camargo O. ICF-CY Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit bei Kindern und Jugendlichen. first. Bern; 2011.
19.
Verschuren O, Ketelaar M, Takken T, Van Brussel M, Helders PJM, Gorter JW. Reliability of hand-held dynamometry and functional strength tests for the lower extremity in children with Cerebral Palsy. Disabil Rehabil. 2008;30:1358–66.CrossRefPubMed
20.
Crompton J, Galea MP, Phillips B. Hand-held dynamometry for muscle strength measurement in children with cerebral palsy. Dev Med Child Neurol. 2007;49:106–11.CrossRefPubMed
21.
Russell DJ, Avery LM, Rosenbaum PL, Raina PS, Walter SD, Robert J, et al. Research Report Improved Scaling of the Gross Motor Function Measure for Children With Cerebral Palsy : Evidence Phys Ther 2000;80:873–85.
22.
Clanchy KM, Tweedy SM, Boyd RN, Trost SG. Validity of accelerometry in ambulatory children and adolescents with cerebral palsy. Eur J Appl Physiol. 2011;111:2951–9.CrossRefPubMed
23.
Fawcett T. ROC Graphs: Notes and Practical Considerations for Data Mining Researchers. Pattern Recognit. Lett. Spec. issue ROC Anal. pattern Recognit. 2006;27:882–91.
24.
25.
Hosmer D, Lemeshow S, Sturdivant R. Applied Logistic Regression (eBook). 3rd ed. New Jersey: Wiley; 2013.CrossRef
26.
Dawson D, Trapp R. Basic and Clinical Biostatistics. 2nd ed. Norwalk: Appelton & Lange; 1991.
27.
Bjornson KF, Belza B, Kartin D, Logsdon R, McLaughlin JF. Ambulatory physical activity performance in youth with cerebral palsy and youth who are developing typically. Phys Ther. 2007;87:248–57.CrossRefPubMedPubMedCentral
28.
Idota H, Yoshida T. Clinical Significance of the Straight-Leg-Raising Test. J Japanese Orthop Assoc. 1991;65:1035–44.
29.
Bovi G, Rabuffetti M, Mazzoleni P, Ferrarin M. A multiple-task gait analysis approach: kinematic, kinetic and EMG reference data for healthy young and adult subjects. Gait Posture. 2011;33:6–13.CrossRefPubMed
Metadata
Title
The relevance of nerve mobility on function and activity in children with Cerebral Palsy
Authors
Petra Marsico
Amir Tal-Akabi
Hubertus J. A. van Hedel
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2016
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-016-0715-z

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