(2025). Blood Flow Restriction Combined with Low-Load Resistance Training versus High-Load Resistance Training in Children with Cerebral Palsy. The Egyptian Journal of Hospital Medicine, 100(1), 3717-3723. doi: 10.21608/ejhm.2025.448374
. "Blood Flow Restriction Combined with Low-Load Resistance Training versus High-Load Resistance Training in Children with Cerebral Palsy". The Egyptian Journal of Hospital Medicine, 100, 1, 2025, 3717-3723. doi: 10.21608/ejhm.2025.448374
(2025). 'Blood Flow Restriction Combined with Low-Load Resistance Training versus High-Load Resistance Training in Children with Cerebral Palsy', The Egyptian Journal of Hospital Medicine, 100(1), pp. 3717-3723. doi: 10.21608/ejhm.2025.448374
Blood Flow Restriction Combined with Low-Load Resistance Training versus High-Load Resistance Training in Children with Cerebral Palsy. The Egyptian Journal of Hospital Medicine, 2025; 100(1): 3717-3723. doi: 10.21608/ejhm.2025.448374
Blood Flow Restriction Combined with Low-Load Resistance Training versus High-Load Resistance Training in Children with Cerebral Palsy
Background: Spastic diplegia in children is characterized by bilateral lower limb (LL) spasticity and muscle weakness, leading to reduced functional mobility. Aim: This investigation aimed to compare the effects of low-load resistance training combined with blood flow restriction (LLRT-BFR) versus high-load resistance training (HLRT) on LL muscle strength and gross motor function in pediatric patients with spastic diplegic cerebral palsy (CP). Patients andmethods: Thirty clinically and radiologically confirmed cases of spastic diplegic CP (aged 8–10 yrs) were randomly allocated into two equal groups. Group A (n = 15) underwent LLRT-BFR, whereas Group B (n = 15) received HLRT. Both protocols were applied over a 6-week period. LL muscle strength was evaluated via a handheld dynamometer (HHD), while gross motor function was assessed via the Gross Motor Function Measure-88 (GMFM-88). Results: Both groups demonstrated statistically significant post-intervention gains in knee muscle strength and in the standing and walking dimensions of GMFM-88 compared to baseline (p < 0.001). However, inter-group differences were not statistically significant (p > 0.05). Conclusion: LLRT-BFR elicited strength and functional improvements comparable to those obtained with HLRT in children with spastic diplegic CP. This suggests LLRT-BFR may be a practical alternative when high-load regimens are contraindicated or poorly tolerated.
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