[Show abstract][Hide abstract] ABSTRACT: This study examined whether the self-concept of children with cerebral palsy (CP) differed from that of children without impairment. Forty-seven children (24 males, 23 females; mean age 11y 8mo [SD 2y 6mo]) with spastic diplegia or hemiplegia were matched with children without impairment. The level of disability of the children with CP was classified as Gross Motor Function Classification System Level I (n=24), Level II (n=16), or Level III (n=7). The 36-item Self-Perception Profile for Children was used to assess six domains of self-concept. No difference was found between the groups for Global Self-worth, Physical Appearance, or Behavioural Conduct. Children with CP scored lower on Scholastic Competence (t(92)=-2.75, p=0.01), Social Acceptance (t(92)=-1.96, p=0.05), and Athletic Competence (t(92)=-3.63, p<0.01) than children without impairment. Males with CP had lower scores for Scholastic Competence (t(46)=-3.54, p<0.01) than males without impairment. Females with CP had lower scores for Social Acceptance (t(44)=-2.31, p=0.03) than females without impairment. Both males and females with CP had lower scores for Athletic Competence than their peers without impairment. These results suggest that children with CP do not have a lower Global Self-worth even though they may feel less competent in certain aspects of their self-concept. Clinicians need to account for this when deciding on management strategies and may need to educate parents, carers, and health professionals that a lower self-concept may not necessarily be associated with a diagnosis of CP.
[Show abstract][Hide abstract] ABSTRACT: Young people with cerebral palsy (CP) are often assumed to have low self-concept, in other words, they do not feel good about themselves. We systematically searched the literature to determine whether this assumption was supported by empirical research. Relevant trials were identified by searching electronic databases, and this was supplemented by citation tracking. Of 1355 papers initially identified, six met the criteria for review. Results showed that adolescent females with CP have a lower self-concept than females without disability in the domains of physical appearance (d = -1.16; 95% confidence interval [CI] -2.06 to -0.26); social acceptance (d = -1.24; 95% CI -2.15 to -0.33); athletic competence (d = -0.93; 95% CI -1.79 to -0.07); and scholastic competence (d = -0.86; 95% CI, -1.71 to -0.01). Adolescent females with CP may be an at-risk group owing to their vulnerable self-concept. Clinicians may need to monitor and implement appropriate intervention strategies with this group. There was insufficient evidence to conclude that children with CP, in general, have a lower global self-concept compared with those without disability.
[Show abstract][Hide abstract] ABSTRACT: Because muscle weakness is a common and persistent complication after bony fracture, we reviewed the literature systematically to find out if strength-training can reduce disability after adult fracture. Searching of electronic databases with inclusion criteria resulted in a final yield of three papers. These three studies were conducted after lower limb fractures and the calculated effect sizes collectively demonstrated that strength training led to increased muscle strength and activity levels. However, subsequent losses of strength and activity were found in the two studies that included a follow-up period. Despite a clear rationale for including strength-training programs as part of fracture rehabilitation to improve muscle weakness, very little research has been carried out. This systematic review provides preliminary evidence that strength-training may be beneficial after fracture and should be considered as a rehabilitation option by physical therapists. Further high quality studies are required to find out if the results can be replicated and generalised.