Task-oriented arm strength training in children with cerebral palsy. A randomized controlled trial protocol and exercise program for functional strength training based on progressive resistance exercise principles

Main Article Content

Eugene Rameckers, Ph.D., paediatric PT Coen de Haan, paediatric PT Ingrid Meeuwsen, paediatric PT


Objective: To compare the effectiveness of Task-Oriented Arm Strength training in children with Cerebral Palsy (TOAST-CP), using Progressive Resistance Exercise principles with manual skill learning in improving the performance of manual daily activities in children with spastic Cerebral Palsy.

Methods/Design: This multicenter randomized controlled trial investigates the effectiveness of TOAST-CP in children with spastic Cerebral Palsy, involving 50 participants aged 8-18 years. Participants are recruited from rehabilitation centers. Eligible participants are randomly allocated to either TOAST-CP or usual care related to manual skill learning.

Intervention: The participants of the intervention group performed a TOAST-CP program, based on individual goals and guided by a progressive resistance exercise algorithm. The control group receives the usual care related to the manual skill learning program. TOAST-CP consists of an individual-based 30-minute session, three times a week over 16 weeks. A specific exercise program is developed.

Outcome: Outcome is measured at baseline at eight weeks, 16 weeks (end of training), three, and six months after training.

As a primary outcome, the Assisting Hand Assessment is used. Secondary outcomes are task-oriented strength measures and muscle strength measures of the upper limb. The Observation and Scoring of Arm Hand Skills  (performance and amount of use of both hands), the ABILHAND (-Kids), and the Jebsen Taylor Hand Function test (speed of hand use) are measured.  The most important needs and goals for the child and his/her parents are scored by Canadian Occupational Performance Measure and Goal Attainment Scaling.

Keywords: task-oriented arm strength training- TOAST-CP-, strength, cerebral palsy, upper limb, functional therapy

Article Details

How to Cite
RAMECKERS, Eugene; HAAN, Coen de; MEEUWSEN, Ingrid. Task-oriented arm strength training in children with cerebral palsy. A randomized controlled trial protocol and exercise program for functional strength training based on progressive resistance exercise principles. Medical Research Archives, [S.l.], v. 12, n. 3, mar. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5093>. Date accessed: 13 apr. 2024. doi: https://doi.org/10.18103/mra.v12i3.5093.
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