La influencia del entrenamiento de fuerza y resistencia en niños con parálisis cerebral. Una revisión sistemática

Ángel Carmona Sedeño; José López Aguilar

doi:10.24310/jpehm.7.1.2025.21420

Authors

Ángel Carmona Sedeño Faculty of Sport Sciences, EADE-University of Wales, Trinity Saint David, 29018 Malaga, Spain Spain
José López Aguilar Department of Physical Education and Sport, University of Osuna, 41640 Osuna, Spain; Faculty of Sport Sciences, EADE-University of Wales, Trinity Saint David, 29018 Malaga, Spain Spain

DOI:

https://doi.org/10.24310/jpehm.7.1.2025.21420

Keywords:

pediatric neurodisability, therapeutic exercise, functional capacity, gross motor function

Abstract

Introduction: Cerebral palsy is a chronic, non-progressive neuromotor disorder that affects motor control, ambulatory capacity, and participation in activities of daily living in the pediatric population. Therapeutic physical activity is considered a relevant intervention to improve functional outcomes in this population. Objective: To identify, evaluate, and synthesize the available scientific evidence on the effectiveness of strength and/or resistance training in children and adolescents with cerebral palsy. Methodology: A systematic review was conducted following PRISMA guidelines. Searches were performed in PubMed and Google Scholar between December 2023 and March 2024. Randomized controlled trials published in English and Spanish that evaluated strength and/or resistance training interventions in the pediatric population with cerebral palsy were included. Methodological quality was assessed using the PEDro scale. Results: Five randomized controlled trials were included. The results were heterogeneous, with improvements observed in some gait parameters, isometric and functional strength, and gross motor function; however, effects were not consistent across studies. Discussion: The findings suggest a potential benefit of strength and/or resistance training; however, variability in intervention protocols, small sample sizes, and diversity of assessment tools limit comparability. Conclusions: Strength and/or resistance training may provide benefits in strength and gait-related functional variables in individuals with cerebral palsy; however, further randomized controlled trials with standardized protocols and individualized exercise prescription are required to maximize outcomes and ensure safety.

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