Endurance In Children Research Articles

Virtual Reality-Based Therapy Can Enhance Balance and Muscular Endurance in Children and Adolescents with Down Syndrome: A Systematic Review with a Meta-Analysis

Physical exercises are crucial for enhancing postural balance and muscle strength in children and adolescents with Down syndrome (DS). Virtual reality-based therapy (VRBT), which utilizes exergames, can favor performing physical activity. The aim of this review was to assess the effectiveness of VRBT in improving balance and muscular endurance in children and adolescents with DS. Since inception up to August 2024, we screened in PubMed Medline, SCOPUS, WOS, CINAHL, and PEDro studies that assessed the effectiveness of VRBT, compared to conventional therapy (CT) or usual care (UC), in improving balance and muscular endurance in DS. Methodological quality was assessed using the PEDro scale. Effect size in meta-analyses was calculated with the Cohen’s standardized mean difference (SMD) and its 95% confidence interval (95% CI). Nine studies providing data from 424 participants with good methodological quality (PEDro: 6.3 ± 1.2 points) were included. Our meta-analysis showed that VRBT is more effective than controls in increasing function (SMD = 1.22; 95% CI 0.64 to 1.81; p < 0.001), dynamic balance (SMD = −2.2; 95% CI −3.1 to −1.25; p < 0.001), and muscular endurance (SMD = 1.37; 95% CI 0.58 to 2.2; p < 0.001). This is the first meta-analysis to exclusively focus on children and adolescents with DS, demonstrating the effectiveness of VRBT in enhancing balance and muscular endurance.

Synergistic Effects of Korean Mistletoe and Apple Peel Extracts on Muscle Strength and Endurance.

Muscular strength and endurance are vital for physical fitness. While mistletoe extract has shown efficacy in significantly increasing muscle strength and endurance, its accessibility is limited. This study explores combining mistletoe and apple peel extracts as an effective muscle health supplement. Analyses of histology, RNA, and protein in the combined extract-treated mouse group demonstrated significant enhancements in muscle strength and endurance, evidenced by larger muscle fibers, improved mitochondrial function, and a higher ratio of type I and IIa muscle fibers. Combining half doses of each extract resulted in greater improvements than using each extract separately, indicating a synergistic effect. Pathway analysis suggests that the observed synergy arises from complementary mechanisms, with a mistletoe extract-induced decrease in myostatin (MSTN) and an apple peel extract-induced increase in IGF1, leading to a sharp rise in AKT, S6K, and MuRF1, which promote myogenesis, along with a significant increase in PGC-1α, TFAM, and MEF2C, which are critical for mitochondrial biogenesis. This research provides practical insights into developing cost-effective, natural supplements to enhance muscle performance and endurance, with potential applications in athletic performance, improving muscle growth and endurance in children, and addressing age-related muscle decline.

Mechanical mitral valve endurance in children under 2 years

BackgroundThe management of mitral valve disease in young children is challenging. Mechanical mitral valves could provide long-term durability; however, the need for anticoagulation increases the risk profile of mechanical valves. We report our experience in mechanical mitral valve replacement (MVR) in children under 2 years of age and evaluate factors affecting the outcomes.The study included all patients younger than 2 years who underwent mechanical MVR between 2000 and 2023. The study outcomes were mitral valve reoperation, bleeding, valve-related thrombosis, and survival.ResultsTwenty-three patients were included, with a mean age of 10.2 ± 5.9 months. The mitral valve sizes ranged from 16 to 25 mm, and 6 (26%) were placed in the supra-annular position. Complete heart block occurred in seven patients (30%), and operative mortality occurred in three patients (13%). Postoperative warfarin was used in 17 patients (74%). After discharge, bleeding occurred in five patients (22%), four were managed conservatively, and one had intracranial hemorrhage treated with craniotomy. Nine patients (39%) had valve-related thrombosis; two underwent reoperation, while seven were treated with alteplase in 26 patients. Valve-related thrombosis was more common in patients with supra-annular valves (p < 0.001) and in those who were not on warfarin (p < 0.001). A total of seven patients (30%) underwent redo MVR, and redo was more common in young patients (p = 0.029) and in patients with supra-annular valves (p < 0.001). Survival of the whole cohort was 73% at 5 years. Among the annular position group, 5-year survival was 88%, while among the supra-annular position group, survival was 50% after 3 months and 25% after 14 months (p = 0.009).ConclusionsMechanical MVR in children younger than 2 years is associated with high complication rates, including thrombosis and bleeding. The supra-annular valve position appears to be a risk factor for thrombosis and reoperation. Anticoagulation with warfarin remains challenging. However, further studies evaluating alternative options are needed.Graphical

Textured insoles may improve some gross motor balance measures but not endurance measures in children with motor coordination issues. A randomised controlled feasibility trial.

Motor coordination concerns are estimated to affect 5%-6% of school-aged children. Motor coordination concerns have variable impact on children's lives, with gait and balance often affected. Textured insoles have demonstrated positive impact on balance and gait in adults with motor coordination disorders related to disease or the ageing process. The efficacy of textured insoles in children is unknown. Our primary aim was to identify the feasibility of conducting a randomised controlled trial involving children with motor control issues. The secondary aim was to identify the limited efficacy of textured insoles on gross motor assessment balance domains and endurance in children with movement difficulties. An assessor-blinded, randomised feasibility study. We advertised for children between the ages of 5-12years, with an existing diagnosis or developmental coordination disorder or gross motor skill levels assessed as 15th percentile or below on a norm-referenced, reliable and validated scale across two cities within Australia. We randomly allocated children to shoes only or shoes and textured insoles. We collected data across six feasibility domains; demand (recruitment), acceptability (via interview) implementation (adherence), practicality (via interview and adverse events), adaptation (via interview) and limited efficacy testing (6-min walk test and balance domain of Movement ABC-2 at baseline and 4weeks). There were 15 children randomised into two groups (eight received shoes alone, seven received shoes and textured insoles). We experienced moderate demand, with 46 potential participants. The insoles were acceptable, however, some parents reported footwear fixture issues requiring modification. The 6-min walk test was described as problematic for children, despite all but one child completing. Social factors impacted adherence and footwear wear time in both groups. Families reported appointment locations and parking impacting practicality. Underpowered, non-significant small to moderate effect sizes were observed for different outcome measures. Improvement in balance measures favoured the shoe and insole group, while gait velocity increase favoured the shoe only group. Our research indicates that this trial design is feasible with modifications such as recruiting with a larger multi-disciplinary organisation, providing velcro shoe fixtures and using a shorter timed walk test. Furthermore, progressing to a larger well-powered randomised control trial is justified considering our preliminary, albeit underpowered, efficacy findings. This trial was retrospectively registered with the Australian and New Zealand Clinical Trial Registration: ACTRN12624000160538.

Influence and Interaction: Game-Based Exercises and Body Balance on Locomotor and Core Muscles Endurance in Children with Down syndrome

Influence and Interaction: Game-Based Exercises and Body Balance on Locomotor and Core Muscles Endurance in Children with Down syndrome

Effect of Cardiovascular Endurance Training on the Exercise Capacity and Endurance in Children With Cerebral Palsy.

Cerebral palsy (CP) is non-progressive brain damage that occurs before, during, or shortly after birth. CP is associated with poor physical fitness, which is linked to health problems and the development of secondary illnesses like obesity, cardiovascular disease, and diabetes. Compared to healthy peers without CP, children with CP have considerably lower VO2 peaks, which reduces their performance and aerobic capacity. This study aimed to evaluate changes in exercise capacity and endurance among children with CP, as well as fatigue levels among their parents and caregivers, after participation in cardiovascular endurance training. This study included 16 children aged 7-12 years with CP (Gross Motor Function Classification System levels I, II, or III). Participants completed a 12-week cardiovascular endurance program consisting of 60-minute sessions three times weekly designed to achieve 64-95% of their heart rate maximum,based on the American College of Sports Medicine guidelines. Pre- and post-intervention measurements were recorded for the following: distance covered in a six-minute walk, maximal oxygen consumption (VO2 max) level, Early Activity Scale for Endurance rating, and Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Fatigue Scale score and PROMIS Parent Proxy Scale and Fatigue Scale scores. Result: Upon completing the cardiovascular endurance training, the distance covered during a six-minute walk improved by 20.95 points, resting heart rate by 5.19 points, VO2 max by 0.06 points, Early Activity Scale for Endurance by 4.06 points, PROMIS Pediatric Fatigue Scale by 7.29 points, PROMIS Parent Proxy Scale by 6.81 points, and PROMIS Fatigue Scale by 5.07 points. The maximum heart rate also showed a slight improvement of 0.33 points (p<0.01). A structured exercise protocol aimed at improving cardiovascular endurance can benefit children with CP by improving their exercise capacity and endurance, which in turn can help decrease fatigue levels among their parents and caregivers.

Response to article "Effect of the Dynamic Orthotic Garment on Postural Control, and Endurance in Children with Spastic Diplegic Cerebral Palsy: A Randomized Controlled Trial" [Letter

Response to article "Effect of the Dynamic Orthotic Garment on Postural Control, and Endurance in Children with Spastic Diplegic Cerebral Palsy: A Randomized Controlled Trial" [Letter

Effectiveness of Wii-Fit Combined with Conventional Exercises on the Functional Mobility and Balance of Children with Cerebral Palsy and Their Typically Growing Peers.

Nintendo Wii Fit is an accessible, affordable, and productive inclusion into rehabilitation programs for children with cerebral palsy (CP) as a physical activity intervention; however, to our knowledge, there are no comparative studies 8 investigating the effects on the functional mobility and balance of children with CP compared to typically growing (TG) children. We evaluated the effects of Nintendo Wii Fit video exercises on static and dynamic balance, functional capacity, and walking endurance in children with CP compared to their TG peers. Children with CP and their TG peers were trained with Nintendo Wii Fit Balance Board games and conventional exercises (40 minutes each) for 16 weeks, twice a week. Their static and dynamic balance, functional capacity, and walking endurance were evaluated at the beginning and end of the study. The improvement achieved within the groups in all parameters, as well as between the groups, was significant, except for the dynamic balance and walking endurance. Standing Nintendo Wii Fit exercises combined with conventional exercises can be included as axial exercises in the physiotherapy program for children with CP as an enjoyable physical activity. TG children may also benefit, increasing their functional mobility and walking endurance in a fun way.

Reviving ancestral heritage: games traditional sports as key to improve innovative child endurance

Traditional sports games have become an important part of the cultural heritage we inherited from our ancestors. However, with the development of technology and changes in modern lifestyles, traditional sports games have seen a decline in popularity among children. Therefore, this study aims to investigate the role of traditional sports games in increasing children's endurance in an innovative way. This research uses a qualitative descriptive research model that is a literature study that uses various literature reviews in strengthening research analysis. This research began by collecting some literature, then conducted a review and the collected literature was analyzed with a critical Apprasial table of 10 literature. The results showed that traditional sports games were able to provide significant benefits for children's endurance. Through these games, children develop motor skills, body coordination, and balance. They also learn to cope with challenges, develop social skills, such as cooperation and communication, and gain a sense of pride in their cultural heritage. In addition, the introduction of traditional sports games adapted to innovative elements, such as the use of technology or the setting of new rules, can increase children's interest in participating. This allows them to maintain a connection to the traditions of the past while experiencing the joys and challenges presented in a more contemporary context. This research provides recommendations for educators and parents to promote traditional sports games as an integral part of children's educational and activity curricula. Thus, children can develop innovative resilience through activities that honor their ancestral heritage.

To Study the Correlation Between Allergic Rhinitis and Respiratory Endurance in Children

As per recent studies, the prevalence of allergic rhinorrhea in children has increased to 25%. Allergic rhinitis is a disease of nasal obstruction or congestion that causes sneezing, nasal itching, runny or stuffy nose and sometimes reduction of sense of smell. Allergic rhinitis is challenging to handle. Physicians are reporting several cases of patients with severe symptoms. This research aims to study the correlation between allergic rhinitis and respiratory endurance in children. Material and Methodology: The random sample strategy was employed in this investigation. 50 individuals were chosen according to inclusion and exclusion standards. During this study, an incentive spirometer assessment was done on children. The collected data included demographic data and the assessment of an incentive spirometer. Result: According to the statistical analysis, there is a correlation between allergic rhinitis and respiratory endurance in children. This study shows that in children with allergic rhinitis, respiratory endurance is lower than the normal patients. Conclusion: This report found a correlation between allergic rhinitis and respiratory endurance in children.

Impact of mental practice training on balance and trunk endurance in children with hemiparesis: A randomized controlled trial

Children with hemiparesis experience poor balance due to a combination of underdeveloped neural motor control mechanisms and secondary musculoskeletal issues, which lead to atypical body posture. The aim of this randomized controlled trial was to investigate the impact of mental practice (MP) training on balance and trunk endurance in children with hemiparesis. Forty hemiparetic children (16 boys and 24 girls), aged 7 to 10 years, were randomly assigned to two groups of equal size (20 children per group): control group (Group A) and study group (Group B). The study was conducted at the outpatient clinic of the Pediatric Physical Therapy Department at Mansoura International Hospital and Mansoura Specialized Hospital. Participants were assessed for balance and trunk muscle endurance at baseline and after 3 months of intervention using the modified Clinical Test of Sensory Integration of Balance (mCTSIB) and trunk endurance tests, respectively. Both groups received the same selected physical therapy program, with Group B additionally receiving MP training three times per week for three months. The Statistical Package for the Social Sciences (SPSS) (version 28) was used to conduct all of the statistical analyses. Significant differences were observed between the two groups post-treatment regarding mCTSIB scores and trunk endurance tests, favoring the study group (p &lt; 0.05). MP training emerges as a promising intervention to enhance balance and trunk endurance in children with hemiparesis. Healthcare professionals and therapists working with these children should consider integrating the MP program as a valuable component of their therapeutic strategies.

Effect of the Dynamic Orthotic Garment on Postural Control, and Endurance in Children with Spastic Diplegic Cerebral Palsy: A Randomized Controlled Trial.

To investigate the effect of dynamic orthotic garments (Thera togs) on foot pressure distribution, postural control, and endurance in children with spastic diplegic CP. This is a single-blind randomized controlled clinical trial involving 34 (8-10 years) with spastic diplegic CP. The control group received conventional physical therapy (CPT), whereas the study group received CPT in addition to wearing TheraTogs. We recorded foot pressure distribution, trunk control measurement scale, trunk position sense, Pediatric Berg Balance Scale (PBS), and six-minute walking distance (6MWD). Both groups showed improvement. The study group had significant improvement in foot pressure distribution (p-value 0.003, 0.001, <0.001 for forefoot, midfoot, and rearfoot mean pressures respectively, and 0.005, <0.001, and 0.005 for forefoot, midfoot, and rearfoot peak pressures respectively), Pediatric balance scale, The trunk control measurement scale, and Trunk position sense (p-value < 0.001) and six-minute walking distance (p-value 0.029). Our data suggest that adding TheraTogs to conventional physiotherapy improves foot pressure, postural control, and endurance in children with spastic diplegic cerebral palsy. Both TheraTogs and conventional physical therapy corrected foot pressure distribution, trunk control, improved balance, and increased 6MWD in children with spastic diplegic CP but the improvement was more significant in TheraTogs group. NCT05271149.

Effectiveness of Partial Body Weight-Supported Treadmill Training on Various Outcomes in Different Contexts among Children and Adolescents with Cerebral Palsy: A Systematic Review and Meta-Analysis.

The efficiency of partial body weight-supported treadmill training (PBWSTT) for treating various conditions in children and adolescents with cerebral palsy (CP) in diverse contexts of rehabilitation, households, or schools is unknown. The major objective of this systematic review and meta-analysis was to analyze the effectiveness of PBWSTT on various outcomes in different contexts among children and adolescents with CP. We incorporated full-text, randomized controlled trial studies that specifically assessed the effects of PBWSTT walking, motor function, stride, balance, and endurance in children and adolescents aged 3 to 18 years with CP. The literature search was carried out using Google Scholar, PubMed, Web of Science, CINAHL Plus, Scopus, PEDro, and ResearchGate databases. The methodological quality was evaluated using a Cochrane risk of bias instrument. A meta-analysis of pooled data from 10 studies with 255 participants demonstrated that PBWSTT for 4-12 weeks in rehabilitation (mean difference [MD] = 1.94, 95% confidence interval [CI] = 1.40-2.48, p < 0.0001), at home or in a school context (MD = 13.5, 95% CI = 13.9-16.0, p < 0.0001), was significantly effective for treating various conditions in children and adolescents suffering with CP. The period of 4-12 weeks of PBWSTT in rehabilitation and at-home/school settings is effective on various outcomes in children or adolescents with CP.

Theoretical aspects of the development of special endurance in ski racers of secondary school age

Relevance. The structure of the activity consisted in the theoretical justification of the shown methods, their use in practice and the rationality of performing these exercises. As a result of the key problem, solving the problem of endurance education in school years, it is necessary to take into account in detail the large age differences in the adaptive reactions of the body to high physical exertion.The purpose of the study is to study and demonstrate various methods and means of developing special endurance in ski racers of secondary school age.Organization and methods of research. In the early stages of the development of special endurance in children, it is necessary. have a level of general endurance. Hence, it is customary to use a number of such methods and means that make it possible to exert precisely dosed effects (running over various distances, skiing and other cyclic exercises, as well as regularly performed gymnastic and other general preparatory exercises organized in the form of "circular training".The results of the study and their discussion. The results obtained during the research make it possible to conclude that endurance and all its varieties are considered the most significant quality for ski racing. And for the development of special endurance in skiing, all training methods should be used, regardless of the age and level of training of the athlete, the main thing is to follow the sequence of these methods so that the skier gradually improves his own performance.Conclusions. Thus, we can say that endurance and all its types are the most important quality for ski racing. And for the development of special endurance in ski racing, it is necessary to apply all training methods, regardless of the age and level of training of the athlete, types.

Effects of perioperative exercise on cardiorespiratory endurance in children with congenital heart disease in plateau areas after surgical repair

We aimed to explore the effects of perioperative exercise on cardiorespiratory endurance in children with congenital heart disease (CHD) in plateau areas after surgical repair. Fifty children with CHD in the plateau admitted to our hospital were randomly divided into the exercise and control groups. The exercise group received a perioperative exercise intervention beginning within 24 h postoperatively, while the control group received routine nursing and treatment alone. To assess the 6 min walk distance (6MWD) at baseline and at end of intervention, children participated in a 6-min walk test before cardiac repair and at 1 week after general ward transfer. A subset of children in the study underwent the cardiopulmonary exercise test pre-operatively. The 6MWD of children with CHD at baseline was positively correlated with the peak oxygen uptake pre-operatively. No significant difference was reported in the preoperative baseline data of both groups. The 6MWD of the exercise group was significantly higher than that of the control group. Early exercise therapy after cardiac repair could significantly improve the cardiorespiratory endurance and exercise capacity of children with CHD in plateau areas.

The relationships between upper extremity muscle strength and endurance with respiratory function, functional capacity and quality of life in children and adolescents with cystic fibrosis

Background/Aims The number of studies exploring isolated upper extremity muscle strength and endurance in paediatric patients with cystic fibrosis is limited. The aim of this study was to investigate the relationship between upper extremity muscle strength and endurance with respiratory functions, functional capacity and quality of life in children and adolescents with cystic fibrosis. Methods Children and adolescents with cystic fibrosis performed a flexed arm hang test to measure muscle endurance, movement against a dynamometer to measure muscle strength, a pulmonary function test and 6-minute walk test to measure functional capacity. The Cystic Fibrosis Questionnaire Revised was used to assess quality of life. Results A total of 29 children and adolescents with cystic fibrosis (15 girls, 14 boys) participated in the study. Biceps muscle strength moderately correlated with forced expiratory volume in 1 second predicted percentage, forced vital capacity predicted percentage and the ratio of forced expiratory volume in 1 second to forced vital capacity predicted percentage (r=0.306, P=0.035; r=0.405; P=0.029; r=0.367, P=0.048, respectively). Biceps muscle strength, shoulder abductors muscle strength, hand grip strength and flexed arm hang test correlated with the ratio of forced expiratory volume in 1 second to forced vital capacity predicted percentage. Biceps muscle strength, shoulder abductors muscle strength, hand grip strength and flexed arm hang test correlated with 6-minute walk test distance (r=0.678, p&lt;0.001; r=0.732, p&lt;0.001; r=0.512, P=0.005; r=0.375, P=0.045, respectively). Biceps muscle strength and shoulder abductors muscle strength moderately correlated with emotional functioning and eating disturbances in the Cystic Fibrosis Questionnaire Revised (r=0.451, P=0.014). Conclusions Specific assessment of upper extremity muscle strength and endurance in children and adolescents with cystic fibrosis may be helpful in informing physiotherapists of respiratory function, functional capacity and quality of life status.]

Improving Sitting Endurance with the Use of Economic Tokens in Children with Attention Deficit and Hyperactivity Disorders (Single Subject Research class V at SDN 06 Piai Tangah)

This research focuses on the problems experienced by ADHD students who are unable to stay seated while studying . The aim of this research is to increase endurance while sitting in learning and also to provide enthusiasm in participating in learning by using economic tokens. This research uses an experimental method using SSR (Single Subject Research). This research data was collected through observation and documentation. The results of this research can be said that the use of economic tokens is effective in increasing sitting endurance in children with ADHD.&#x0D;

Investigation the relationship between squat performance test, respiratory muscle strength, respiratory function, and cardiorespiratory endurance in children with cerebral palsy

Investigation the relationship between squat performance test, respiratory muscle strength, respiratory function, and cardiorespiratory endurance in children with cerebral palsy

Effect of Treadmill Backward Walking Training on Motor Capacity in Cerebral Palsy: A Randomized Controlled Study

To evaluate treadmill backward walking training (BWT) effects on walking speed, balance, mobility, and walking endurance in children with cerebral palsy (CP). The study evaluated 41 children with CP (age, 6-18; Gross Motor Function Classification System levels I and II). They were randomly allocated into control and BWT groups. BWT was applied (two sessions/week, 15 min/session for 8-week) to BWT group after the neurodevelopmental-based physiotherapy program routinely followed by all participants while the control group did not receive BWT. 10-Meter Walk Test (10MWT), Pediatric Balance Scale (PBS), Timed Up and Go Test (TUG), and Two-Minute Walk Test (2MWT) were selected as outcome measures for assessing walking speed, balance, mobility and endurance respectively. In BWG, 2MWT distance (3.5%), PBS (3.5%) increased significantly, and TUG decreased by 5.1% (all p<0.001) after training, 10MWT was shorter by 6.1% for BWG, corresponding to 7.4% faster walking speed (p<0.01). Control group assessment variations were stationary and not statistically significant. Backward treadmill walking training induces small but statistically significant motor capacity improvements in children with CP.

The relationship of dynamic body balance with locomotor ability and endurance of core muscles in children with down syndrome

Introduction: The scarcity of research results related to the relationship of dynamic body balance with locomotor ability and core muscle endurance makes it difficult to compile a physical exercise program for children with Down syndrome, even though the preparation of the form and duration of exercises that adjust the level of dynamic body balance will minimize the occurrence of more severe injuries and musculoskeletal problems. This study aims to find out, prove, and examine the relationship between dynamic body balance and locomotor ability, and core muscle endurance in children with Down syndrome. Material and Methods: This study included 30 children with Down syndrome who were chosen using a purposive sampling technique. All samples followed the research procedure by measuring dynamic body balance using a functional reach test, assessing locomotor ability with a test of gross motor development (2nd edition), and measuring core muscle endurance using a plank test. The statistical analysis technique uses the Pearson correlation test at a significance level of α = 0.05, which is carried out in SPSS software version 22. Results: There is a significant positive relationship between dynamic body balance and locomotor ability with a significance value of 0.000 (Sig. &lt; 0.05) and a positive Pearson correlation value of 0.821. In addition, there was a positive significant relationship between dynamic body balance and the endurance of the core muscles of the children with Down syndrome at a significance level set at 0.000 (Sig. &lt; 0.05) and a positive Pearson correlation of 0.710. Conclusions: The dynamic body balance of children with Down syndrome is significantly positively related to locomotor abilities at a perfect level and the endurance of the core muscles at a strong level.