{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:27:06Z","timestamp":1777930026542,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:00:00Z","timestamp":1766534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100019725","name":"Deanship of Scientific Research, Prince Sattam bin Abdulaziz University","doi-asserted-by":"publisher","award":["PSAU\/2025\/03\/32754"],"award-info":[{"award-number":["PSAU\/2025\/03\/32754"]}],"id":[{"id":"10.13039\/100019725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children with hemiparetic cerebral palsy (Hemi-CP) often face challenges in strength and function, limiting participation in daily activities. While plyometric exercise (Plyo-Ex) has shown promise in improving neuromuscular performance in other populations, its applications in pediatric neurorehabilitation remains understudies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether a 12-week Plyo-Ex program could elicit meaningful improvement in muscle strength and upper extremity function in children with Hemi-CP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, randomized controlled trial involving 58 children with Hemi-CP was conducted. Participants were assigned to either a Plyo-Ex group or a control group receiving standard exercise approaches. The Plyo-Ex group completed supervised upper-extremity-oriented Ply-o-Ex program (\u223c45\u2005min, twice weekly for 12 weeks), with at least 48\u2005h between sessions. Measurements at the baseline and post-treatment included muscle strength (shoulder flexors, external rotators, abductors, elbow extensors, and wrist extensors), unilateral upper extremity function (movement quality, spontaneity, dynamic segmental alignment, and grasp-release capability), and bimanual hand function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to the control group, the Plyo-Ex group demonstrated significant moderate-to-large increases in muscle strength across all tested muscle (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05;\n                      <jats:italic toggle=\"yes\">\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      p\u2009=\u20090.07\u20130.18). Improvements were also seen in unilateral upper extremity function [quality of function (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.006,\n                      <jats:italic toggle=\"yes\">\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      p\u2009=\u20090.13), spontaneity (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.003,\n                      <jats:italic toggle=\"yes\">\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      p\u2009=\u20090.14), dynamic segmental alignment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.018,\n                      <jats:italic toggle=\"yes\">\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      p\u2009=\u20090.10), and grasp-release capability (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.033,\n                      <jats:italic toggle=\"yes\">\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      p\u2009=\u20090.08)] as well as the bimanual hand function (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.004,\n                      <jats:italic toggle=\"yes\">\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      p\u2009=\u20090.14).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Evidence from this trial indicates that Plyo-Ex may serve as a viable intervention to enhance upper extremity strength and function in children with Hemi-CP. Rehabilitation professionals may consider adopting this modality as part of a comprehensive, evidence-based therapeutic plan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrial.gov (Identifier: NCT06980246)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135251400762","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T16:58:12Z","timestamp":1766595492000},"page":"50-61","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Task-Oriented Plyometric Intervention for Augmenting Upper Extremity Strength and Function in Hemiparetic Cerebral Palsy: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5080-702X","authenticated-orcid":false,"given":"Ragab K","family":"Elnaggar","sequence":"first","affiliation":[{"name":"Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Ramirez-Campillo","sequence":"additional","affiliation":[{"name":"Exercise and Rehabilitation Sciences Institute, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile"},{"name":"Sport Sciences and Human Performance Laboratories, Instituto de Alta Investigaci\u00f3n, Universidad de Tarapac\u00e1, Arica, Chile"},{"name":"Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud S","family":"Elfakharany","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saud M","family":"Alrawaili","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mshari","family":"Alghadier","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2854-4176","authenticated-orcid":false,"given":"Mazyad A","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heba MY","family":"El-Basatiny","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt"},{"name":"Department of Medical Rehabilitation Sciences-Physiotherapy Program, College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6671-6982","authenticated-orcid":false,"given":"Tamer M","family":"Elsaeed","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt"},{"name":"Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,24]]},"reference":[{"issue":"4","key":"e_1_3_3_2_1","first-page":"25","article-title":"Effect of plyometric training on shoulder strength and active movements in children with Erb's palsy","volume":"9","author":"Abd Al-Wahab M. 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