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Biomedical subjects

L Speth

Publications and source records attributed to L Speth.

4 recordsLinked to original sources

Physical training of school children with spastic cerebral palsy: effects on daily activity, fat mass and fitness.

Effects of two 9-month sports programmes (four or two sessions per week) on level of daily physical activity (PA), fat mass (FM), and physical fitness were assessed in children with spastic cerebral palsy (CP; n = 20, 9.2 +/- 1.4 yr), randomly assigned to an experimental and control group after matching. Four sessions per week tended to increase PA ratio (24-h energy expenditure/sleeping (resting) energy expenditure) after 9 months from 1.34 +/- 0.25 to 1.55 +/- 0.18 (P = 0.07; not different versus controls). FM increased continuously in the control group (after 9 months + 1.1 +/- 1.6 kg, P < 0.05), whereas the experimental groups showed no changes. Training (respectively four and two sessions) increased peak aerobic power 35% (P < 0.01; P < 0.05 versus controls) and 21% (P < 0.01; P = 0.17 versus controls). Results also suggest that training has a favourable effect on isokinetic muscle strength. No training-related effects were found on anaerobic power. It was concluded that although aerobic training has a limited effect on PA in children with CP, it may prevent deterioration in body composition and muscle strength. Furthermore, training has a favourable effect on peak aerobic power.

Activities of Daily Living↗

Reliability of tests to determine peak aerobic power, anaerobic power and isokinetic muscle strength in children with spastic cerebral palsy.

Test-retest reliability of measurements of peak aerobic power (cycle ergometer), anaerobic power (cycle ergometer), and isokinetic muscle strength of the knee (Cybex) was established in 12 young children with cerebral palsy (spastic diplegia/tetraplegia; mean age 8.8 years) and in addition in 39 healthy controls (mean age 9.2 years). The cycle ergometer tests were found to be reliable in both the group with CP and the control group (test-retest correlations varying from 0.72 to 0.96). The isokinetic strength test in the group with CP was only reliable at 30 degrees/s, whereas in the control group high test-retest correlations were also found at 60 degrees/s and 120 degrees/s.

Cerebral Palsy↗

Predicting voice quality of deaf speakers on the basis of glottal characteristics.

Twenty profoundly deaf and 5 normal-hearing subjects produced 225 sustained vowels/a, i, u/at different pitch levels and 75 phonetically balanced sentences, while vocal fold vibration was recorded through an electrolaryngograph (ELG). The utterances recorded on audio tape were judged by 10 experienced listeners on general voice quality, breathiness, hoarseness, and laryngeal strain on a 5-point scale. Seven parameters describing time-domain characteristics of the ELG-signal were extracted online by a special purpose computer system. Measurements were made over 500 consecutive vibratory cycles (10-cycle window), yielding a mean and standard deviation for each parameter per utterance. All data were submitted to analysis of variance and multiple regression analyses. Multiple correlations between glottal parameters and judged voice deviations varied between .46 and .70 indicating that overall prediction cannot reliably be based on these parameters, although severe cases of deaf voice deviations may be detectable.

Adolescent↗