Ambulatory Physical Activity Performance in Youth With Cerebral Palsy and Youth Who Are Developing Typically

Bjornson, Kristie; Belza, Basia; Kartin, Deborah; Logsdon, Rebecca G.; McLaughlin, John F.

doi:10.2522/ptj.20060157

Cited by 274 publications

(277 citation statements)

References 30 publications

(27 reference statements)

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“…Accelerometer-based devices have been used by several authors to assess walking ability over several days or weeks in both household and community ambulation [33][34][35][36][37][38]. Klute et al reported that prosthetic prescription makes no differences in the step count or step rate as recorded by the StepWatch™ Activity Monitor (SAM) (OrthoCare Innovations; Mountlake Terrace, Washington) in transfemoral and transtibial amputees who are community ambulators [38].…”

Section: Introductionmentioning

confidence: 99%

How humans walk: Bout duration, steps per bout, and rest duration

Orendurff¹

2008

JRRD

261

222

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Abstract-Much is known about human walking, but it is not known how walking is used during typical activities. Since improving walking ability is a key goal in many surgical, pharmacological, and physiotherapeutic interventions, understanding typical community mobility demands regarding the length of walking bouts, the number of sequential steps frequently performed, and the duration of common nonwalking (rest) behavior seems prudent. This study documents the gait of daily living in 10 nondisabled employed adults to define walking bout duration, sequential step counts, and length of rest periods over a 2-week period. Subjects wore a StepWatch™ Activity Monitor (OrthoCare Innovations; Mountlake Terrace, Washington) that counted steps in each 10-second time window. Custom code summed sequential steps, periods of walking behavior (bouts), and periods without steps (rest). Sixty percent of all walking bouts lasted just 30 seconds or less; a 2-minute walking bout was just 1 percent of total walking bouts. Forty percent of all walking bouts were less than 12 steps in a row, and 75 percent of all walking bouts were less than 40 steps in a row. Rest periods were predominantly very short, with half of all rests periods lasting 20 seconds or less. The community mobility demand for nondisabled employed adults appears to involve frequent short-duration walking behavior with low numbers of sequential steps strung together and many shortduration nonwalking (rest) behaviors.

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Section: Introductionmentioning

confidence: 99%

How humans walk: Bout duration, steps per bout, and rest duration

Orendurff¹

2008

JRRD

261

222

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“…This investigation was conducted as part of a larger descriptive study of the relation between physical activity and health status and QOL in youth with CP. 14,15 The a priori hypothesis was that self-reported health status and QOL would be ordered by activity capacity and functional level, as measured by the GMFCS, such that TDY would be greater than level I, level I greater than level II, and level II greater than level III. 16 …”

mentioning

confidence: 99%

Self-Reported Health Status and Quality of Life in Youth With Cerebral Palsy and Typically Developing Youth

Bjornson

Belza

Kartin

et al. 2008

Archives of Physical Medicine and Rehabilitation

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Objective-To describe self-reported health status and quality of life (QOL) of ambulatory youths with cerebral palsy (CP) compared with sex-and age-matched typically developing youth (TDY). Design-Prospective cross-sectional cohort comparison. Setting-Community-based.Participants-A convenience sample of 81 youth with CP (age range, 10-13y) with Gross Motor Function Classification System (GMFCS) levels I through III and 30 TDY participated. They were recruited from 2 regional children's hospitals and 1 regional military medical center. Interventions-Not applicable.Main Outcome Measures-Participants completed the Child Health Questionnaire-Child Form (CHQ-CF87) for health status and the Youth Quality of Life for QOL.Results-Youth with CP reported significantly lower health status than age-and sex-matched TDY in the following CHQ-CF87 subscales: role/social behavioral physical, bodily pain, physical function, and general health (CP mean rank, TDY mean rank,). There were significant differences across GMFCS levels. There were no significant differences in selfreported QOL.Conclusions-Self-reported health status, but not QOL, appears sensitive to the functional health issues experienced by ambulatory youth with CP. Pain management and psychosocial support may be indicated for them. KeywordsCerebral palsy; Health status; Quality of life; Rehabilitation The types of cerebral palsy (CP) compatible with independent ambulation, hemiplegia, and diplegia, comprise 48% to 79% of all cases. 1 All ambulatory persons with CP experience limitations in walking and other physical activities. It is generally believed that people who experience such limitations have less than optimal quality of life (QOL); below normal health-related QOL (HRQOL) in youth with CP has been reported by parents and other "Quality of life," as defined by the WHO, is a broader construct than "health status" because it includes aspects of the social and physical environment that may or may not be affected by health or a treatment. 6 HRQOL is often applied as an outcome measure that focuses on the aspects of life and activity that are influenced by health conditions or services. Patrick and Chiang 9 suggested that "health status" and "health-related quality of life" are most useful in the context of assessment of health services and treatment efficacy, while "quality of life" measures should be used to evaluate environments and/or issues external to the context of health care.The literature on health and/or QOL in youth with CP has been primarily based on parental report and historically has combined the constructs of "health" with "QOL" in reporting CHQ data as HRQOL. Self-reported life experiences for youth with CP based on the current WHO definition of QOL, separate from health status or HRQOL, have not been documented. In this crosssectional study, our aim was to investigate health status unique from QOL of youth with CP (appendix 1) compared with an age-and sex-matched group of typically developing youth (TDY). This comparison group controls fo...

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“…It is important to take into account that a minimum level of motor activity is essential in order to interact with the environment (Bjornson et al, 2007). In individuals with cognitive disorders such as CP, experiencing difficulties in movement can have serious deleterious effects on cognitive, emotional and social development (Damiano, 2006;Hughes, 1984;Taylor, Sallis, & Needle, 1985).…”

Section: Discussionmentioning

confidence: 99%

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Quesada¹,

Lucas-Cuevas²,

Llana-Belloch³

et al. 2014

JPES

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Abstract:Regardless the advances in medical science, it seems that the prevalence of cerebral palsy (CP) has been increasing during the last forty years. Cerebral palsy is associated with muscle weakness and impaired circulation that leads to muscle spasticity and deficits in motor control, thereby limiting the individual's ability to perform not only leisure, social or occupational activities but also basic daily tasks. In this sense, exercise is gaining popularity as an intervention choice for this population. Literature aiming to improve the quality of life of patients suffering from cerebral pathologies such as cerebral palsy has observed that both strength and aerobic training lead to significant benefits that improve the quality of life of these patients via a reduction in dependency, muscular deficits and improved cardiorespiratory capacity.

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Ambulatory Physical Activity Performance in Youth With Cerebral Palsy and Youth Who Are Developing Typically

Cited by 274 publications

References 30 publications

How humans walk: Bout duration, steps per bout, and rest duration

How humans walk: Bout duration, steps per bout, and rest duration

Self-Reported Health Status and Quality of Life in Youth With Cerebral Palsy and Typically Developing Youth

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