Health-Enhancing Physical Activity in Children With Cerebral Palsy: More of the Same Is Not Enough

Verschuren, Olaf; Darrah, Johanna; Novak, Iona; Ketelaar, Marjolijn; Wiart, Lesley

doi:10.2522/ptj.20130214

Cited by 70 publications

(59 citation statements)

References 57 publications

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“…Recent studies that analyzed sedentary behavior in cerebral palsy suggest that sedentary behavior parameters developed for people with normal motor skills should not be considered in cerebral palsy (24,25). According to Verschuren, the physiological mechanisms, postures and levels of energy expenditure representing sedentary behavior in cerebral palsy can be very different from those of the general population (25), suggesting the importance of undertaking studies on this population.…”

Section: Discussionmentioning

confidence: 99%

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A case study of the effect of cardiovascular training on cerebral palsy

Teixeira

Santos

et al. 2016

Fisioter. mov.

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A case study of the effect of cardiovascular training on cerebral palsy [I] Estudo do condicionamento cardiovascular na paralisia cerebral -um estudo de caso [A] Jéssica Silva Teixeira, Luiza Mayara Lima de Jesus Santos, Nayhara Lemos dos Santos, Carla Cristine Cunha Casali, Carolina Marques Carvalho Mitre Chaves * Universidade de Itaúna (UI), Itaúna, MG, Brazil [R] Abstract Introduction: Cerebral palsy (CP) is a non-progressive disorder characterized by changes in muscle tone and voluntary movement, leading to adaptive changes in muscle length and in some cases, resulting in bone deformities and increased energy expenditure while performing activities of daily living. Objective: The aim of this study was to investigate the effects of cardiovascular training by an adult with athetoid CP. Methods: The sample was composed of one patient with athetoid CP. The instruments used were the timed ten-meter walk test; the SF-36 quality of life questionnaire, a six-minute walk test and the Timed Up and Go test. Using an exercise bike and resistance exercises for the upper limbs, the patient underwent 24 sessions lasting ifty minutes each during eight weeks. Results: In all tests, signi icant improvement was observed at four and eight weeks, especially in the irst four, and progressed in the following four weeks. In the post-training period, improvement was observed when compared to pre-training values. The SF-36 questionnaire on quality of life showed increase in some areas and decrease in others. Conclusion: Patients with CP can bene it from a physical training program, which can improve their quality of life and be included in their rehabilitation protocol. IntroductionCerebral palsy (CP) is a group of permanent postural and movement development disorders that limit activities, and are attributed to a non-progressive disorder that occurs during fetal development of the brain or childhood (1). Studies have shown the increased prospect of life of these patients when they do not present signi icant pathologies and receive appropriate medical care (2, 3).The clinical manifestations of CP most commonly observed are: changes in posture and balance (4), muscle tone (5), spasticity (6), muscle weakness (7) and low resistance to physical activity. These changes result in lack of control over movements, leading to adaptive changes of muscle length, and in some cases can result in bone deformities (8).The low resistance to physical activity observed in these individuals can be attributed to reduced oxidative capacity of the paretic muscles, overall decrease of aerobic resistance, and recruitment of motor units with increased energy expenditure during activities of daily living and sub-maximal exercise (9). The combination of these factors can lead to functional and social losses, and these patients tend to become increasingly sedentary (10).According to Batista et al. (10), patients with CP bene it from aerobic training, which should be included in rehabilitation programs. Gains in functional ability were observed in CP p...

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Section: Discussionmentioning

confidence: 99%

“…According to Verschuren, the physiological mechanisms, postures and levels of energy expenditure representing sedentary behavior in cerebral palsy can be very different from those of the general population (25), suggesting the importance of undertaking studies on this population.…”

Section: Discussionmentioning

confidence: 99%

A case study of the effect of cardiovascular training on cerebral palsy

Teixeira

Santos

et al. 2016

Fisioter. mov.

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“…Additionally, sedentary behavior has shown to be adversely associated with various health outcomes in all age groups (17). To mitigate the possible health consequences of inactivity, promotion of increases in PA (5) and reductions in sedentary behavior (38) are recommended in clinical practice for children and adolescents with CP. However, it has been reported that individuals with physical disabilities have decreased contact with the health care system as they enter adulthood (25).…”

mentioning

confidence: 99%

Quantification of Physical Activity and Sedentary Time in Adults with Cerebral Palsy

Claridge

McPhee

Timmons

et al. 2015

Medicine &Amp; Science in Sports &Amp; Exercise

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“…Reducing sedentary time and encouraging light-intensity activities become more and more important (Verschuren et al, 2014). Sedentary time is higher in children with CP (Obeid et al, 2014), especially in those who depend on assistive mobility devices and wheelchairs.…”

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confidence: 99%