Leisure Time Physical Activity in Children and Young People With Cerebral Palsy: A Population-Based Study

Abstract

Purpose: To describe leisure time physical activity in children and young people with cerebral palsy and identify barriers and facilitators to participation. Methods: Leisure time physical activity participation was derived from a national cerebral palsy register and associated factors were analyzed. Barriers and facilitators to participation were investigated through a survey. Results: Leisure time physical activity participation was recorded. Outcomes of participation decreased with increasing Gross Motor Function Classification System level. Leisure time physical activity "not in club" for 11-to 18-year-olds was significantly lower than for those aged 5 to 10 years for Gross Motor Function Classification System level II. The survey supported that disability and disliking help were common barriers and parental encouragement and enjoyment were common facilitators. Conclusions: Data from the register and survey provide insight into factors influencing leisure time physical activity participation in young people with cerebral palsy and how to increase.

No Evidence to Support Aquatic Therapy for Children With Cerebral Palsy, But Do Their Experiences Matter More?

“…Additionally, most outcome measures were based on physiological parameters. Other outcome measures, such as increased enjoyment, social participation, and quality of life, are not typically explored in most studies, despite their importance for children with CP 5–8…”

“…Other outcome measures, such as increased enjoyment, social participation, and quality of life, are not typically explored in most studies, despite their importance for children with CP. [5][6][7][8] In this author' s clinical experience, children with CP tend to express strong enthusiasm for aquatic therapy, with noticeable changes in mood and behavior regardless of their level of disability. These observations are consistent with recent qualitative studies, which demonstrate that children with CP enjoy aquatic exercise, and that both parents and education staff support its applications.…”