Article

Optimal physical behaviour is important, as physical inactivity contributes
to functional deterioration and reduced social participation. Nevertheless,
research showed that persons with cerebral palsy (CP) have low physical activity
levels. The objective of this study is to evaluate the effectiveness of a
lifestyle intervention programme on physical behaviour.
METHOD: Fifty-seven
persons (36 completed the total study) with spastic CP (age range 16 to 25y; 27
males, 30 females), classified as Gross Motor Function Classification System
levels I-IV were included in this randomized controlled trial. Twenty-nine
participants had a unilateral CP and 27 had a bilateral CP. A 6-month lifestyle
intervention consisting of fitness training and counselling on physical behaviour
and sports participation was evaluated. Physical behaviour was objectively
measured using ambulatory activity monitors. Self-reported physical activity was
determined using the Physical Activity Scale for Individuals with Physical
Disabilities. RESULTS: The intervention did not affect the objectively measured
physical activity during the intervention (beta=0.34, CI=-1.70 to 2.37) or at
follow-up (beta=0.30, CI=-1.99 to 2.59). Self-reported physical activity was
positively affected during the intervention period (beta=7.61, CI=0.17-15.05);
however, this effect was not present at follow-up (beta=3.65, CI=-3.05 to 10.36).
INTERPRETATION: The lifestyle intervention was ineffective in eliciting a
behavioural change towards more favourable physical behaviour in adolescents and
young adults with spastic CP.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS