Abstract
Objective
To evaluate both the short- and long-term effectiveness of a lifestyle intervention
on physical fitness in adolescents and young adults with cerebral palsy (CP).
Design
Single-blind, randomized controlled trial.
Setting
University hospitals and rehabilitation clinics.
Participants
Adolescents and young adults (N=57) with spastic CP classified in Gross Motor Function
Classification System levels I through IV; of these, 42 completed the study.
Intervention
A 6-month lifestyle intervention consisting of physical fitness training combined
with counseling sessions focused on physical behavior and sports participation.
Main Outcome Measures
Physical fitness, including measures of cardiopulmonary fitness, muscle strength,
and body composition.
Results
Favorable short- and medium-term effects were found for peak oxygen consumption, oxygen
consumption, and load on the anaerobic threshold and waist circumference. Favorable
long-term effects were found for sum of skinfolds, systolic blood pressure, and total
cholesterol.
Conclusions
This exploratory study showed that the lifestyle intervention was effective in improving
cardiopulmonary fitness and body composition. Effects of body composition were maintained
in the long term. However, the intervention needs to be optimized to increase muscle
strength and for long-term retention of effects on aerobic capacity.
Keywords
List of abbreviations:
AT (anaerobic threshold), CP (cerebral palsy), CPET (cardiopulmonary exercise testing), GEE (generalized estimating equation), GMFCS (Gross Motor Function Classification System), PA (physical activity), Vo2peak (peak oxygen consumption)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: June 02, 2014
Footnotes
Supported by Netherlands Organisation for Health Research and Development (grant no. 89000002) and Phelps Stichting (grant no. 2008039).
This project is part of the Dutch LEARN 2 MOVE research program.
Clinical Trial Registration No.: NTR1785.
Disclosures: none.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
