Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy
Aim: This study aimed to quantify the contribution of physical, personal and environmental characteristics to physical activity among independently ambulant children with unilateral cerebral palsy (CP). Method: One-hundred and two children with unilateral CP (52 males, 50 females; 52 right hemiplegi...
| Main Authors: | , , |
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| Format: | Journal Article |
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2014
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| Online Access: | http://hdl.handle.net/20.500.11937/44447 |
| _version_ | 1848757003560681472 |
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| author | Mitchell, L. Ziviani, J. Boyd, Roslyn |
| author_facet | Mitchell, L. Ziviani, J. Boyd, Roslyn |
| author_sort | Mitchell, L. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Aim: This study aimed to quantify the contribution of physical, personal and environmental characteristics to physical activity among independently ambulant children with unilateral cerebral palsy (CP). Method: One-hundred and two children with unilateral CP (52 males, 50 females; 52 right hemiplegia; mean age 11y 3mo, range 8–17y [SD 2y 4mo]) classified at Gross Motor Function Classification System (GMFCS) levels I = 44 and II = 58 participated. Physical activity was measured over 4 days using ActiGraph accelerometers recording as activity counts. GMFCS, functional strength, 6-minute walk test (6MWT), mobility limitations (MobQues28), age, sex, Assessment of Life-Habits recreation domain, Participation and Environment Measure for Children and Youth (PEM-CY) and environmental characteristics were considered for selection in a linear regression model. These served as independent variables which were determined using a backwards selection procedure. Results: Younger age, male sex, increased performance on the 6MWT, and increased participation in the home and community measured using the PEM-CY were significantly associated with activity counts (p<0.001). However, the model fit was somewhat weak (R2=0.32), indicating that much of the variation was unexplained. Older age and reduced community participation were associated with high inactivity (p<0.001). Interpretation: Physical activity interventions should primarily target adolescents and females. Walking endurance and participation in the home and community may represent modifiable characteristics to increase physical activity. |
| first_indexed | 2025-11-14T09:21:11Z |
| format | Journal Article |
| id | curtin-20.500.11937-44447 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:21:11Z |
| publishDate | 2014 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-444472017-09-13T14:14:26Z Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy Mitchell, L. Ziviani, J. Boyd, Roslyn Aim: This study aimed to quantify the contribution of physical, personal and environmental characteristics to physical activity among independently ambulant children with unilateral cerebral palsy (CP). Method: One-hundred and two children with unilateral CP (52 males, 50 females; 52 right hemiplegia; mean age 11y 3mo, range 8–17y [SD 2y 4mo]) classified at Gross Motor Function Classification System (GMFCS) levels I = 44 and II = 58 participated. Physical activity was measured over 4 days using ActiGraph accelerometers recording as activity counts. GMFCS, functional strength, 6-minute walk test (6MWT), mobility limitations (MobQues28), age, sex, Assessment of Life-Habits recreation domain, Participation and Environment Measure for Children and Youth (PEM-CY) and environmental characteristics were considered for selection in a linear regression model. These served as independent variables which were determined using a backwards selection procedure. Results: Younger age, male sex, increased performance on the 6MWT, and increased participation in the home and community measured using the PEM-CY were significantly associated with activity counts (p<0.001). However, the model fit was somewhat weak (R2=0.32), indicating that much of the variation was unexplained. Older age and reduced community participation were associated with high inactivity (p<0.001). Interpretation: Physical activity interventions should primarily target adolescents and females. Walking endurance and participation in the home and community may represent modifiable characteristics to increase physical activity. 2014 Journal Article http://hdl.handle.net/20.500.11937/44447 10.1111/dmcn.12560 unknown |
| spellingShingle | Mitchell, L. Ziviani, J. Boyd, Roslyn Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy |
| title | Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy |
| title_full | Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy |
| title_fullStr | Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy |
| title_full_unstemmed | Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy |
| title_short | Characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy |
| title_sort | characteristics associated with physical activity among independently ambulant children and adolescents with unilateral cerebral palsy |
| url | http://hdl.handle.net/20.500.11937/44447 |