Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough?
© 2015 American Physical Therapy Association.Background: Despite the health benefits of regular physical activity, children with cerebral palsy (CP) are thought to participate in reduced levels of physical activity.Objective: The study objective was to assess physical activity and determine the prop...
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| Format: | Journal Article |
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American Physical Therapy Association
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/46432 |
| _version_ | 1848757555173523456 |
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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 | © 2015 American Physical Therapy Association.Background: Despite the health benefits of regular physical activity, children with cerebral palsy (CP) are thought to participate in reduced levels of physical activity.Objective: The study objective was to assess physical activity and determine the proportion adhering to the recommended 60 minutes of moderate-to-vigorous physical activity (MVPA) daily in independently ambulant children and adolescents with unilateral CP.Design: This was a cross-sectional study.Method: Children (N=102; 52 boys, 50 girls; mean age=11 years 3 months, SD=2 years 4 months) with spastic hemiplegia classified at Gross Motor Function Classification System (GMFCS) levels I (n=44) and II (n=58) recorded physical activity over 4 days using an accelerometer. Activity counts were converted to daily and hourly time spent inactive and in light physical activity or MVPA using uniaxial cutpoints (inactive: =100 vertical counts=min-1, light: 101 to 2,295 vertical counts·min-1, MVPA: -2,296 vertical counts=min-1) and recorded step counts. Differences between groups were examined using t tests.Results: Of a potential 396 days, 341 days (86%) were recorded. The average wear time was 11:44 (SD=1:56) hours. On a typical day, participants recorded 438 (SD=234) counts=min-1, took 7,541 (SD=3,894) steps, spent 8:36 (SD=1:09) hours inactive, spent 2:38 (SD=0:51) hours in light activity, and spent 0:44 (SD=0:26) hours in MVPA. Only 25% of participants met the recommended level of MVPA on at least one day. Physical activity was highest in boys (versus girls), in children (versus adolescents), and on weekdays (versus weekends).Limitations: Participants were limited to children with unilateral spasticity who were classified at GMFCS levels I and II.Conclusions: The majority of independently ambulant children with unilateral CP did not perform sufficient physical activity to meet public health recommendations. |
| first_indexed | 2025-11-14T09:29:57Z |
| format | Journal Article |
| id | curtin-20.500.11937-46432 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:29:57Z |
| publishDate | 2015 |
| publisher | American Physical Therapy Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-464322017-09-13T13:39:37Z Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough? Mitchell, L. Ziviani, J. Boyd, Roslyn © 2015 American Physical Therapy Association.Background: Despite the health benefits of regular physical activity, children with cerebral palsy (CP) are thought to participate in reduced levels of physical activity.Objective: The study objective was to assess physical activity and determine the proportion adhering to the recommended 60 minutes of moderate-to-vigorous physical activity (MVPA) daily in independently ambulant children and adolescents with unilateral CP.Design: This was a cross-sectional study.Method: Children (N=102; 52 boys, 50 girls; mean age=11 years 3 months, SD=2 years 4 months) with spastic hemiplegia classified at Gross Motor Function Classification System (GMFCS) levels I (n=44) and II (n=58) recorded physical activity over 4 days using an accelerometer. Activity counts were converted to daily and hourly time spent inactive and in light physical activity or MVPA using uniaxial cutpoints (inactive: =100 vertical counts=min-1, light: 101 to 2,295 vertical counts·min-1, MVPA: -2,296 vertical counts=min-1) and recorded step counts. Differences between groups were examined using t tests.Results: Of a potential 396 days, 341 days (86%) were recorded. The average wear time was 11:44 (SD=1:56) hours. On a typical day, participants recorded 438 (SD=234) counts=min-1, took 7,541 (SD=3,894) steps, spent 8:36 (SD=1:09) hours inactive, spent 2:38 (SD=0:51) hours in light activity, and spent 0:44 (SD=0:26) hours in MVPA. Only 25% of participants met the recommended level of MVPA on at least one day. Physical activity was highest in boys (versus girls), in children (versus adolescents), and on weekdays (versus weekends).Limitations: Participants were limited to children with unilateral spasticity who were classified at GMFCS levels I and II.Conclusions: The majority of independently ambulant children with unilateral CP did not perform sufficient physical activity to meet public health recommendations. 2015 Journal Article http://hdl.handle.net/20.500.11937/46432 10.2522/ptj.20140031 American Physical Therapy Association unknown |
| spellingShingle | Mitchell, L. Ziviani, J. Boyd, Roslyn Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough? |
| title | Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough? |
| title_full | Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough? |
| title_fullStr | Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough? |
| title_full_unstemmed | Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough? |
| title_short | Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: Are they doing enough? |
| title_sort | habitual physical activity of independently ambulant children and adolescents with cerebral palsy: are they doing enough? |
| url | http://hdl.handle.net/20.500.11937/46432 |