| Titre : | Efficacy of Participation-Focused Therapy on Performance of Physical Activity Participation Goals and Habitual Physical Activity in Children With Cerebral Palsy: A Randomized Controlled Trial (2019) |
| Auteurs : | Sarah E. Reedman ; Roslyn N. Boyd ; Stewart G. Trost |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 4, 2019) |
| Article en page(s) : | p. 676-686 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Activité de loisirs ; Essai contrôlé randomisé ; Exercice physique ; Paralysie cérébrale ; Rééducation et réadaptation |
| Résumé : |
To determine the efficacy of a participation-focused therapy (ParticiPAte CP) on leisure-time physical activity goal performance and satisfaction and habitual physical activity (HPA) in children with CP.
Design Randomized waitlist-controlled trial. Setting Home and community. Participants Children classified at Gross Motor Function Classification System (GMFCS) levels I-III were recruited (n=37; 18 males; mean age ± SD, 10.0±1.4y) from a population-based register. Interventions Participants were randomized to ParticiPAte CP (an 8-wk goal-directed, individualized, participation-focused therapy delivered by a physical therapist) or waitlist usual care. Main Outcome Measures The primary outcome was Canadian Occupational Performance Measure. Accelerometers were worn for objective measurement of HPA (min/d moderate-to-vigorous physical activity [MVPA], sedentary time). Barriers to participation, community participation, and quality-of-life outcomes were also collected. Data were analyzed by intention-to-treat using generalized estimating equations. Results ParticiPAte CP led to significant improvements in goal performance (mean difference [MD]=3.58; 95% confidence interval [95% CI], 2.19-4.97; P<.001 satisfaction ci p=".014)," and barriers to participation compared with usual care at weeks. there were no between-group differences on minutes per day of mvpa weeks was a significant difference in response intervention between participants who versus not meeting hpa guidelines baseline after participate cp low active had increased average by day.> Conclusion ParticiPAte CP was effective at increasing perceived performance of leisure-time physical activity goals in children with CP GMFCS I-III by reducing modifiable barriers to participation. This did not translate into change in HPA on average; however, low active children may have a clinically meaningful response. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318315181 |
Bibliothèques HE Vinci
