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Sedentary behavior: implications for children with cerebral palsy
Jennifer Innes1, Johanna Darrah
1Edmonton Public School Board (Ms Innes), Edmonton, Alberta, Canada; Department of Physical Therapy (Dr Darrah), Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
Insights
Sedentary behavior research in children with cerebral palsy needs specific definitions and measurement tools. Current interventions for physical activity may not apply to reducing sedentary time in this population.
Area of Science:
- Physical Therapy
- Pediatric Health
- Behavioral Science
Background:
- Sedentary behavior is a growing public health concern.
- Research on sedentary behavior in the general population is extensive.
- Its application to children with cerebral palsy (CP) requires specific consideration.
Purpose of the Study:
- To review existing research on sedentary behavior in adults and children.
- To discuss the applicability of this research to children with cerebral palsy.
- To highlight gaps in current knowledge and practice.
Main Methods:
- Literature review of sedentary behavior research.
- Analysis of definitions, measurement tools, and interventions.
- Discussion of findings in the context of pediatric cerebral palsy.
Main Results:
- Sedentary behavior and physical activity are distinct concepts.
- Current parameters for sedentary behavior may not be valid for children with CP.
- Existing interventions for physical activity may not effectively reduce sedentary behavior.
Conclusions:
- Further research is essential to define and measure sedentary behavior in children with CP.
- Valid measurement tools and health associations need identification.
- Development of targeted interventions for decreasing sedentary behavior in children with CP is crucial.
Purpose:
To review the research associated with sedentary behavior with adults and children in the general population and to discuss the application of this research for children with cerebral palsy.
Summary Of Key Points:
Increased sedentary behavior and decreased physical activity are independent constructs with different definitions, physiological mechanisms, and health outcomes. The parameters of sedentary behavior developed for children with typical motor abilities may not be valid for children with cerebral palsy.
Statement Of Conclusions:
Research to identify measurement tools, health associations, and potential interventions for children with cerebral palsy is needed.
Recommendations For Clinical Practice:
Interventions to decrease sedentary behavior differ from current interventions to increase physical activity with children with cerebral palsy. Before designing interventions to decrease sedentary behavior, research is needed to determine valid definitions and measurement approaches for children with cerebral palsy, as those derived for children with typical motor development may have limited application.
