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Physical Activity Among Adolescents with Cerebral Palsy: An Integrative Review
Elizabeth A Koldoff1, Barbara J Holtzclaw1
1University of Oklahoma Health Science Center, College of Nursing, Oklahoma City, OK.
Journal of Pediatric Nursing
|July 22, 2015
Summary
Physical activity is crucial for adolescents with cerebral palsy (CP). Interventions should be individualized and community-based, focusing on environmental participation to support lifelong health.
Area of Science:
- Pediatric Rehabilitation
- Adolescent Health
- Cerebral Palsy Research
Background:
- Physical activity is vital for overall health, especially for adolescents with motor impairments like cerebral palsy (CP).
- Effective strategies are needed to support physical activity during the critical transition from adolescence to adulthood for individuals with CP.
Purpose of the Study:
- To review the current scientific literature on factors influencing physical activity in adolescents with CP.
- To assess how the physical activity needs of adolescents with CP have been addressed in existing research.
Main Methods:
- An integrative literature review was conducted using databases like MEDLINE, CINAHL, and PubMed.
- Search terms included "cerebral palsy," "mobility or activity," and "adolescents," excluding surgical or pharmacological interventions.
Main Results:
- Few studies adapt physical activity programs to the age and impairment level of adolescents with CP.
- A social model emphasizing environmental participation shows promise, but research on family-centered care is lacking.
- Many existing studies have limitations in design and outcome assessment, hindering generalizability.
Conclusions:
- Individualized, home, and community-based interventions are needed for adolescents with CP.
- Future research requires stronger designs and validated instruments to inform evidence-based practices for physical activity in this population.

