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Exercise interventions for cerebral palsy.

Jennifer M Ryan1, Elizabeth E Cassidy, Stephen G Noorduyn

  • 1Institute of Environment, Health and Societies, Brunel University London, Kingston Lane, Uxbridge, Middlesex, UK, UB8 3PH.

The Cochrane Database of Systematic Reviews
|June 12, 2017
PubMed
Summary
This summary is machine-generated.

Exercise interventions for cerebral palsy (CP) show limited benefits. Aerobic exercise may slightly improve gross motor function, but resistance training and mixed training show minimal impact on function, participation, or quality of life in individuals with CP.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Pediatrics

Background:

  • Cerebral palsy (CP) is the most common childhood disability, affecting muscle strength and cardiorespiratory fitness.
  • Exercise is a common intervention to improve function and participation in individuals with CP.
  • A comprehensive review of exercise interventions for CP was lacking.

Purpose of the Study:

  • To assess the effects of exercise interventions on activity, participation, and quality of life in people with CP.
  • To evaluate secondary outcomes including body functions and structures.
  • To compare exercise interventions against no treatment, usual care, or alternative exercise types.

Main Methods:

  • Included randomized controlled trials (RCTs) and quasi-RCTs of individuals with CP.
  • Studies encompassed aerobic, resistance, and mixed training interventions.
  • Data extraction and risk of bias assessments were performed by two independent reviewers.

Main Results:

  • Low-quality evidence suggests aerobic exercise may slightly improve gross motor function in the short and intermediate term.
  • Aerobic exercise did not significantly improve gait speed.
  • Resistance and mixed training showed no significant improvements in gross motor function, gait speed, participation, or quality of life.

Conclusions:

  • Evidence quality is low to very low, with considerable uncertainty in effect estimates.
  • Aerobic exercise may offer a small benefit in gross motor function for children with CP.
  • Larger, high-quality RCTs are needed to confirm the effectiveness of exercise interventions for CP.