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Relationship between habitual physical activity, motor capacity, and capability in children with cerebral palsy aged

Piyapa Keawutan1, Kristie L Bell2, Stina Oftedal3

  • 1Queensland Cerebral Palsy and Rehabilitation Research Centre, UQ Child Health Research Centre, The University of Queensland, Brisbane, Australia; Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University, Pathumthani, Thailand.

Disability and Health Journal
|April 10, 2018
PubMed

Insights

Children with cerebral palsy (CP) show lower physical activity. Gross motor skills and capability are linked to habitual physical activity (HPA) and less sedentary time in ambulant young children with CP.

Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Movement Science

Background:

  • Children with cerebral palsy (CP) exhibit reduced habitual physical activity (HPA) compared to typically developing peers.
  • Limited research exists on HPA in very young children (under 5 years) with CP.

Purpose of the Study:

  • To examine the associations between HPA, sedentary time, motor capacity, and motor capability in 4-5-year-old children with CP.
  • To understand how motor function influences physical activity patterns in early childhood CP.

Main Methods:

  • Sixty-seven children with CP (aged 4-5 years) were assessed.
  • Motor capacity was measured using the Gross Motor Function Measure (GMFM).
  • Motor capability was evaluated via the Pediatric Evaluation of Disability Inventory (PEDI).
  • Habitual physical activity (HPA) and sedentary time were objectively measured using accelerometers over three days.
  • Analyses employed mixed-effects regression models, stratified by ambulatory status.

Main Results:

  • Higher Gross Motor Function Measure (GMFM) scores correlated with increased HPA and decreased sedentary time.
  • Higher Pediatric Evaluation of Disability Inventory (PEDI) scores also correlated with increased HPA and decreased sedentary time.
  • These associations were significant in ambulant children but not in non-ambulant children with CP.

Conclusions:

  • Gross motor capacity and capability are significantly related to habitual physical activity (HPA) and sedentary time in ambulant children with cerebral palsy (CP) aged 4-5 years.
  • Interventions aimed at improving motor function may positively impact physical activity levels in this population.
Abstract

Keywords:
Cerebral palsyChildrenHabitual physical activityMotorSedentary behavior

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