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A Tele-Rehabilitation Home Exercise Program for Ambulatory Adults with Cerebral Palsy: A Feasibility Study
Margaret E O'Neil1, Mary E Gannotti2, Lauren Winterbottom3
1Department of Physical Therapy and Kinesiology, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.
Physical & Occupational Therapy in Pediatrics
|September 30, 2025
Summary
Individualized telerehabilitation home exercise programs (TRHExP) with remote coaching effectively increased physical activity (PA) in adults with cerebral palsy (CP). Despite barriers like time, participants reported high satisfaction and goal achievement.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Cerebral palsy (CP) presents challenges for maintaining physical activity (PA).
- Telerehabilitation offers a promising avenue for home-based interventions.
- Remote coaching can enhance adherence and effectiveness of exercise programs.
Purpose of the Study:
- To evaluate the adherence, facilitators, barriers, satisfaction, and effectiveness of a telerehabilitation home exercise program (TRHExP) with remote coaching for adults with CP.
- To assess the impact of TRHExP on physical activity levels and functional outcomes.
Main Methods:
- Six ambulatory adults with CP (21-38 years) participated in an 8-week individualized TRHExP.
- The program aimed to achieve 150 minutes of weekly PA, with weekly remote coaching sessions.
- Outcome measures included functional mobility tests, self-report questionnaires, interviews, and exercise observation.
Main Results:
- Four out of six participants completed the program.
- The TRHExP was the primary driver of PA, with participants achieving a median of 150 min/wk.
- Barriers included participant time and energy; facilitators were activity logs and perceived improvement. Satisfaction reached 100%.
Conclusions:
- Individualized TRHExP with remote coaching can increase PA in ambulatory adults with CP.
- Tailored telerehabilitation programs show potential for health promotion in this population.
