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Clin Rehabil. 2013 Sep 18. [Epub ahead of print]

The effectiveness of a physical activity stimulation programme for children with cerebral palsy on social participation, self-perception and quality of life: a randomized controlled trial.

Author information

  • 11Department of Rehabilitation Medicine, MOVE Research Institute Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.

Abstract

Objective:To determine the effects of a six-month physical activity stimulation programme on social participation, self-perception and quality of life in children with cerebral palsy.Design:Multicentre randomized controlled trial with concealed allocation, blinded assessments and intention-to-treat analysis.Setting:Paediatric physiotherapy practices, special schools for children with a disability, and the child's own home.Subjects:Forty-nine children with spastic cerebral palsy (28 male), aged 7-13 years, able to walk with and without walking aids.Interventions:The intervention group followed a six-month physical activity stimulation programme involving counselling through motivational interviewing, home-based physiotherapy and four months of fitness training. The control group continued regular paediatric physiotherapy.Main measures:Outcomes included social participation in domestic life, social participation in recreation and leisure (Life-Habits for Children questionnaire and Children's Assessment of Participation and Enjoyment questionnaire), self-perception (Harter's Self-Perception Profile for Children) and parent-reported quality of life (Cerebral Palsy Quality of Life Questionnaire). Assessments were performed at baseline, at six months (except quality of life) and at twelve months.Results:Intervention resulted in a positive effect on social participation in domestic life at twelve months (mean between-group difference = 0.9, 95% confidence interval (CI) = 0.1 to 1.7 [1-10 scale], P = 0.03), but not at six months. No significant effects were found for social participation in recreation and leisure, self-perception at six months and twelve months or for quality of life at twelve months.Conclusions:The combination of counselling, home-based physiotherapy and fitness training was not effective in improving social participation in recreation and leisure, self-perception or quality of life, but did show a potential for improving social participation in domestic life over the longer term.

KEYWORDS:

Cerebral palsy, directive counselling, exercise therapy, home, motor activity, quality of life, social participation

PMID:
24047644
[PubMed - as supplied by publisher]
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