| Autor: |
Duff SV; Department of Physical Therapy, Crean College of Health and Behavioral Sciences, Chapman University, Irvine, CA 92618, USA., Kimbel JD; Department of Physical Therapy, Crean College of Health and Behavioral Sciences, Chapman University, Irvine, CA 92618, USA., Grant-Beuttler M; Department of Physical Therapy, Oregon Institute of Technology, Klamath Falls, OR 97601, USA., Sukal-Moulton T; Department of Physical Therapy & Human Movement Sciences, Northwestern University, Chicago, IL 60611, USA., Moreau NG; Department of Physical Therapy, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA., Friel KM; Burke Neurological Institute, Weill Cornell Medicine, White Plains, NY 10605, USA. |
| Abstrakt: |
Physical activity of at least moderate intensity in all children contributes to higher levels of physical and psychological health. While essential, children with cerebral palsy (CP) often lack the physical capacity, resources, and knowledge to engage in physical activity at a sufficient intensity to optimize health and well-being. Low levels of physical activity place them at risk for declining fitness and health, contributing to a sedentary lifestyle. From this perspective, we describe a framework to foster a lifelong trajectory of fitness in ambulatory children with CP (GMFCS I-III) as they progress into adolescence and adulthood, implemented in conjunction with a training program to augment bone and muscle health. First, we recommend that altering the fitness trajectory of children with CP will require the use of methods to drive behavioral change prior to adolescence. Second, to promote behavior change, we suggest embedding lifestyle intervention into fitness programming while including meaningful activities and peer socialization to foster self-directed habit formation. If the inclusion of lifestyle intervention to drive behavior change is embedded into fitness programs and found to be effective, it may guide the delivery of targeted programming and community implementation. Participation in comprehensive programming could alter the long-term trajectory of musculoskeletal health while fostering strong self-efficacy in persons with CP. |
