TY - JOUR
T1 - Can a Lifestyle Intervention Improve Physical Fitness in Adolescents and Young Adults With Spastic Cerebral Palsy? A Randomized Controlled Trial
AU - Slaman, J.
AU - Roebroeck, M.
AU - van der Slot, W.
AU - Twisk, J.
AU - Wensink, A.
AU - Stam, H.
AU - van den Berg-Emons, R.
PY - 2014
Y1 - 2014
N2 - Objective To evaluate both the short- and long-term effectiveness of a lifestyle intervention on physical fitness in adolescents and young adults with cerebral palsy (CP). Design Single-blind, randomized controlled trial. Setting University hospitals and rehabilitation clinics. Participants Adolescents and young adults (N=57) with spastic CP classified in Gross Motor Function Classification System levels I through IV; of these, 42 completed the study. Intervention A 6-month lifestyle intervention consisting of physical fitness training combined with counseling sessions focused on physical behavior and sports participation. Main Outcome Measures Physical fitness, including measures of cardiopulmonary fitness, muscle strength, and body composition. Results Favorable short- and medium-term effects were found for peak oxygen consumption, oxygen consumption, and load on the anaerobic threshold and waist circumference. Favorable long-term effects were found for sum of skinfolds, systolic blood pressure, and total cholesterol. Conclusions This exploratory study showed that the lifestyle intervention was effective in improving cardiopulmonary fitness and body composition. Effects of body composition were maintained in the long term. However, the intervention needs to be optimized to increase muscle strength and for long-term retention of effects on aerobic capacity. © 2014 by the American Congress of Rehabilitation Medicine.
AB - Objective To evaluate both the short- and long-term effectiveness of a lifestyle intervention on physical fitness in adolescents and young adults with cerebral palsy (CP). Design Single-blind, randomized controlled trial. Setting University hospitals and rehabilitation clinics. Participants Adolescents and young adults (N=57) with spastic CP classified in Gross Motor Function Classification System levels I through IV; of these, 42 completed the study. Intervention A 6-month lifestyle intervention consisting of physical fitness training combined with counseling sessions focused on physical behavior and sports participation. Main Outcome Measures Physical fitness, including measures of cardiopulmonary fitness, muscle strength, and body composition. Results Favorable short- and medium-term effects were found for peak oxygen consumption, oxygen consumption, and load on the anaerobic threshold and waist circumference. Favorable long-term effects were found for sum of skinfolds, systolic blood pressure, and total cholesterol. Conclusions This exploratory study showed that the lifestyle intervention was effective in improving cardiopulmonary fitness and body composition. Effects of body composition were maintained in the long term. However, the intervention needs to be optimized to increase muscle strength and for long-term retention of effects on aerobic capacity. © 2014 by the American Congress of Rehabilitation Medicine.
U2 - https://doi.org/10.1016/j.apmr.2014.05.011
DO - https://doi.org/10.1016/j.apmr.2014.05.011
M3 - Article
C2 - 25067790
SN - 0003-9993
VL - 95
SP - 1646
EP - 1655
JO - Archives of physical medicine and rehabilitation
JF - Archives of physical medicine and rehabilitation
IS - 9
ER -
