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Health-related physical fitness of ambulatory adolescents and young adults with spastic cerebral palsy
Department of Rehabilitation Medicine and Physical Therapy, Erasmus Medical Center, Rotterdam.ORCID iD: 0000-0003-0146-9292
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2014 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 46, no 7, 642-7 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To describe in detail the health-related physical fitness of adolescents and young adults with cerebral palsy, compared with able-bodied references, and to assess differences related to Gross Motor Functioning Classification System (GMFCS) level and distribution of cerebral palsy. DESIGN: Cross-sectional. SUBJECTS: Fifty ambulatory persons with spastic cerebral palsy, GMFCS level I or II, aged 16-24 years. METHODS: Physical fitness measures were: (i) cardiopulmonary fitness by maximal cycle ergometry, (ii) muscle strength, (iii) body mass index and waist circumference, (iv) skin-folds, and (v) lipid profile. RESULTS: Regression analyses, corrected for age and gender, showed that persons with bilateral cerebral palsy had lower cardiopulmonary fitness and lower hip abduction muscle strength than those with unilateral cerebral palsy. Comparisons between persons with GMFCS levels I and II showed a difference only in peak power during cycle ergometry. Cardiopulmonary fitness, hip flexion and knee extension strength were considerably lower (< 75%) in persons with cerebral palsy than reference values. CONCLUSION: The distribution of cerebral palsy affects fitness more than GMFCS level does. Furthermore, adolescents and young adults with cerebral palsy have reduced health-related physical fitness compared with able-bodied persons. This stage of life has a strong influence on adult lifestyle, thus it is an important period for intervention.

Place, publisher, year, edition, pages
2014. Vol. 46, no 7, 642-7 p.
Keyword [en]
Adolescent, Body Mass Index, Case-Control Studies, Cerebral Palsy/physiopathology/*rehabilitation, Cross-Sectional Studies, Female, Humans, Life Style, Male, Muscle Strength, *Physical Fitness, Reference Values, Severity of Illness Index, Waist Circumference, Young Adult
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URN: urn:nbn:se:gih:diva-5077DOI: 10.2340/16501977-1821PubMedID: 24714702ISBN: 1651-2081 (Electronic) 1650-1977 (Linking) OAI: oai:DiVA.org:gih-5077DiVA: diva2:1158630
Note

Nooijen, Carla Slaman, Jorrit van der Slot, Wilma Stam, Henk Roebroeck, Marij van den Berg-Emons, Rita eng Research Support, Non-U.S. Gov't Sweden 2014/04/10 06:00 J Rehabil Med. 2014 Jul;46(7):642-7. doi: 10.2340/16501977-1821.

Available from: 2017-11-20 Created: 2017-11-20 Last updated: 2017-11-29Bibliographically approved

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