title: Physical training in children with osteogenesis imperfecta.
abstract: OBJECTIVE
  To study the effects of a physical training program on exercise capacity, muscle force, and subjective fatigue levels in patients with mild to moderate forms of osteogenesis imperfecta (OI).
  
  
  METHODS
  Thirty-four children with OI type I or IV were randomly assigned to either a 12-week graded exercise program or care as usual for 3 months. Exercise capacity and muscle force were studied; subjective fatigue, perceived competence, and health-related quality of life were secondary outcomes. All outcomes were measured at baseline (T = 0), after intervention (T = 1), and after 6 and 9 months (T = 2 and T = 3, respectively).
  
  
  RESULTS
  After intervention (T = 1), peak oxygen consumption (VO2peak), relative VO2peak (VO2peak/kg), maximal working capacity (Wmax), and muscle force were significantly improved (17%, 18%, 10%, and 12%, respectively) compared with control values. Subjective fatigue decreased borderline statistically significantly. Follow-up at T = 2 showed a significant decrease of the improvements measured at T = 1 of VO2peak, but VO2peak/kg, Wmax, and subjective fatigue showed no significant difference. At T = 3, we found a further decrease of the gained improvements.
  
  
  CONCLUSIONS
  A supervised training program can improve aerobic capacity and muscle force and reduces levels of subjective fatigue in children with OI type I and IV in a safe and effective manner.
authors.affiliation: Department of Pediatric Physical Therapy and Exercise Physiology, University Hospital for Children and Youth Wilhelmina Kinderziekenhuis, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Marco
authors.initials: M
authors.lastname: Van Brussel
authors.forename: Tim
authors.initials: T
authors.lastname: Takken
authors.forename: Cuno S P M
authors.initials: CS
authors.lastname: Uiterwaal
authors.forename: Hans J
authors.initials: HJ
authors.lastname: Pruijs
authors.forename: Janjaap
authors.initials: J
authors.lastname: Van der Net
authors.forename: Paul J M
authors.initials: PJ
authors.lastname: Helders
authors.forename: Raoul H H
authors.initials: RH
authors.lastname: Engelbert
mesh_terms: D000293:Adolescent; D002648:Child; D005080:Exercise Test; D017079:Exercise Tolerance; D005221:Fatigue / Q000209:etiology; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000628:therapy; D006304:Health Status; D006801:Humans; D008297:Male; D053580:Muscle Strength; D010013:Osteogenesis Imperfecta / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D010101:Oxygen Consumption; D010806:Physical Education and Training; D011788:Quality of Life; D012720:Severity of Illness Index; D016896:Treatment Outcome