title: A physical fitness follow-up in children with cerebral palsy receiving 12-week individualized exercise training.
abstract: Physical fitness in children with cerebral palsy (CP) is lower than in their peers. A 12-week individualized home-based exercise program completed by 11 children with CP 10 years earlier showed a favorable effect on physical fitness performance. We follow-up the physical fitness of those 11 children with CP, and compare their physical fitness and health-related quality of life (HRQoL) to children with CP without exercise training matched with age and motor levels. Eleven children with CP in the 2003 program as a follow-up group (FUG) and 12 volunteers recruited as a control group (CG) participated in this study. Physical fitness measures, including cardiopulmonary endurance, muscle strength, body mass index (BMI), flexibility, agility, balance, and the SF-36 Taiwan version, were assessed in both groups. After 10 years, the FUG showed better physical fitness in cardiopulmonary endurance and muscle strength (p<.05). Compared to the CG, the FUG demonstrated better muscle strength, agility, and balance (p<.05). However, the HRQoL did not show a significant difference between the FUG and the CG. Individualized home-based exercise training is beneficial for children with CP. Over 10 years, the FUG was more devoted to physical activity than was the CG. Physical exercise may not directly affect the HRQoL in this study.
authors.affiliation: Department of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan.
authors.forename: Shiau-Chian
authors.initials: SC
authors.lastname: Jeng
authors.forename: Kuo-Kuang
authors.initials: KK
authors.lastname: Yeh
authors.forename: Wen-Yu
authors.initials: WY
authors.lastname: Liu
authors.forename: Wei-Pin
authors.initials: WP
authors.lastname: Huang
authors.forename: Yu-Fen
authors.initials: YF
authors.lastname: Chuang
authors.forename: Alice M K
authors.initials: AM
authors.lastname: Wong
authors.forename: Yang-Hua
authors.initials: YH
authors.lastname: Lin
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D016022:Case-Control Studies; D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D053580:Muscle Strength; D018482:Muscle, Skeletal; D010807:Physical Endurance; D010809:Physical Fitness; D004856:Postural Balance; D011788:Quality of Life; D016059:Range of Motion, Articular; D013624:Taiwan; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cerebral palsy; Exercise training; Follow up; Health-related quality of life; Physical fitness