title: The effects of progressive resistance training on daily physical activity in young people with cerebral palsy: a randomised controlled trial.
abstract: OBJECTIVE
  To examine if individualised resistance training increases the daily physical activity of adolescents and young adults with bilateral spastic cerebral palsy (CP).
  
  
  METHODS
  Young people with bilateral spastic CP were randomly assigned to intervention or to usual care. The intervention group completed an individualised lower limb progressive resistance training programme twice a week for 12 weeks in community gymnasiums. The primary outcome was daily physical activity (number of steps, and time sitting and lying). Secondary outcomes included muscle strength measured with a one-repetition maximum (1RM) leg press and reverse leg press. Outcomes were measured at baseline, 12 weeks and 24 weeks.
  
  
  RESULTS
  From the 36 participants with complete data at 12 weeks, there were no between-group differences for any measure of daily physical activity. There was a likely increase in leg press strength in favour of the intervention group (mean difference 11.8 kg; 95% CI -1.4 to 25.0). No significant adverse events occurred during training.
  
  
  CONCLUSIONS
  A short-term resistance training programme that may increase leg muscle strength was not effective in increasing daily physical activity. Other strategies are needed to address the low-daily physical activity levels of young people with bilateral spastic CP.
  
  
  CONCLUSIONS
  Progressive resistance training may increase muscle strength but does not lead to increases in daily physical activity of young people with bilateral spastic cerebral palsy (CP) and mild to moderate walking disabilities. Other strategies apart from or in addition to resistance training are needed to address the low daily physical activity levels of young people with bilateral spastic CP and mild to moderate walking disabilities.
authors.affiliation: a Faculty of Health Sciences , La Trobe University , Bundoora, Melbourne , VIC , Australia .
authors.forename: Theofani A
authors.initials: TA
authors.lastname: Bania
authors.affiliation: a Faculty of Health Sciences , La Trobe University , Bundoora, Melbourne , VIC , Australia .
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Dodd
authors.affiliation: b Clinical Gait Analysis, University of Salford , Salford , UK , and.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Baker
authors.affiliation: c Department Orthopaedic Surgery , Royal Children's Hospital , Melbourne , VIC , Australia.
authors.forename: H Kerr
authors.initials: HK
authors.lastname: Graham
authors.affiliation: a Faculty of Health Sciences , La Trobe University , Bundoora, Melbourne , VIC , Australia .
authors.forename: Nicholas F
authors.initials: NF
authors.lastname: Taylor
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia; D002547:Cerebral Palsy / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007866:Leg / Q000503:physiopathology*; D008297:Male; D009043:Motor Activity; D053580:Muscle Strength; D018482:Muscle, Skeletal; D055070:Resistance Training / Q000379:methods*; D016037:Single-Blind Method; D016896:Treatment Outcome; D016138:Walking; D055815:Young Adult
keywords: Cerebral palsy; motor activity; resistance training; sedentary behaviour; sedentary lifestyle