Measuring Physical Activity in Children Who Do Not Walk and With Cerebral Palsy: An Exploratory Case Series.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI:10.1097/PEP.0000000000001113

Nia Toomer-Mensah, Margaret O'Neil, Miguel Blacutt, Lori Quinn

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引用次数: 0

Abstract

Aim: The purpose of this case series was to describe physical activity (PA) amount and intensity in the home and school environment. Accelerometers and heart rate (HR) monitors are reliable and valid measures of PA in children with cerebral palsy (CP) who can walk. There is limited research on PA measures in children with CP who cannot walk.

Methods: Three 9-year-old boys with CP, Gross Motor Function Classification System levels IV and V, participated in a 1-week measurement period wearing waist- and wrist-worn triaxial accelerometers to measure PA counts and a wrist-worn HR monitor to measure PA intensity. PA intensity was calculated using an estimated HR max. Accelerometer counts were reported. Parents and school staff completed activity and eating journals.

Results: Six days of PA and HR data were analyzed. Two participants spent more time in moderate/vigorous PA intensity during school compared to at home. Activities with greatest PA intensity included oral eating, communication, and social engagement. Higher activity counts were recorded from the wrist compared with the waist accelerometers. PA and eating journal adherence were high in both settings.

Conclusion: The findings provide preliminary data to evaluate PA amount and intensity in children with CP who have little walking ability. It is important to consider PA levels in daily activity for youth with CP when designing plans of care.

查看原文本刊更多论文

测量不会走路的脑瘫儿童的体育活动量：探索性病例系列。

目的：本病例系列旨在描述家庭和学校环境中的体力活动量和强度。加速度计和心率（HR）监测器是对能够行走的脑瘫（CP）儿童进行体力活动测量的可靠而有效的方法。有关不能行走的 CP 儿童的 PA 测量方法的研究还很有限：方法：三名 9 岁的 CP 男孩（粗大运动功能分类系统 IV 级和 V 级）参加了为期一周的测量，他们佩戴腰部和腕部三轴加速度计测量 PA 计数，佩戴腕部心率监测器测量 PA 强度。PA 强度使用最大心率估算值计算。加速度计计数均已报告。家长和学校工作人员填写活动和饮食日志：对六天的 PA 和 HR 数据进行了分析。与在家相比，两名参与者在校期间的中等/剧烈活动强度时间更长。活动量最大的活动包括口吃、交流和社交。与腰部加速度计相比，腕部加速度计记录的活动次数更多。在这两种情况下，学生都能坚持进行体育锻炼和撰写饮食日志：研究结果为评估行走能力较弱的 CP 儿童的 PA 量和强度提供了初步数据。在设计护理计划时，考虑到患有脊髓灰质炎的青少年在日常活动中的 PA 水平非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.