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A physical fitness follow-up in children with cerebral palsy receiving 12-week individualized exercise training.

Jeng et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

A 12-week custom home exercise plan can keep kids with CP fit for ten years.

✓ Read this if BCBAs who write therapy goals for school-age kids with CP in home or clinic settings.
✗ Skip if Practitioners who only serve adults or non-ambulatory clients.

01Research in Context

01

What this study did

Jeng et al. (2013) tracked kids with cerebral palsy who had completed a 12-week home exercise plan. The plan was built for each child and done at home. Ten years later the team re-tested fitness and compared the group to similar kids who had not trained.

02

What they found

The kids who exercised still scored better on endurance, strength, agility, and balance. The gap stayed medium-sized after a full decade. Quality-of-life scores did not differ between groups.

03

How this fits with other research

Krakovsky et al. (2007) saw teens and young adults with CP lose skills year after year. That sounds like the opposite of Shiau-Chian’s long-lasting gains. The difference: Gina watched kids who got no extra training, while Shiau-Chian’s group had a focused 12-week boost. The papers clash only on paper; both show training matters.

Chen et al. (2013) adds detail. Strong knee muscles at baseline predicted bigger motor gains over 12 weeks. Shiau-Chian’s lasting results fit this picture: strength built early may lock in future fitness.

Bondár et al. (2020) tried web coaching for moms instead of exercise for kids. Mom quality of life went up while child fitness stayed flat. Together the studies suggest you pick your target: train the child for body gains, train the parent for family well-being.

04

Why it matters

A short, tailor-made home program can pay off for ten years. When you write a PT or OT plan, think beyond the clinic. Send home clear, child-specific moves. Re-check strength early; kids with stronger quads respond best. And keep an eye on teens—without some tune-up, skills can slip even after a good start.

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Add one take-home strength card to your client’s plan—pick two leg moves they can do with parents for five minutes daily.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
23
Population
developmental delay
Finding
positive
Magnitude
medium

03Original 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.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2013.08.032