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Learn 2 Move 16-24: effectiveness of an intervention to stimulate physical activity and improve physical fitness of adolescents and young adults with spastic cerebral palsy; a randomized controlled trial.

Slaman J, Roebroeck ME, van Meeteren J, van der Slot WM, Reinders-Messelink HA, Lindeman E, Stam HJ, van den Berg-Emons RJ - BMC Pediatr (2010)

Bottom Line: We aim to include 60 adolescents and young adults (16-24 years) with spastic CP.To evaluate the effectiveness of the intervention, all participants will be measured before, during, directly after, and at 6 months following the intervention period.Primary outcome measures will be: 1) physical activity level, which will be measured objectively with an accelerometry-based activity monitor during 72 h and subjectively with the Physical Activity Scale for Individuals with Physical Disabilities; 2) aerobic fitness, which will be measured with a maximal ramp test on a bicycle or armcrank ergometer and a 6-minute walking or wheelchair test; 3) neuromuscular fitness, which will be measured with handheld dynamometry; and 4 body composition, which will be determined by measuring body mass, height, waist circumference, fat mass and lipid profile.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Rehabilitation Medicine and Physical Therapy, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. j.slaman@erasmusmc.nl

ABSTRACT

Background: Persons with cerebral palsy (CP) are at risk for developing an inactive lifestyle and often have poor fitness levels, which may lead to secondary health complications and diminished participation and quality of life. However, persons with CP also tend not to receive structural treatment to improve physical activity and fitness in adolescence, which is precisely the period when adult physical activity patterns are established.

Methods: We aim to include 60 adolescents and young adults (16-24 years) with spastic CP. Participants will be randomly assigned to an intervention group or a control group (no treatment; current policy). The intervention will last 6 months and consist of three parts; 1) counselling on daily physical activity; 2) physical fitness training; and 3) sports advice. To evaluate the effectiveness of the intervention, all participants will be measured before, during, directly after, and at 6 months following the intervention period. Primary outcome measures will be: 1) physical activity level, which will be measured objectively with an accelerometry-based activity monitor during 72 h and subjectively with the Physical Activity Scale for Individuals with Physical Disabilities; 2) aerobic fitness, which will be measured with a maximal ramp test on a bicycle or armcrank ergometer and a 6-minute walking or wheelchair test; 3) neuromuscular fitness, which will be measured with handheld dynamometry; and 4 body composition, which will be determined by measuring body mass, height, waist circumference, fat mass and lipid profile.

Conclusions: This paper outlines the design, methodology and intervention of a multicenter randomized controlled trial (LEARN 2 MOVE 16-24) aimed at examining the effectiveness of an intervention that is intended to permanently increase physical activity levels and improve fitness levels of adolescents and young adults with CP by achieving a behavioral change toward a more active lifestyle.

Trial registration: Dutch Trial Register; NTR1785.

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Related in: MedlinePlus

ICF model with the outcome measures that will be assessed in this study. Primary outcome measures are underlined.
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Figure 1: ICF model with the outcome measures that will be assessed in this study. Primary outcome measures are underlined.

Mentions: The International Classification of Functioning, Disability and Health (ICF) model provides a unified language and framework for the description of health and health-related states [33]. This model identifies how a health condition, such as CP, can interact with features of the person and the environment to produce three levels of potential disablement: 1) impairments which occur at the level of body structures and functions; 2) activity limitations which occur at the level of performance of tasks or actions by the person; and 3) participation restrictions which occur at the level of participants in their social context. An overview of the ICF model with the parameters to be measured in the present study is shown in Figure 1. The primary outcome measures of this study are the objectively measured PA level, self-reported PA level and physical fitness. All outcome measures will be assessed: at baseline (T0); immediately after completion of the total intervention (6 months, T6) to establish the effectiveness of the ALSP intervention; and at 6 months following the intervention period (12 months, T12) to determine long-term effects. A limited set of outcome measures (physical fitness, health-related quality of life and fatigue) will be assessed after 3 months (T3) to establish the effectiveness of the fitness training of the ALSP intervention. A time schedule of the ALSP intervention and measurements is presented in Table 1. Comparable research equipment will be used in all participating centers.


Learn 2 Move 16-24: effectiveness of an intervention to stimulate physical activity and improve physical fitness of adolescents and young adults with spastic cerebral palsy; a randomized controlled trial.

Slaman J, Roebroeck ME, van Meeteren J, van der Slot WM, Reinders-Messelink HA, Lindeman E, Stam HJ, van den Berg-Emons RJ - BMC Pediatr (2010)

ICF model with the outcome measures that will be assessed in this study. Primary outcome measures are underlined.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992500&req=5

Figure 1: ICF model with the outcome measures that will be assessed in this study. Primary outcome measures are underlined.
Mentions: The International Classification of Functioning, Disability and Health (ICF) model provides a unified language and framework for the description of health and health-related states [33]. This model identifies how a health condition, such as CP, can interact with features of the person and the environment to produce three levels of potential disablement: 1) impairments which occur at the level of body structures and functions; 2) activity limitations which occur at the level of performance of tasks or actions by the person; and 3) participation restrictions which occur at the level of participants in their social context. An overview of the ICF model with the parameters to be measured in the present study is shown in Figure 1. The primary outcome measures of this study are the objectively measured PA level, self-reported PA level and physical fitness. All outcome measures will be assessed: at baseline (T0); immediately after completion of the total intervention (6 months, T6) to establish the effectiveness of the ALSP intervention; and at 6 months following the intervention period (12 months, T12) to determine long-term effects. A limited set of outcome measures (physical fitness, health-related quality of life and fatigue) will be assessed after 3 months (T3) to establish the effectiveness of the fitness training of the ALSP intervention. A time schedule of the ALSP intervention and measurements is presented in Table 1. Comparable research equipment will be used in all participating centers.

Bottom Line: We aim to include 60 adolescents and young adults (16-24 years) with spastic CP.To evaluate the effectiveness of the intervention, all participants will be measured before, during, directly after, and at 6 months following the intervention period.Primary outcome measures will be: 1) physical activity level, which will be measured objectively with an accelerometry-based activity monitor during 72 h and subjectively with the Physical Activity Scale for Individuals with Physical Disabilities; 2) aerobic fitness, which will be measured with a maximal ramp test on a bicycle or armcrank ergometer and a 6-minute walking or wheelchair test; 3) neuromuscular fitness, which will be measured with handheld dynamometry; and 4 body composition, which will be determined by measuring body mass, height, waist circumference, fat mass and lipid profile.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Rehabilitation Medicine and Physical Therapy, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. j.slaman@erasmusmc.nl

ABSTRACT

Background: Persons with cerebral palsy (CP) are at risk for developing an inactive lifestyle and often have poor fitness levels, which may lead to secondary health complications and diminished participation and quality of life. However, persons with CP also tend not to receive structural treatment to improve physical activity and fitness in adolescence, which is precisely the period when adult physical activity patterns are established.

Methods: We aim to include 60 adolescents and young adults (16-24 years) with spastic CP. Participants will be randomly assigned to an intervention group or a control group (no treatment; current policy). The intervention will last 6 months and consist of three parts; 1) counselling on daily physical activity; 2) physical fitness training; and 3) sports advice. To evaluate the effectiveness of the intervention, all participants will be measured before, during, directly after, and at 6 months following the intervention period. Primary outcome measures will be: 1) physical activity level, which will be measured objectively with an accelerometry-based activity monitor during 72 h and subjectively with the Physical Activity Scale for Individuals with Physical Disabilities; 2) aerobic fitness, which will be measured with a maximal ramp test on a bicycle or armcrank ergometer and a 6-minute walking or wheelchair test; 3) neuromuscular fitness, which will be measured with handheld dynamometry; and 4 body composition, which will be determined by measuring body mass, height, waist circumference, fat mass and lipid profile.

Conclusions: This paper outlines the design, methodology and intervention of a multicenter randomized controlled trial (LEARN 2 MOVE 16-24) aimed at examining the effectiveness of an intervention that is intended to permanently increase physical activity levels and improve fitness levels of adolescents and young adults with CP by achieving a behavioral change toward a more active lifestyle.

Trial registration: Dutch Trial Register; NTR1785.

Show MeSH
Related in: MedlinePlus