Fundamental movement skill proficiency and objectively measured physical activity in children with bronchiectasis: a cross-sectional study

Joschtel, Barbara; Gomersall, Sjaan R.; Tweedy, Sean M.; Petsky, Helen; Chang, Anne B.; Trost, Stewart G.

doi:10.1186/s12890-021-01637-w

Cited by 10 publications

(9 citation statements)

References 25 publications

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“…In addition to poor exercise tolerance, children repeatedly spoke about their lack of skills or their inability to play games and sports with their peers. This finding is consistent with the results of a recent study examining the relationship between fundamental movement skill proficiency and physical activity in children with bronchiectasis ( 37 ). In that study, fewer than 5% of children demonstrated mastery of locomotor skills such as run, gallop, hop, and leap; while fewer than 10% demonstrated mastery of object control skills such as two-handed strike, overarm throw, and underarm throw.…”

Section: Discussionsupporting

confidence: 92%

Barriers and facilitators of physical activity in children with bronchiectasis: Perspectives from children and parents

et al. 2022

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BackgroundCurrent bronchiectasis management guidelines recommend regular physical activity but a large proportion of children with bronchiectasis do not meet public health recommendations which call for 60 min or more of moderate-to-vigorous intensity physical activity daily. Knowing the factors that influence physical activity in children with bronchiectasis is necessary for the development of effective interventions to increase physical activity in this patient group. The objective of this study was to identify facilitators and barriers to physical activity in children with bronchiectasis unrelated to cystic fibrosis (CF) from the perspectives of children and their parents.Materials and methodsThis was a qualitative study informed by the theoretical domains framework (TDF). Children aged 7–15 years (8.8 years, 8.4–11.0) (median, interquartile range) and parents (45.8 years, 39.7–48.3) completed separate, semi-structured interviews (n = 21). Recordings were transcribed verbatim, and barriers and facilitators related to each TDF domain deductively coded. Emergent themes were inductively derived via consensus moderation.ResultsFrom the perspectives of children, fun with friends, organized sport and activities, and family co-participation in physical activity emerged as facilitators. Inability to keep up with their peers and time on technology emerged as barriers. From the perspectives of parents, instrumental and logistic support for physical activity and supportive social and physical activity environments emerged as facilitators, while management of symptoms associated with bronchiectasis emerged as a barrier.ConclusionPrograms to increase physical activity in children with bronchiectasis should be fun, accessible, provide opportunities for social interaction and address barriers related to exercise tolerance, perceived competence, and presence of respiratory symptoms.

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Section: Discussionsupporting

confidence: 92%

Barriers and facilitators of physical activity in children with bronchiectasis: Perspectives from children and parents

et al. 2022

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“…Thus, by improving FMS, the capacity for children with bronchiectasis to engage in sport and other physical activities is potentially enhanced, which may mitigate the risk of disabling secondary conditions such as obesity and depression. In support of this assertion, we had undertaken a cross-sectional study which found that children with bronchiectasis who achieve their age equivalency for FMS have higher levels of physical activity, greater perceived competence, and better health-related QoL ( 10 ). Future trials evaluating the effectiveness of programs to improve FMS in children with chronic respiratory conditions such as bronchiectasis should therefore include a follow-up period of 6–12 months to determine the extent to which improvements in FMS lead to increases in physical activity performance and improvements in health outcomes such as weight status, cardiovascular fitness, and lung function.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study involving 39 children and adolescents with non-CF bronchiectasis reported active video gaming to improve aerobic fitness and muscular strength; however, because exercise was combined with an extensive home-based physiotherapy program comprising ventilatory muscle training and postural drainage with percussion, the independent effects of exercise training on the fitness and respiratory outcomes could not be delineated ( 8 ). We have previously shown that children with bronchiectasis are insufficiently active for health benefit ( 9 ) and exhibit significant developmental delays in fundamental movement skill (FMS) proficiency ( 10 ). Further, children with bronchiectasis who achieve their age equivalency for FMS have higher levels of physical activity ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

“…We have previously shown that children with bronchiectasis are insufficiently active for health benefit ( 9 ) and exhibit significant developmental delays in fundamental movement skill (FMS) proficiency ( 10 ). Further, children with bronchiectasis who achieve their age equivalency for FMS have higher levels of physical activity ( 10 ). On the basis of these findings, and the consistent evidence that exercise training improves cardiorespiratory fitness and QoL in children with other respiratory conditions ( 11 ), we hypothesized that a play-based, therapeutic exercise program designed to improve FMS would be beneficial to the health and well-being of children with bronchiectasis.…”

Section: Introductionmentioning

confidence: 99%

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Effects of a therapeutic exercise program in children with non-cystic fibrosis bronchiectasis: A pilot randomized controlled trial

et al. 2022

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Background: In the absence of randomized controlled trials (RCTs) on the benefits of therapeutic exercise programs involving children with bronchiectasis, we undertook a pilot RCT to evaluate the effects of a playbased therapeutic exercise program on fundamental movement skill (FMS) proficiency. The effects of the program on cardiorespiratory fitness, perceived competence, and health-related quality of life (HR-QoL) were examined as secondary outcomes.Methods: Children [median (IQR) age: 6.8 (5.3-8.8) years] with bronchiectasis unrelated to cystic fibrosis were randomized to a 7-week therapeutic exercise program (n = 11) or wait-list control (n = 10). The exercise program comprised 7 × 60-min weekly sessions and was supplemented by a home-based program 2-days/week. Participants were assessed on: FMS (locomotor and object control skills) using the Test of Gross Motor Development 2nd Edition (TGMD-2); cardiovascular fitness by calculating the percent change in heart rate (% HR) from rest to completion of the first stage of a submaximal treadmill test; perceived competence using Harter's athletic competence subscale; and QoL with the PedsQL.Results: Significant group by time interactions were observed for locomotor and object control skills. Children completing the therapeutic exercise program exhibited significant improvements in both locomotor (pre 29.0 ± 2.0, post 35.2 ± 2.2, p = 0.01) and object control (pre 27.0 ± 2.0, post 35.5 ± 2.2, p = 0.01) skills, with no significant change in controls (pre 31.6 ± 2.1, post 31.8 ± 2.3 and pre 31.0 ± 2.1, post 32.3 ± 2.3, respectively). Among children completing the program, % HR declined by 6% points, while % HR declined only marginally among controls (0.9% points), but the group by time interaction was not statistically significant. The program had a small Frontiers in Pediatrics 01 frontiersin.org Joschtel et al. 10.3389/fped.2022.953429 positive impact on competence perceptions (Cohen's d = 0.2) and HR-QoL (Cohen's d = 0.3). Conclusion: This pilot RCT provides preliminary evidence for the efficacy of a play-based therapeutic exercise program to improve proficiency in FMS and fitness in children with bronchiectasis. The results are sufficiently positive to warrant conducting a larger RCT testing the efficacy of the exercise program in children with bronchiectasis and/or other chronic respiratory conditions.

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“…Furthermore, inappropriate support and stimulus of motoric could reduce motor coordination [35]. Training activity could be conducted to enhance the mastery of fundamental movement skills [36]. Parents' roles are essential to support the fundamental movement skill [37].…”

Section: Notesmentioning

confidence: 99%

Biomechanics Analysis of Elementary School Students’ Fundamental Movement Skill (FMS)

Ardha¹,

Yang²,

Nurhasan³

et al. 2021

Proceedings of the International Joint Conference on Arts and Humanities 2021 (IJCAH 2021)

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Fundamental movements are part of teaching objectives in the physical education curriculum for elementary schools students. This study aimed to analyze the elementary school students' basic movement skills (FMS) using the kinematic approach. The fundamental movements in this research were correlated with lower body parts, i.e., one leg standing position with closed eyes (non-locomotor), hopping (locomotor), running (locomotor), and kicking (manipulative). This was comparative research that was conducted in a quantitative approach. The random sampling method selected 126 elementary students (75 male and 51 female) aged 8.96 ± 1.50 years old. The kinematic data were collected by using kinematic video analysis in Kinovea 0.9.4 computer software. The independent variables were one leg standing position in second, distance per step (DPS) in centimeter, speed per step (SPS) in meter per second, step height (SH) in centimeter, kicking speed (KS) in meter per second, and estimated maximum distance (MD) in centimeter. All variables were measured both left and right foot. The data were analyzed using descriptive analysis and the Mann-Whitney U test to find the significant difference between gender. The results showed only two independent variables were significantly different. In hopping, there was left foot height (α= 0.044) and left foot speed (α= 0.043). In conclusion, elementary school students aged 8.96 ± 1.50 years old have a similar fundamental movement skill.

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Fundamental movement skill proficiency and objectively measured physical activity in children with bronchiectasis: a cross-sectional study

Cited by 10 publications

References 25 publications

Barriers and facilitators of physical activity in children with bronchiectasis: Perspectives from children and parents

Barriers and facilitators of physical activity in children with bronchiectasis: Perspectives from children and parents

Effects of a therapeutic exercise program in children with non-cystic fibrosis bronchiectasis: A pilot randomized controlled trial

Biomechanics Analysis of Elementary School Students’ Fundamental Movement Skill (FMS)

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