Physical activity in non-ambulatory toddlers with cerebral palsy

Orlando, Julie M.; Pierce, Samuel R.; Mohan, Mayumi; Skorup, Julie; Paremski, Athylia C.; Bochnak, Megan; Prosser, Laura A.

doi:10.1016/j.ridd.2019.04.002

Cited by 4 publications

(7 citation statements)

References 32 publications

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“…In addition, we observed that peer problems had a significant impact on depressive symptoms in children with CP after controlling for age and gender. Earlier studies have shown that social problems such as peer problems are closely associated with depression in children with or without disabilities [24,42,45,47]. Our results have provided additional evidence that peer problems are related to depressive symptoms in children with CP.…”

Section: Discussionsupporting

confidence: 73%

“…It is not necessarily an indicator of social participation or the level of activity, which may explain the results in the present study. Indeed, it has been reported that physical activity in non-ambulatory toddlers with CP was not related to gross motor function [42]. On the other hand, depressive symptoms in the TD group increased with age.…”

Section: Discussionmentioning

confidence: 94%

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Self-Rated Depressive Symptoms in Children and Youth with and without Cerebral Palsy: A Pilot Study

Asano¹,

Takeda

Nobusako

et al. 2020

Behavioral Sciences

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Children with cerebral palsy (CP) often exhibit mental health problems, such as depressive symptoms. The purpose of this study was to describe the self-rated depressive symptoms in children with and without CP and to investigate the associated predictors. Participants included 24 children with CP and 33 typically developing (TD) children. Depressive symptoms were assessed using the Birleson Depression Self-Rating Scale for Children. Parents of the participants completed the Strengths and Difficulties Questionnaire. Severity of self-rated depressive symptoms was higher in children with CP than that in TD children. Particularly, decline in activities and enjoyment was identified as a contributor to the increased severity of depressive symptoms. Hierarchical multiple regression analysis revealed that the greater severity of depressive symptoms in children with CP was mediated by hyperactivity/inattention and peer problems. Our study suggests that it is imperative to provide opportunities to participate in social activities from an early age.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 94%

Self-Rated Depressive Symptoms in Children and Youth with and without Cerebral Palsy: A Pilot Study

Asano¹,

Takeda

Nobusako

et al. 2020

Behavioral Sciences

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“…We could also include video analysis, which would be less invasive and provide observational components of movement. Orlando et al 53 investigated the PA of toddlers with CP who did not walk during floor time routines. They successfully captured approximately 90 minutes of independent floor mobility of 20 children wearing triaxial accelerometer (Sapphire sensor; APDM Inc) and video observation.…”

Section: Discussionmentioning

confidence: 99%

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

Toomer-Mensah,

O’Neil,

Blacutt

et al. 2024

Pediatric Physical Therapy

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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.

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“…In addition to focusing on ambulatory children, most studies also focus on primary school aged children. Until recently, the studies using accelerometers in children under 6 years old with neuromotor disorders were sparse [ 41 , 77 ]. Though some studies have evaluated cut points in young children with CP [ 51 , 52 ], those studies also warned against using group-level cut points for individual children.…”

Section: Considerations For Specific Subgroupsmentioning

confidence: 99%

Emerging methods for measuring physical activity using accelerometry in children and adolescents with neuromotor disorders: a narrative review

Petersen,

Erickson,

Kurowski

et al. 2024

J NeuroEngineering Rehabil

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Background Children and adolescents with neuromotor disorders need regular physical activity to maintain optimal health and functional independence throughout their development. To this end, reliable measures of physical activity are integral to both assessing habitual physical activity and testing the efficacy of the many interventions designed to increase physical activity in these children. Wearable accelerometers have been used for children with neuromotor disorders for decades; however, studies most often use disorder-specific cut points to categorize physical activity intensity, which lack generalizability to a free-living environment. No reviews of accelerometer data processing methods have discussed the novel use of machine learning techniques for monitoring physical activity in children with neuromotor disorders. Methods In this narrative review, we discuss traditional measures of physical activity (including questionnaires and objective accelerometry measures), the limitations of standard analysis for accelerometry in this unique population, and the potential benefits of applying machine learning approaches. We also provide recommendations for using machine learning approaches to monitor physical activity. Conclusions While wearable accelerometers provided a much-needed method to quantify physical activity, standard cut point analyses have limitations in children with neuromotor disorders. Machine learning models are a more robust method of analyzing accelerometer data in pediatric neuromotor disorders and using these methods over disorder-specific cut points is likely to improve accuracy of classifying both type and intensity of physical activity. Notably, there remains a critical need for further development of classifiers for children with more severe motor impairments, preschool aged children, and children in hospital settings.

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Physical activity in non-ambulatory toddlers with cerebral palsy

Cited by 4 publications

References 32 publications

Self-Rated Depressive Symptoms in Children and Youth with and without Cerebral Palsy: A Pilot Study

Self-Rated Depressive Symptoms in Children and Youth with and without Cerebral Palsy: A Pilot Study

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

Emerging methods for measuring physical activity using accelerometry in children and adolescents with neuromotor disorders: a narrative review

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