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Community Resources: Sports and Active Recreation for Individuals with Cerebral Palsy

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Cerebral Palsy

Abstract

Participation in routine physical activity is important for health promotion and prevention of chronic health conditions. Sports and active recreation are activities that are carried out during leisure time and encourage movement and moderate to vigorous physical activity. Participating in sports and active recreation can be beneficial on several levels for children and youth with CP. At the body function and structure level of the ICF, improvements in fitness and endurance have been documented for children and youth with CP. At the activity and participation level of the ICF, improvements in functional mobility, sports skills, and social participation have also been observed. Even with these documented benefits, children and youth with CP participate less in sports and active recreation due to numerous barriers. Healthcare professionals can assist with decreasing barriers to facilitate increased participation. Healthcare professionals should introduce the concept of adaptive sports and active recreation participation to children with CP and their families at an early age. They can facilitate participation by providing resources about adaptive programs and adaptive sports equipment and assisting with sports activity modifications. Healthcare professionals have the expertise to consult with children with CP, their families, and sports coaches or to develop adaptive programs using their knowledge of medical and rehabilitation needs, motor learning and task modification strategies, and adaptive equipment. Information on adaptive sports resources are provided in this chapter.

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References

  • Australia Government Department of Health (updated November 21, 2017) Australia’s physical activity and sedentary behaviour guidelines [Online]. http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines. Accessed 5 Jan 2018

  • Barfield J, Newsome L, Malone L (2016) Exercise intensity during power wheelchair soccer. Arch Phys Med Rehabil 97:1938–1944

    Article  CAS  Google Scholar 

  • Carlon S, Taylor N, Dodd K, Shields N (2013) Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disabil Rehabil 35:647–655

    Article  Google Scholar 

  • Cook O, Frost G, Twose D, Wallman L, Falk B, Galea V, Adkin A, Klentrou P (2015) CAN-flip: a pilot gymnastics program for children with cerebral palsy. Adapt Phys Activ Q 32:349–370

    Article  Google Scholar 

  • Declerck M, Verheul M, Daly D, Sanders R (2016) Benefits and enjoyment of a swimming intervention for youth with cerebral palsy: an RCT study. Pediatr Phys Ther 28:162–169

    Article  Google Scholar 

  • Fragala-Pinkham M, Haley S, Goodgold S (2006) Evaluation of a community-based group fitness program for children with disabilities. Pediatr Phys Ther 18:159–167

    Article  Google Scholar 

  • Fragala-Pinkham M, Haley S, O’Neil M (2008) Group aquatic aerobic exercise for children with disabilities. Dev Med Child Neurol 50:822–827

    Article  Google Scholar 

  • Fragala-Pinkham M, Dumas H, Boyce M, Peters C, Haley S (2009) Evaluation of an adaptive ice skating programme for children with disabilities. Dev Neurorehabil 12:215–223

    Article  Google Scholar 

  • Gibson N, Chappell A, Blackmore A, Morris S, Williams G, Bear N, Allison G (2017) The effect of a running intervention on running ability and participation in children with cerebral palsy: a randomized controlled trial. Disabil Rehabil 21:1–9. epub

    Article  Google Scholar 

  • Gordon AM, Magill R (2017) Motor learning: application of principles to pediatric rehabilitation. In: Palisano R, Orlin M, Schreiber J (eds) Campbell’s physical therapy for children, 5th edn. Elsevier, St. Louis

    Google Scholar 

  • Groff D, Lundberg N, Zabriskie R (2009) Influence of adapted sport on quality of life: perceptions of athletes with cerebral palsy. Disabil Rehabil 31:318–326

    Article  Google Scholar 

  • Harada C, Siperstein G, Parker R, Lenox D (2011) Promoting social inclusion for people with intellectual disabilities through sport: Special Olympics International, global sports initiatives and strategies. Sports Soc 14:1131–1148

    Article  Google Scholar 

  • Hurvitz E, Green L, Hornyak J, Khurana S, Koch L (2008) Body mass index measures in children with cerebral palsy related to gross motor function classification: a clinic-based study. Am J Phys Med Rehabil 87: 395–403

    Article  Google Scholar 

  • Jaarsma E, Dijkstra P, de Blecourt A, Geertzen J, Dekker R (2015) Barriers and facilitators of sports in children with physical disabilities: a mixed-method study. Disabil Rehabil 37:1617–1623

    Article  Google Scholar 

  • Kahlmeier S, Wijnhoven T, Alpiger P, Schweizer C, Breda J, Martin B (2015) National physical activity recommendations: systematic overview and analysis of the situation in European countries. BMC Public Health 15:133

    Article  Google Scholar 

  • Kang L, Palisano R, Orlin M, Chiarello L, King G, Polansky M (2010) Determinants of social participation – with friends and others who are not family members – for youths with cerebral palsy. Phys Ther 90:1743–1757

    Article  Google Scholar 

  • Keawutan P, Bell K, Davies P, Boyd R (2014) Systematic review of the relationship between habitual physical activity and motor capacity in children with cerebral palsy. Res Dev Disabil 35:1301–1309

    Article  Google Scholar 

  • King G, Law M, King S, Hurley P, Hanna S, Kertoy M, Rosenbaum P, Young N (2004) Children’s assessment of participation and enjoyment (CAPE) and preferences for activities of children (PAC) Manual. Harcourt Assessment, San Antonio

    Google Scholar 

  • Majnemer A, Shikako-Thomas K, Chokron N, Law M, Shevell M, Chilingaryan G, Poulin C, Rosenbaum P (2010) Leisure activity preferences for 6- to 12-year-old children with cerebral palsy. Dev Med Child Neurol 52:167–173

    Article  Google Scholar 

  • National Beep Baseball Association (updated 2017) About Beep Baseball [Online]. http://www.nbba.org/index.htm. Accessed 11 Jan 2018

  • O’Neil M, Fragala-Pinkham M, Ideishi R, Ideishi S (2012) Community-based programs for children and youth: our experiences in design, implementation, and evaluation. Phys Occup Ther Pediatr 32:111–119

    Article  Google Scholar 

  • Ogden C, Carroll M, Curtin L, Lamb M, Flegal K (2010) Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA 303:242–249

    Article  CAS  Google Scholar 

  • Peterson M, Ryan J, Hurvitz E, Mahmoudi E (2015) Chronic conditions in adults with cerebral palsy. JAMA 314:2303–2305

    Article  Google Scholar 

  • Pickering D, Horrocks LM, Visser KS, Todd G (2013a) ‘Every picture tells a story’: interviews and diaries with children with cerebral palsy about adapted cycling. J Paediatr Child Health 49:1040–1044

    Article  Google Scholar 

  • Pickering DM, Horrocks L, Visser K, Todd G (2013b) Adapted bikes – what children and young people with cerebral palsy told us about their participation in adapted dynamic cycling. Disabil Rehabil Assist Technol 8:30–37

    Article  Google Scholar 

  • Robert M, Ballaz L, Hart R, Lemay M (2013) Exercise intensity levels in children with cerebral palsy while playing with an active video game console. Phys Ther 93:1084–1091

    Article  Google Scholar 

  • Rosenbaum P, Gorter J (2012) The ‘F-words’ in childhood disability: I swear this is how we should think! Child Care Health Dev 38:457–463

    Article  CAS  Google Scholar 

  • Ross S, Yount M, Ankarstad S, Bock S, Orso B, Perry K, Miros J, Brunstrom-Hernandez J (2017) Effects of participation in sports programs on walking ability and endurance over time in children with cerebral palsy. Am J Phys Med Rehabil 96:843–851

    Article  Google Scholar 

  • Rowland J, Fragala-Pinkham M, Miles C, OʼNeil M (2015) The scope of pediatric physical therapy practice in health promotion and fitness for youth with disabilities. Pediatr Phys Ther 27:2–15

    Article  Google Scholar 

  • Ryan J, Hensey O, McLoughlin B, Lyons A, Gormley J (2014) Reduced moderate-to-vigorous physical activity and increased sedentary behavior is associated with elevated blood pressure values in children with cerebral palsy. Phys Ther 94:1144–1153

    Article  Google Scholar 

  • Shields N, Synnot A, Barr M (2012) Perceived barriers and facilitators to physical activity for children with disability: a systematic review. Br J Sports Med 46:989–997

    Article  Google Scholar 

  • Shikako-Thomas K, Majnemer A, Law M, Lach L (2008) Determinants of participation in leisure activities in children and youth with cerebral palsy: systematic review. Phys Occup Ther Pediatr 28:155–169

    Article  Google Scholar 

  • Slaman J, van den Berg-Emons H, van Meeteren J, Twisk J, van Markus F, Stam H, van der Slot W, Roebroeck M (2015) A lifestyle intervention improves fatigue, mental health and social support among adolescents and young adults with cerebral palsy: focus on mediating effects. Clin Rehabil 29:717–727

    Article  CAS  Google Scholar 

  • Sterba J (2006) Adaptive downhill skiing in children with cerebral palsy: effect on gross motor function. Pediatr Phys Ther 18:289–296

    Article  Google Scholar 

  • Sterba JA, Rogers BT, France AP, Vokes DA (2002) Horseback riding in children with cerebral palsy: effect on gross motor function. Dev Med Child Neurol 44:301–308

    Article  Google Scholar 

  • Toovey R, Reid S, Rawicki B, Harvey A, Watt K (2017) Ability of independently ambulant children with cerebral palsy to ride a two-wheel bicycle: a case-control study. Dev Med Child Neurol 59:395–401

    Article  Google Scholar 

  • Tremblay MS, Carson V, Chaput JP, Gorber SC, Dinh T, Duggan M, Faulkner G, Gray CE, Gruber R, Janson K, Janssen I, Katzmarzyk PT, Kho ME, Latimer-Cheung AE, LeBlanc C, Okely AD, Olds T, Pate RR, Phillips A, Poitras VJ, Rodenburg S, Sampson M, Saunders TJ, Stone JA, Stratton G, Weiss SK, Zehr L (2016) Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab 41:S311–S327

    Article  Google Scholar 

  • US Department of Health and Human Services (2008) Physical activity guidelines for Americans [Online]. http://www.health.gov/Paguidelines/guidelines/Chapter3.aspx. Accessed 16 Jan 2014

  • Verschuren O, Darrah J, Novak I, Ketelaar M, Wiart L (2014) Health-enhancing physical activity in children with cerebral palsy: more of the same is not enough. Phys Ther 94:297–305

    Article  Google Scholar 

  • Verschuren O, Peterson M, Balemans A, Hurvitz E (2016) Exercise and physical activity recommendations for people with cerebral palsy. Dev Med Child Neurol 58:798–808

    Article  Google Scholar 

  • Walsh S, Scharf M (2014) The effect of a recreational ice skating program on the gross motor function of a child with cerebral palsy. Physiother Theory Pract 30:189–195

    Article  Google Scholar 

  • Wheelchair Sports Federation (2009) Power soccer [Online]. http://www.wheelchairsportsfederation.org/adaptive-sports/powerchair-soccer. Accessed 11 Jan 2018

  • Woodmansee C, Hahne A, Imms C, Shields N (2016) Comparing participation in physical recreation activities between children with disability and children with typical development: a secondary analysis of matched data. Res Dev Disabil 49–50:268–276

    Article  Google Scholar 

  • World Health Organization (2001) ICF: international classification of functioning, disability and health. World Health Organization, Geneva

    Google Scholar 

  • Zwier J, van Schie P, Becher J, Smits D, Gorter JW, Dallmeijer A (2010) Physical activity in young children with cerebral palsy. Disabil Rehabil 32:1501–1508

    Article  Google Scholar 

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Correspondence to Maria A. Fragala-Pinkham .

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Fragala-Pinkham, M.A., Miros, J. (2019). Community Resources: Sports and Active Recreation for Individuals with Cerebral Palsy. In: Miller, F., Bachrach, S., Lennon, N., O'Neil, M. (eds) Cerebral Palsy. Springer, Cham. https://doi.org/10.1007/978-3-319-50592-3_157-1

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  • DOI: https://doi.org/10.1007/978-3-319-50592-3_157-1

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  • Print ISBN: 978-3-319-50592-3

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