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Walking activity of children with cerebral palsy and children developing typically : a comparison between the Netherlands and the United States

VAN WELY L; DALLMEIJER AJ; BALEMANS AC; ZHOU C; BECHER JG; BJORNSON KF
DISABIL REHABIL , 2014, vol. 36, n° 24-26, p. 2136-2142
Doc n°: 174931
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2014.892639
Descripteurs : AJ23 - PARALYSIE CEREBRALE

PURPOSE: To compare walking activity of children with and without cerebral palsy
(CP) between the Netherlands and the United States. METHODS: A cross-sectional
analysis on walking activity data from an international retrospective comparison
study including a convenience sample of 134 walking children aged 7-12 years with
spastic CP, classified as Gross Motor Function Classification System (GMFCS)
level I (N = 64), II (N = 49) or III (N = 21), and 223 typically developing
children (TDC) from the Netherlands and the United States. Walking activity was
assessed during a one-week period using a StepWatch activity monitor. Outcomes
were the daily number of strides, daily time being inactive and spent at low
(0-15 strides/min), moderate (16-30 strides/min) and high stride rate (31-60
strides/min). Walking activity was compared between countries using multiple
linear regression analyses. RESULTS: Walking activity of TDC was not
significantly different between countries. Compared to their American
counterparts, Dutch children in GMFCS level I and II showed less walking activity
(p < 0.05), whereas Dutch children in GMFCS level III showed more walking
activity (p < 0.05). CONCLUSION: The absence of differences in walking activity
between Dutch and American TDC, and the presence of differences in walking
activity between Dutch and American children with CP suggest that between-country
differences affect walking activity differently in children with CP. IMPLICATIONS
FOR REHABILITATION: Physical activity of children with CP should be promoted in
both the United States and the Netherlands. The between-country differences in
walking activity illustrate that apart from the severity of the CP walking
activity seems to be influenced by environmental aspects. In the promotion of
physical activity, practitioners should pay attention to environmental barriers
that families may experience for increasing physical activity.

Langue : ANGLAIS

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