Article

OBJECTIVE: To evaluate the effect of a lifestyle intervention on fatigue,
participation, quality of life, gross motor functioning, motivation,
self-efficacy and social support, and to explore mediating effects of physical
behavior and physical fitness. DESIGN: A randomized controlled trial with
intention to treat analysis. SETTING: Rehabilitation centers in university
hospitals in the Netherlands. SUBJECTS: Adolescents and young adults with spastic
cerebral palsy. INTERVENTIONS: A six-month lifestyle intervention that consisted
of physical fitness training combined with counseling sessions focused on
physical behavior and sports participation. MAIN MEASURES: Fatigue, social
participation, quality of life and gross motor functioning. RESULTS: The
lifestyle intervention was effective in decreasing fatigue severity during the
intervention (difference = -6.72, p = 0.02) and in increasing health-related
quality of life with respect to bodily pain (difference = 15.14, p = 0.01) and
mental health (difference = 8.80, p = 0.03) during follow-up. Furthermore, the
domain participation and involvement of the social support increased during both
the intervention (difference = 5.38, p = 0.04) and follow-up (difference = 4.52,
p = 0.03) period. Physical behavior or physical fitness explained the observed
effects for 22.6%, 9.7% and 28.1% of improvements on fatigue, bodily pain and
mental health, but had little effect on social support (2.6%). INTERPRETATION:
Fatigue, bodily pain, mental health and social support can be improved using a
lifestyle intervention among adolescents and young adults with cerebral palsy.
Furthermore, substantial mediating effects were found for physical behavior and
physical fitness on fatigue, bodily pain and mental health.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS