Article

OBJECTIVE: To conduct a systematic review of the impact of cerebral palsy (CP) on
the level of health-related physical fitness (body composition, cardiorespiratory
endurance, flexibility, muscular endurance, and strength)
in adults with CP
compared with able-bodied adults. DATA SOURCES: The Cochrane Library, MEDLINE,
CINAHL, EMBASE, and PEDro were searched up to December 2010 for relevant
comparative studies. STUDY SELECTION: Two reviewers independently applied the
inclusion criteria (adults, comparative design, components of physical fitness)
to select potential relevant studies. DATA EXTRACTION: Two reviewers
independently extracted the data and assessed the methodological quality. A consensus method was used to solve disagreements. DATA SYNTHESIS: Pooling data
was not possible, but a best-evidence synthesis was conducted. Also, a
description of the level of health-related physical fitness in CP was given
(expressed as a percentage of able-bodied controls). Nine case-control studies
were included (average age +/- SD of subjects with CP, 21+/-3y): 3 investigated
body composition; 5, cardiorespiratory endurance; 3, muscular strength; and 1,
muscular endurance. Two of the studies investigated multiple fitness components.
No studies on flexibility were found. Muscular strength (34%-60%), muscular
endurance (27%-52%), and cardiorespiratory endurance (14%) showed significantly
lower values in adults with CP compared with able-bodied controls. Studies on
body composition reported conflicting results on the impact of CP. CONCLUSIONS:
The results of this review point to a reduction in 3 components of health-related
physical fitness in young adults with CP compared with controls: muscular
strength, muscular endurance, and cardiorespiratory endurance. However, the level
of evidence varies from moderate (muscular strength) to limited (muscular
endurance and cardiorespiratory endurance). Additional studies of high
methodological quality are recommended before firm conclusions can be made.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS