Article

Limited information exists on the ability of children with cerebral palsy
(CP) to ride a two-wheel bicycle, an activity that may improve health and
participation. We aimed to describe bicycle-riding ability and variables
associated with ability to ride in children with CP (Gross Motor Functional
Classification System [GMFCS] levels I-II) compared with children with typical development. METHOD: This case-control study surveyed parents of 114 children
with CP and 87 children with typical development aged 6 to 15 years (115 males,
mean age 9y 11mo, standard deviation [SD] 2y 10mo). Kaplan-Meier methods were
used to compare proportions able to ride at any given age between the two groups.
Logistic regression was used to assess variables associated with ability to ride
for children with CP and typical development separately. RESULTS: The proportion
of children with CP able to ride at each level of bicycle-riding ability was
substantially lower at each age than peers with typical development (p<0.001).
While most children with typical development were able to ride independently by
10 years of age, 51% of children with CP classified as GMFCS level I and 3% of
those classified as GMFCS level II had obtained independent riding in the
community by 15 years of age. Variables associated with ability to ride for
children classified as GMFCS level I were age and parent-rated importance of
their child being able to ride. INTERPRETATION: Some independently ambulant
children with CP can learn to ride a bicycle, in particular if they are
classified as GMFCS level I. Variables associated with ability to ride deserve
consideration in shaping future efforts for the majority of this population who
are not yet able to ride.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS