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Outcomes of an exercise program for pain and fatigue management in adults with cerebral palsy

VOGTLE LK; MALONE LA; AZUERO A
DISABIL REHABIL , 2014, vol. 36, n° 9-10, p. 818-825
Doc n°: 172553
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2013.821181
Descripteurs : AJ23 - PARALYSIE CEREBRALE, AD8 - DOULEUR, ND - EXERCICE PHYSIQUE

The purpose of this exploratory pilot study was to examine the effect of
exercise on pain and fatigue in adults with CP. METHOD: Twenty-six participants
(12 ambulatory, 14 non-ambulatory; 10 males, 16 females; mean age 42.3 +/- 11.2
years) enrolled in a study using a repeated measures design including baseline,
intervention and follow-up phases of 12 weeks each; 20 participants completed all
phases. Primary outcome measures used were the FACES pain scale, the count of
body parts with pain and the PedsQL Multidimensional Fatigue Scale. RESULTS:
Significant beneficial changes were found in the pain and fatigue scales among
the ambulatory participants during the intervention phase. However the beneficial
changes diminished during the follow-up phase. Secondary outcomes examined
included, pain interference, daily physical activity and health-related quality
of life. CONCLUSION: Study outcomes suggest that exercise may provide some
benefit for ambulatory adults with CP. Implications for Rehabilitation Pain and
fatigue are secondary conditions experienced by many adults with cerebral palsy
which have a significant impact on function and quality of life. Physical
activity is an intervention which has been demonstrated to decrease both pain and
fatigue in other health conditions. In a relatively small sample, this study
demonstrates decreased pain and fatigue after an exercise intervention in
ambulatory adults with cerebral palsy.

Langue : ANGLAIS

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