The PEDALS stationary cycling intervention and health-related quality of life in children with cerebral palsy: a randomized controlled trial.
|Title||The PEDALS stationary cycling intervention and health-related quality of life in children with cerebral palsy: a randomized controlled trial.|
|Publication Type||Journal Article|
|Year of Publication||2012|
|Authors||Demuth SK, Knutson LM, Fowler EG|
|Journal||Dev Med Child Neurol|
|Date Published||2012 Jul|
|Keywords||Adolescent, California, Cerebral Palsy, Child, Comorbidity, Exercise Therapy, Female, Health Status, Humans, Male, Missouri, Motor Skills, Quality of Life, Severity of Illness Index, Treatment Outcome|
AIM: The aim of this study was to assess health-related quality of life (HRQOL) following a stationary cycling intervention in children with cerebral palsy (CP).
METHOD: This was a phase I multisite randomized controlled trial with single blinding. HRQOL was evaluated using the Pediatric Quality of Life Inventory SF15 (PedsQL; children) and Pediatric Outcomes Data Collection Instrument (PODCI; parent proxy) before and after a 3-month stationary cycling intervention. Sixty-two children (29 male, 33 female; mean age 11y; range 7-18y) with spastic diplegic CP, classified as levels I to III on the Gross Motor Function Classification System, were enrolled. Paired and independent t-tests were used to evaluate within- and between-group differences respectively.
RESULTS: Between-group differences, favoring the cycling group, were found for PedsQL emotional functioning (p=0.046) and Parental PODCI treatment expectations scores (p=0.006). Between-group differences were not found for other scales. Within-group improvements were found in the cycling group: PedsQL total score (+5.8; p=0.006), psychosocial health summary (+6.9; p=0.008), and school functioning (+8.0; p=0.038). PODCI satisfaction with symptoms decreased significantly only in the control group (-12.0; p=0.046).
INTERPRETATION: A beneficial influence of exercise on pediatric emotional well-being and parental treatment expectations was found. The evidence was not strong for other aspects of HRQOL. Results support the positive relationship between physical fitness and emotional well-being in the general population. A child's perception is important when examining change in his or her emotional well-being due to intervention.
|Alternate Journal||Dev Med Child Neurol|