O. Verschuren, PhD, Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Rembrandtkade 10, 3583TM, Utrecht, the Netherlands. Mailing address: Rehabilitation Centre De Hoogstraat, Rembrandtkade 10, 3583 TM Utrecht, the Netherlands.
Phys Ther. 2014 Feb;94(2):297-305. doi: 10.2522/ptj.20130214. Epub 2013 Oct 3.
Physical activity is important for young people's health. The emphasis over the last 2 decades has been on moderate to vigorous exercise when designing activity and exercise programs for children and adolescents with cerebral palsy (CP). Emerging evidence suggests that sedentary behavior is distinctly different from a lack of moderate to vigorous physical activity and has independent and different physiological mechanisms. The concept of concurrently increasing moderate to vigorous physical activity and replacing sedentary behavior with light physical activity may be beneficial for children and adolescents with CP. This article is a summary of the evidence for what works and what does not work for improving the physical activity of children and adolescents with CP. It also discusses what is known about sedentary behavior of children and adolescents with CP and what research directions are needed to build foundational knowledge in this area with this population.
身体活动对年轻人的健康很重要。在过去 20 年中，在为脑瘫儿童和青少年设计活动和锻炼计划时，重点一直是适度到剧烈的运动。新出现的证据表明，久坐行为与缺乏适度到剧烈的身体活动明显不同，具有独立且不同的生理机制。同时增加适度到剧烈的身体活动并将久坐行为替换为轻度身体活动的概念可能对脑瘫儿童和青少年有益。本文总结了提高脑瘫儿童和青少年身体活动的有效方法和无效方法。它还讨论了脑瘫儿童和青少年久坐行为的已知情况，以及为该人群在该领域建立基础知识需要哪些研究方向。
