Maltais Désirée B, Wiart Lesley, Fowler Eileen, Verschuren Olaf, Damiano Diane L
Department of Rehabilitation, Laval University, and Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada
Glenrose Rehabilitation Hospital, Alberta Health Services and Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.
J Child Neurol. 2014 Aug;29(8):1091-100. doi: 10.1177/0883073814533152. Epub 2014 May 11.
Low levels of physical activity are a global health concern for all children. Children with cerebral palsy have even lower physical activity levels than their typically developing peers. Low levels of physical activity, and thus an increased risk for related chronic diseases, are associated with deficits in health-related physical fitness. Recent research has provided therapists with the resources to effectively perform physical fitness testing and physical activity training in clinical settings with children who have cerebral palsy, although most testing and training data to date pertains to those who walk. Nevertheless, on the basis of the present evidence, all children with cerebral palsy should engage, to the extent they are able, in aerobic, anaerobic, and muscle-strengthening activities. Future research is required to determine the best ways to evaluate health-related physical fitness in nonambulatory children with cerebral palsy and foster long-term changes in physical activity behavior in all children with this condition.
低水平的身体活动是全球所有儿童面临的健康问题。患有脑瘫的儿童身体活动水平比其发育正常的同龄人更低。低水平的身体活动，以及由此增加的相关慢性病风险，与健康相关身体素质的缺陷有关。最近的研究为治疗师提供了资源，使其能够在临床环境中对患有脑瘫的儿童有效进行身体素质测试和身体活动训练，尽管迄今为止大多数测试和训练数据都与能行走的儿童有关。然而，根据目前的证据，所有患有脑瘫的儿童都应在其能力范围内参与有氧、无氧和肌肉强化活动。未来需要开展研究，以确定评估非行走型脑瘫儿童健康相关身体素质的最佳方法，并促进所有患有这种疾病的儿童身体活动行为的长期改变。
