Shriners Hospitals for Children, Portland, USA.
Disabil Health J. 2019 Jul;12(3):467-472. doi: 10.1016/j.dhjo.2019.02.008. Epub 2019 Apr 3.
Young adults with cerebral palsy (CP) are reported to be less active than their typically developing peers, have higher rates of sedentary behaviors, engage in slower tempo activities, and overall participate in a smaller variety of physical activities (PA). Functional motor level and environmental barriers have been purported to impact the ability of young adult with CP to participate in physical activity and recreational activities.
To examine the role functional motor level and environmental barriers have on participation in PA and recreation in young adults with CP.
A survey assessing functional motor level (Gross Motor Function Classification Scale), participation in physical activity (The Physical Activity Scale for Individuals with Physical Disabilities) and recreation (The Assessment of Life Habits), and environmental barriers (The Craig Hospital Inventory of Environmental Factors) was mailed to 442 young adults with CP, between the ages of 18-30 years.
97 surveys were returned. No differences in PA were found between GMFCS level; however, young adults in GMFCS levels I and II participated more in recreational activities than GMFCS levels III-V. Greater environmental barriers were experienced by young adults in GMFCS II-V.
This study showed that GMFCS level and physical/structural, policy and attitudinal barriers significantly impacted participation in recreational activities for young adults with CP. Strategies for addressing these barriers from both an individualized therapeutic and advocacy perspective are needed in order to facilitate engagement in physical activity and recreation for young adults with CP at all GMFCS levels.
据报道，脑瘫（CP）青少年的活动量比其同龄人少，久坐行为发生率较高，参与活动节奏较慢，总体上参与的体育活动（PA）种类较少。功能运动水平和环境障碍被认为会影响 CP 青少年参与体育活动和娱乐活动的能力。
探讨功能运动水平和环境障碍对 CP 青少年 PA 和娱乐活动参与的影响。
一项评估功能运动水平（粗大运动功能分类量表）、PA（个体身体残疾活动量表）和娱乐活动（生活习惯评估）参与情况以及环境障碍（克雷格医院环境因素清单）的调查邮寄给了 442 名年龄在 18-30 岁之间的 CP 青少年。
共收回 97 份调查问卷。GMFCS 水平之间的 PA 无差异；然而，GMFCS 水平 I 和 II 的青少年比 GMFCS 水平 III-V 的青少年更多地参与娱乐活动。GMFCS II-V 青少年经历了更大的环境障碍。
本研究表明，GMFCS 水平以及物理/结构、政策和态度障碍显著影响 CP 青少年参与娱乐活动。需要从个体化治疗和倡导的角度来解决这些障碍，以促进所有 GMFCS 水平的 CP 青少年参与体育活动和娱乐活动。
