Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
Disabil Rehabil. 2021 Oct;43(20):2963-2975. doi: 10.1080/09638288.2020.1723720. Epub 2020 Mar 2.
The aim of this review was to summarize research regarding sedentary behavior in children with physical disabilities related to (1) sedentary behavior patterns, (2) measurement of sedentary behavior, and (3) current state of the evidence regarding the effectiveness of interventions.
A scoping review was conducted using established scoping review methodology. Articles were eligible for inclusion if participants were 0-18 years of age, had physical disabilities, and the focus of the research was on sedentary behavior patterns, measurement of sedentary behavior or evaluation of interventions to decrease sedentary behavior.
The majority of included studies ( = 36) were observational and described sedentary behavior patterns ( = 29), primarily with children with cerebral palsy ( = 22). Accelerometry was frequently used to measure sedentary behavior for ambulatory children; however, questionnaires, surveys and interviews were also used. Few studies ( = 3) conducted to evaluate interventions for decreasing sedentary behavior were included; existing evidence does not support effectiveness of strategies to reduce sedentary behavior in children with physical disabilities. Few studies addressed sedentary behavior in younger children or children who use wheelchairs.
Evaluation of interventions to decrease sedentary behavior in children with physical disabilities is needed. Future research should also address measurement of physical activity with children who use wheelchairs as their primary method of mobility. Implications for rehabilitationIntervention strategies to decrease sedentary behavior are increasingly discussed; however, additional research is needed to evaluate effectiveness.Strategies for addressing sedentary behavior should expand to include consideration of lengths of sedentary bouts and breaks from sedentary behavior, and not just focus on total sedentary time.Research in this area has focused on ambulatory children; a greater research emphasis on children who are non-ambulatory is warranted.Agreement and consistent use of accelerometry protocols is recommended to advance this body of research.
本综述的目的是总结与（1）久坐行为模式、（2）久坐行为测量以及（3）干预措施效果的当前证据相关的身体残疾儿童久坐行为的研究。
采用既定的范围综述方法进行综述。如果参与者年龄在 0-18 岁之间、有身体残疾，并且研究重点是久坐行为模式、久坐行为测量或评估减少久坐行为的干预措施，则文章有资格被纳入。
大多数纳入的研究（ = 36）为观察性研究，描述了久坐行为模式（ = 29），主要是脑瘫儿童（ = 22）。加速度计常用于测量活动儿童的久坐行为；然而，也使用了问卷、调查和访谈。纳入的评估减少久坐行为的干预措施的研究很少（ = 3）；现有的证据并不支持减少身体残疾儿童久坐行为的策略的有效性。很少有研究关注年龄较小的儿童或使用轮椅的儿童的久坐行为。
需要评估减少身体残疾儿童久坐行为的干预措施。未来的研究还应解决使用轮椅作为主要移动方式的儿童的身体活动测量问题。
减少身体残疾儿童久坐行为的干预策略越来越受到讨论；然而，需要更多的研究来评估其有效性。解决久坐行为的策略应扩大到包括考虑久坐时间的长短和久坐时间的中断，而不仅仅关注总久坐时间。该领域的研究重点是活动儿童；有必要对非活动儿童进行更多的研究。建议使用一致的加速度计协议来推进这一研究领域。
