Graduate Program in Rehabilitation Sciences, Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
School of Health and Rehabilitation Sciences, The University of Queensland, Queensland, Australia.
Disabil Rehabil. 2023 Jul;45(15):2398-2408. doi: 10.1080/09638288.2022.2098394. Epub 2022 Jul 19.
To analyze the effectiveness of sports-focused interventions on the participation of children and adolescents with cerebral palsy (CP).
Study searches were conducted on EMBASE, PubMed, Scielo, PEDro, CINAHL, SPORTDiscuss in June 2022. We included randomized controlled trials that investigated the effectiveness of sports-focused interventions in children and adolescents with CP in comparison with control. Risk of bias was assessed with PEDro scale and evidence certainty with GRADE approach. Data were pooled in random-effects meta-analyses and results were presented as standardized mean differences.
Ten RCTs were selected with different modalities, mostly for ambulant children and adolescents. Significant pooled effects on participation in leisure-time physical activity were seen only in group interventions (modified sports, gross motor training, and fitness training), in comparison with control [SMD(95% CI) = 0.32(0.01-0.73) = 0.04]. No pooled effects were seen in participation in other life areas in comparison with control ( > 0.05). Current certainty of evidence of all sports-focused interventions included was moderate due to imprecision.
Positive results on leisure-time participation were seen at short-term follow-up for group interventions. Sports-focused interventions did not improve participation in other life areas, reinforcing the importance of specificity when conducting participation interventions. Studies investigating sports-focused interventions including non-ambulatory individuals are still necessary. IMPLICATIONS FOR REHABILITATIONSports-focused interventions target leisure-time physical activity participation.They present moderate evidence of their effectiveness to improve physical activity participation in individuals with cerebral palsy.Group interventions are effective in improving leisure-time physical activity participation.Sports-focused interventions did not improve participation in other life areas.
分析以运动为重点的干预措施对脑瘫儿童和青少年参与度的影响。
研究检索于 2022 年 6 月在 EMBASE、PubMed、Scielo、PEDro、CINAHL 和 SPORTDiscuss 进行。我们纳入了比较以运动为重点的干预措施与对照组在脑瘫儿童和青少年中的有效性的随机对照试验。使用 PEDro 量表评估偏倚风险，使用 GRADE 方法评估证据确定性。数据以随机效应荟萃分析进行汇总，并以标准化均数差值呈现结果。
选择了 10 项 RCT，采用不同的方式，主要针对可移动的儿童和青少年。仅在组干预（改良运动、粗大运动训练和健身训练）中观察到与对照组相比在休闲时间体力活动参与方面有显著的汇总效应[SMD（95%CI）=0.32（0.01-0.73）=0.04]。与对照组相比，在其他生活领域的参与方面没有汇总效应（ > 0.05）。由于不精确，所有包含的以运动为重点的干预措施的当前证据确定性为中度。
在短期随访中，组干预在休闲时间参与方面取得了积极的结果。以运动为重点的干预措施并没有改善其他生活领域的参与度，这加强了在进行参与干预时关注特定性的重要性。仍需要研究包括非可移动个体的以运动为重点的干预措施。
以运动为重点的干预措施针对休闲时间体力活动参与度。
它们具有中度证据表明其有效性，可提高脑瘫患者的体力活动参与度。
组干预可有效提高休闲时间体力活动参与度。
以运动为重点的干预措施并未改善其他生活领域的参与度。
