Moreau Noelle G, Friel Kathleen M, Fuchs Robyn K, Dayanidhi Sudarshan, Sukal-Moulton Theresa, Grant-Beuttler Marybeth, Peterson Mark D, Stevenson Richard D, Duff Susan V
Department of Physical Therapy, School of Allied Health Professions, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA.
Burke Neurological Institute, Weill Cornell Medicine, White Plains, NY 10605, USA.
Behav Sci (Basel). 2023 Jun 28;13(7):539. doi: 10.3390/bs13070539.
Physical activity of a sufficient amount and intensity is essential to health and the prevention of a sedentary lifestyle in all children as they transition into adolescence and adulthood. While fostering a fit lifestyle in all children can be challenging, it may be even more so for those with cerebral palsy (CP). Evidence suggests that bone and muscle health can improve with targeted exercise programs for children with CP. Yet, it is not clear how musculoskeletal improvements are sustained into adulthood. In this perspective, we introduce key ingredients and guidelines to promote bone and muscle health in ambulatory children with CP (GMFCS I-III), which could lay the foundation for sustained fitness and musculoskeletal health as they transition from childhood to adolescence and adulthood. First, one must consider crucial characteristics of the skeletal and muscular systems as well as key factors to augment bone and muscle integrity. Second, to build a better foundation, we must consider critical time periods and essential ingredients for programming. Finally, to foster the sustainability of a fit lifestyle, we must encourage commitment and self-initiated action while ensuring the attainment of skill acquisition and function. Thus, the overall objective of this perspective paper is to guide exercise programming and community implementation to truly alter lifelong fitness in persons with CP.
在所有儿童向青春期和成年期过渡的过程中，充足的运动量和强度的体育活动对于他们的健康以及预防久坐不动的生活方式至关重要。虽然培养所有儿童健康的生活方式具有挑战性，但对于患有脑瘫（CP）的儿童来说可能更具挑战性。有证据表明，针对患有CP的儿童进行有针对性的锻炼计划可以改善骨骼和肌肉健康。然而，尚不清楚肌肉骨骼方面的改善如何持续到成年期。从这个角度来看，我们介绍了促进能行走的CP儿童（GMFCS I-III）骨骼和肌肉健康的关键要素和指导方针，这可以为他们从童年过渡到青春期和成年期后的持续健康和肌肉骨骼健康奠定基础。首先，必须考虑骨骼和肌肉系统的关键特征以及增强骨骼和肌肉完整性的关键因素。其次，为了建立更好的基础，我们必须考虑编程的关键时期和基本要素。最后，为了促进健康生活方式的可持续性，我们必须鼓励承诺和自我发起的行动，同时确保获得技能和功能。因此，这篇观点文章的总体目标是指导运动编程和社区实施，以真正改变CP患者的终身健康状况。
