Andreopoulou Georgia, Meharry John B, Jagadamma Kavi C, van der Linden Marietta L
Anne Rowling Regenerative Neurology Clinic, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Centre for Health, Activity and Rehabilitation Research, Queen Margaret University Edinburgh, Edinburgh, UK.
Disabil Rehabil. 2025 May;47(9):2170-2184. doi: 10.1080/09638288.2024.2391568. Epub 2024 Aug 24.
Participating in physical activity may benefit health-related outcomes for adults with cerebral palsy (CP). The aim of this review is to provide a synthesis of the evidence from both qualitative and quantitative studies on the impact of physical activity and exercise interventions in adults with CP.
Literature searches were conducted from inception to November 2023 in nine electronic databases. A meta-analysis was carried out to evaluate the efficacy of the interventions on walking speed related outcomes and muscle strength.
Twenty-two studies met the inclusion criteria. The interventions of the nine studies included in the meta-analysis did not improve walking speed over a distance of 10 m (SMD = -0.03, 95% CI: -0.34-0.40, = 0.88, = 0%) or endurance (distance covered in 2 or 6 min) (SMD = 0.25, 95% CI: -0.10-0.59, = 0.16, = 0%), but there was an improvement in lower limb muscle strength in favour of the experimental groups (SMD = 0.59, 95% CI: 0.19-0.99, = 0.004, = 20%). Only a few studies reported on psychosocial outcomes, quality of life, or intervention sustainability.
Further research is needed to explore the impact on psychosocial outcomes and quality of life in adults with CP and the sustainability of physical activity participation.
参与体育活动可能有益于患有脑瘫（CP）的成年人的健康相关结果。本综述的目的是综合定性和定量研究的证据，探讨体育活动和运动干预对患有CP的成年人的影响。
从九个电子数据库建库至2023年11月进行文献检索。进行荟萃分析以评估干预措施对步行速度相关结果和肌肉力量的疗效。
22项研究符合纳入标准。荟萃分析中纳入的9项研究的干预措施在10米距离的步行速度（标准化均数差[SMD]=-0.03，95%置信区间：-0.34至0.40，P=0.88，I²=0%）或耐力（2或6分钟内行走的距离）（SMD=0.25，95%置信区间：-0.10至0.59，P=0.16，I²=0%）方面没有改善，但实验组的下肢肌肉力量有所改善（SMD=0.59，95%置信区间：0.19至0.99，P=0.004，I²=20%）。只有少数研究报告了心理社会结果、生活质量或干预的可持续性。
需要进一步研究以探讨对患有CP的成年人的心理社会结果和生活质量的影响以及体育活动参与的可持续性。
