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Evidence for increasing physical activity in children with physical disabilities: a systematic review
Author(s) -
Bloemen Ma,
Van Wely Leontien,
Mollema Jurgen,
Dallmeijer Annet,
Groot Janke
Publication year - 2017
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13422
Subject(s) - cinahl , cerebral palsy , medline , data extraction , psychological intervention , physical therapy , psychology , randomized controlled trial , intervention (counseling) , medicine , systematic review , evidence based medicine , physical medicine and rehabilitation , alternative medicine , psychiatry , surgery , pathology , political science , law
Aim To summarize the best evidence of interventions for increasing physical activity in children with physical disabilities. Method A systematic review was conducted using an electronic search executed in Academic Search Elite, Academic Search Premier, CINAHL , Embase, MEDLINE , PEDro, Psych INFO , and SPORTD iscus up to February 2016. The selection of articles was performed independently by two researchers according to predetermined eligibility criteria. Data extraction, methodological quality, and levels of evidence were independently assessed by two researchers using a data‐collection form from the Cochrane Collaboration and according to the guidelines of the American Academy for Cerebral Palsy and Developmental Medicine. Results Seven studies were included. Five randomized controlled trials ranged from strong level I to weak level II studies, and two pre–post design studies were classified as level IV . There is level I evidence for no effect of physical training on objectively measured physical activity, conflicting level II evidence for interventions with a behavioural component on the increase of objectively measured physical activity directly after the intervention, and level II evidence for no effect during follow‐up. Results are limited to children with cerebral palsy as no other diagnoses were included. Interpretation Increasing physical activity in children with physical disabilities is very complex and demands further development and research.