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EJ969681 - The PEDALS Stationary Cycling Intervention and Health-Related Quality of Life in Children with Cerebral Palsy: A Randomized Controlled Trial

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ERIC #:	EJ969681
Title:	The PEDALS Stationary Cycling Intervention and Health-Related Quality of Life in Children with Cerebral Palsy: A Randomized Controlled Trial
Authors:	DeMuth, Sharon K.; Knutson, Loretta M.; Fowler, Eileen G.
Descriptors:	Physical Activities; Quality of Life; Child Health; Children; Cerebral Palsy; Intervention; Psychological Patterns; Well Being; Parents; Expectation; Physical Fitness
Source:	Developmental Medicine & Child Neurology, v54 n7 p654-661 Jul 2012
More Info: Help Peer Reviewed:	Yes
Publisher:	Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/
Publication Date:	2012-07-00
Pages:	8
Pub Types:	Journal Articles; Reports - Research
Abstract:	Aim: The aim of this study was to assess health-related quality of life (HRQOL) following a stationary cycling intervention in children with cerebral palsy (CP). Method: This was a phase I multisite randomized controlled trial with single blinding. HRQOL was evaluated using the Pediatric Quality of Life Inventory SF15 (PedsQL; children) and Pediatric Outcomes Data Collection Instrument (PODCI; parent proxy) before and after a 3 month stationary cycling intervention. Sixty-two children (29 male, 33 female; mean age 11y; range 7-18y) with spastic diplegic CP, classified as levels I to III on the Gross Motor Function Classification System, were enrolled. Paired and independent t-tests were used to evaluate within- and between-group differences respectively. Results: Between-group differences, favoring the cycling group, were found for PedsQL emotional functioning (p = 0.046) and Parental PODCI treatment expectations scores (p = 0.006). Between-group differences were not found for other scales. Within-group improvements were found in the cycling group: PedsQL total score (+5.8; p = 0.006), psychosocial health summary (+6.9; p = 0.008), and school functioning (+8.0; p = 0.038). PODCI satisfaction with symptoms decreased significantly only in the control group (-12.0; p = 0.046). Interpretation: A beneficial influence of exercise on pediatric emotional well-being and parental treatment expectations was found. The evidence was not strong for other aspects of HRQOL. Results support the positive relationship between physical fitness and emotional well-being in the general population. A child's perception is important when examining change in his or her emotional well-being due to intervention.
Abstractor:	As Provided
Reference Count:	0

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Record Type:	Journal
Level:	N/A
Institutions:	N/A
Sponsors:	N/A
ISBN:	N/A
ISSN:	ISSN-0012-1622
Audiences:	N/A
Languages:	English
Education Level:	N/A
Direct Link:	http://dx.doi.org/10.1111/j.1469-8749.2012.04321.x

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