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Effect of Cardiovascular Endurance Training on the Exercise Capacity and Endurance in Children With Cerebral Palsy

Overview
Journal Cureus
Specialty Biomedical Engineering
Date 2024 Jul 4
PMID 38962640
Authors
Rochelle Tauro
Sankar Ganesh
Jenniefer G Vincent
Affiliations
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Abstract

Background: Cerebral palsy (CP) is non-progressive brain damage that occurs before, during, or shortly after birth. CP is associated with poor physical fitness, which is linked to health problems and the development of secondary illnesses like obesity, cardiovascular disease, and diabetes. Compared to healthy peers without CP, children with CP have considerably lower VO2 peaks, which reduces their performance and aerobic capacity.

Objective: This study aimed to evaluate changes in exercise capacity and endurance among children with CP, as well as fatigue levels among their parents and caregivers, after participation in cardiovascular endurance training.

Methodology: This study included 16 children aged 7-12 years with CP (Gross Motor Function Classification System levels I, II, or III). Participants completed a 12-week cardiovascular endurance program consisting of 60-minute sessions three times weekly designed to achieve 64-95% of their heart rate maximum,based on the American College of Sports Medicine guidelines. Pre- and post-intervention measurements were recorded for the following: distance covered in a six-minute walk, maximal oxygen consumption (VO2 max) level, Early Activity Scale for Endurance rating, and Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Fatigue Scale score and PROMIS Parent Proxy Scale and Fatigue Scale scores.  Result: Upon completing the cardiovascular endurance training, the distance covered during a six-minute walk improved by 20.95 points, resting heart rate by 5.19 points, VO2 max by 0.06 points, Early Activity Scale for Endurance by 4.06 points, PROMIS Pediatric Fatigue Scale by 7.29 points, PROMIS Parent Proxy Scale by 6.81 points, and PROMIS Fatigue Scale by 5.07 points. The maximum heart rate also showed a slight improvement of 0.33 points (p<0.01).

Conclusion: A structured exercise protocol aimed at improving cardiovascular endurance can benefit children with CP by improving their exercise capacity and endurance, which in turn can help decrease fatigue levels among their parents and caregivers.

References
1.
Fowler E, Kolobe T, Damiano D, Thorpe D, Morgan D, Brunstrom J . Promotion of physical fitness and prevention of secondary conditions for children with cerebral palsy: section on pediatrics research summit proceedings. Phys Ther. 2007; 87(11):1495-510. DOI: 10.2522/ptj.20060116. View
2.
McDonald C, Henricson E, Abresch R, Florence J, Eagle M, Gappmaier E . The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013; 48(3):357-68. PMC: 3826053. DOI: 10.1002/mus.23905. View
3.
Balemans A, van Wely L, De Heer S, van den Brink J, de Koning J, Becher J . Maximal aerobic and anaerobic exercise responses in children with cerebral palsy. Med Sci Sports Exerc. 2012; 45(3):561-8. DOI: 10.1249/MSS.0b013e3182732b2f. View
4.
Lai J, Stucky B, Thissen D, Varni J, Morgan DeWitt E, Irwin D . Development and psychometric properties of the PROMIS(®) pediatric fatigue item banks. Qual Life Res. 2013; 22(9):2417-27. PMC: 3695011. DOI: 10.1007/s11136-013-0357-1. View
5.
Nsenga Leunkeu A, Shephard R, Ahmaidi S . Six-minute walk test in children with cerebral palsy gross motor function classification system levels I and II: reproducibility, validity, and training effects. Arch Phys Med Rehabil. 2012; 93(12):2333-9. DOI: 10.1016/j.apmr.2012.06.005. View