Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health

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 cereb...

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Main Authors: Noelle G. Moreau, Kathleen M. Friel, Robyn K. Fuchs, Sudarshan Dayanidhi, Theresa Sukal-Moulton, Marybeth Grant-Beuttler, Mark D. Peterson, Richard D. Stevenson, Susan V. Duff
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Behavioral Sciences
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Online Access:https://www.mdpi.com/2076-328X/13/7/539
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author Noelle G. Moreau
Kathleen M. Friel
Robyn K. Fuchs
Sudarshan Dayanidhi
Theresa Sukal-Moulton
Marybeth Grant-Beuttler
Mark D. Peterson
Richard D. Stevenson
Susan V. Duff
author_facet Noelle G. Moreau
Kathleen M. Friel
Robyn K. Fuchs
Sudarshan Dayanidhi
Theresa Sukal-Moulton
Marybeth Grant-Beuttler
Mark D. Peterson
Richard D. Stevenson
Susan V. Duff
author_sort Noelle G. Moreau
collection DOAJ
description 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.
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spelling doaj.art-4f0e83e91106485bbd0528014b4fe1372023-11-18T18:19:36ZengMDPI AGBehavioral Sciences2076-328X2023-06-0113753910.3390/bs13070539Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle HealthNoelle G. Moreau0Kathleen M. Friel1Robyn K. Fuchs2Sudarshan Dayanidhi3Theresa Sukal-Moulton4Marybeth Grant-Beuttler5Mark D. Peterson6Richard D. Stevenson7Susan V. Duff8Department of Physical Therapy, School of Allied Health Professions, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USABurke Neurological Institute, Weill Cornell Medicine, White Plains, NY 10605, USADivision of Biomedical Science, College of Osteopathic Medicine, Marian University, Indianapolis, IN 46222, USAShirley Ryan Ability Lab, Chicago, IL 60611, USADepartment of Physical Therapy & Human Movement Sciences, Northwestern University, Chicago, IL 60611, USADepartment of Physical Therapy, Oregon Institute of Technology, Klamath Falls, OR 97601, USADepartment of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USADivision of Neurodevelopmental and Behavioral Pediatrics, Department of Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA 22903, USADepartment of Physical Therapy, Crean College of Health and Behavioral Sciences, Chapman University, Irvine, CA 92618, USAPhysical 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.https://www.mdpi.com/2076-328X/13/7/539muscle strengthmuscle powerresistance trainingbone healthlifelong fitness
spellingShingle Noelle G. Moreau
Kathleen M. Friel
Robyn K. Fuchs
Sudarshan Dayanidhi
Theresa Sukal-Moulton
Marybeth Grant-Beuttler
Mark D. Peterson
Richard D. Stevenson
Susan V. Duff
Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health
Behavioral Sciences
muscle strength
muscle power
resistance training
bone health
lifelong fitness
title Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health
title_full Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health
title_fullStr Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health
title_full_unstemmed Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health
title_short Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health
title_sort lifelong fitness in ambulatory children and adolescents with cerebral palsy i key ingredients for bone and muscle health
topic muscle strength
muscle power
resistance training
bone health
lifelong fitness
url https://www.mdpi.com/2076-328X/13/7/539
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