To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children
Abstract Background Cerebral Palsy (CP) is the most common cause of motor disabilities in children and young adults and it is also often associated with cognitive and physiological challenges. Climbing requires a multifaceted repertoire of movements, participants at all levels of expertise may be ch...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-06-01
|
| Series: | BMC Neurology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12883-017-0889-z |
| _version_ | 1819170790093881344 |
|---|---|
| author | Mark Schram Christensen Thor Jensen Camilla B. Voigt Jens Bo Nielsen Jakob Lorentzen |
| author_facet | Mark Schram Christensen Thor Jensen Camilla B. Voigt Jens Bo Nielsen Jakob Lorentzen |
| author_sort | Mark Schram Christensen |
| collection | DOAJ |
| description | Abstract Background Cerebral Palsy (CP) is the most common cause of motor disabilities in children and young adults and it is also often associated with cognitive and physiological challenges. Climbing requires a multifaceted repertoire of movements, participants at all levels of expertise may be challenged functionally and cognitively, making climbing of great potential interest in (re)habilitation settings. However, until now only few research projects have investigated the feasibility of climbing as a potential activity for heightening physical activity in children with CP and the possible beneficial effects of climbing activities in populations with functional and/or cognitive challenges. The aim of this study was therefore to test the feasibility of an intensive 3 weeks indoor-climbing training program in children with CP and typically developing (TD) peers. In addition we evaluated possible functional and cognitive benefits of 3 weeks of intensive climbing training in 11 children with cerebral palsy (CP) aged 11–13 years and six of their TD peers. Method The study was designed as a feasibility and interventional study. We evaluated the amount of time spent being physically active during the 9 indoor-climbing training sessions, and climbing abilities were measured. The participants were tested in a series of physiological, psychological and cognitive tests: two times prior to and one time following the training in order to explore possible effects of the intervention. Results The children accomplished the training goal of a total of nine sessions within the 3-week training period. The time of physical activity during a 2:30 h climbing session, was comparably high in the group of children with CP and the TD children. The children with CP were physically active on average for almost 16 h in total during the 3 weeks. Both groups of participants improved their climbing abilities, the children with CP managed to climb a larger proportion of the tested climbing route at the end of training and the TD group climbed faster. For the children with CP this was accompanied by significant improvements in the Sit-to-stand test (p < 0.01), increased rate of force development in the least affected hand during an explosive pinch test and increased muscular-muscular coherence during a pinch precision test (p < 0.05). We found no improvements in maximal hand or finger strength and no changes in cognitive abilities or psychological well-being in any of the groups. Conclusions These findings show that it is possible to use climbing as means to make children with CP physically active. The improved motor abilities obtained through the training is likely reflected by increased synchronization between cortex and muscles, which results in a more efficient motor unit recruitment that may be transferred to daily functional abilities. Trial registration ISRCTN18006574; day of registration: 09/05/2017; the trial is registered retrospectively |
| first_indexed | 2024-12-22T19:40:59Z |
| format | Article |
| id | doaj.art-6dccaf8decc247d6b3d6a55485e56840 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-22T19:40:59Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-6dccaf8decc247d6b3d6a55485e568402022-12-21T18:14:51ZengBMCBMC Neurology1471-23772017-06-0117112010.1186/s12883-017-0889-zTo be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing childrenMark Schram Christensen0Thor Jensen1Camilla B. Voigt2Jens Bo Nielsen3Jakob Lorentzen4Center for Neuroscience, Section for Integrative Neuroscience, University of Copenhagen, Panum InstituteCenter for Neuroscience, Section for Integrative Neuroscience, University of Copenhagen, Panum InstituteElsass InstituttetCenter for Neuroscience, Section for Integrative Neuroscience, University of Copenhagen, Panum InstituteCenter for Neuroscience, Section for Integrative Neuroscience, University of Copenhagen, Panum InstituteAbstract Background Cerebral Palsy (CP) is the most common cause of motor disabilities in children and young adults and it is also often associated with cognitive and physiological challenges. Climbing requires a multifaceted repertoire of movements, participants at all levels of expertise may be challenged functionally and cognitively, making climbing of great potential interest in (re)habilitation settings. However, until now only few research projects have investigated the feasibility of climbing as a potential activity for heightening physical activity in children with CP and the possible beneficial effects of climbing activities in populations with functional and/or cognitive challenges. The aim of this study was therefore to test the feasibility of an intensive 3 weeks indoor-climbing training program in children with CP and typically developing (TD) peers. In addition we evaluated possible functional and cognitive benefits of 3 weeks of intensive climbing training in 11 children with cerebral palsy (CP) aged 11–13 years and six of their TD peers. Method The study was designed as a feasibility and interventional study. We evaluated the amount of time spent being physically active during the 9 indoor-climbing training sessions, and climbing abilities were measured. The participants were tested in a series of physiological, psychological and cognitive tests: two times prior to and one time following the training in order to explore possible effects of the intervention. Results The children accomplished the training goal of a total of nine sessions within the 3-week training period. The time of physical activity during a 2:30 h climbing session, was comparably high in the group of children with CP and the TD children. The children with CP were physically active on average for almost 16 h in total during the 3 weeks. Both groups of participants improved their climbing abilities, the children with CP managed to climb a larger proportion of the tested climbing route at the end of training and the TD group climbed faster. For the children with CP this was accompanied by significant improvements in the Sit-to-stand test (p < 0.01), increased rate of force development in the least affected hand during an explosive pinch test and increased muscular-muscular coherence during a pinch precision test (p < 0.05). We found no improvements in maximal hand or finger strength and no changes in cognitive abilities or psychological well-being in any of the groups. Conclusions These findings show that it is possible to use climbing as means to make children with CP physically active. The improved motor abilities obtained through the training is likely reflected by increased synchronization between cortex and muscles, which results in a more efficient motor unit recruitment that may be transferred to daily functional abilities. Trial registration ISRCTN18006574; day of registration: 09/05/2017; the trial is registered retrospectivelyhttp://link.springer.com/article/10.1186/s12883-017-0889-zCerebral PalsyChildrenClimbingMotor skillspeer socialization |
| spellingShingle | Mark Schram Christensen Thor Jensen Camilla B. Voigt Jens Bo Nielsen Jakob Lorentzen To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children BMC Neurology Cerebral Palsy Children Climbing Motor skills peer socialization |
| title | To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children |
| title_full | To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children |
| title_fullStr | To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children |
| title_full_unstemmed | To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children |
| title_short | To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children |
| title_sort | to be active through indoor climbing an exploratory feasibility study in a group of children with cerebral palsy and typically developing children |
| topic | Cerebral Palsy Children Climbing Motor skills peer socialization |
| url | http://link.springer.com/article/10.1186/s12883-017-0889-z |
| work_keys_str_mv | AT markschramchristensen tobeactivethroughindoorclimbinganexploratoryfeasibilitystudyinagroupofchildrenwithcerebralpalsyandtypicallydevelopingchildren AT thorjensen tobeactivethroughindoorclimbinganexploratoryfeasibilitystudyinagroupofchildrenwithcerebralpalsyandtypicallydevelopingchildren AT camillabvoigt tobeactivethroughindoorclimbinganexploratoryfeasibilitystudyinagroupofchildrenwithcerebralpalsyandtypicallydevelopingchildren AT jensbonielsen tobeactivethroughindoorclimbinganexploratoryfeasibilitystudyinagroupofchildrenwithcerebralpalsyandtypicallydevelopingchildren AT jakoblorentzen tobeactivethroughindoorclimbinganexploratoryfeasibilitystudyinagroupofchildrenwithcerebralpalsyandtypicallydevelopingchildren |