Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 4 Issue 7

Exercise Testing in Children with Cerebral Palsy

Leunkeu AN1*, Shephard RJ2 and Ahmaidi S1

1Research Laboratory, “Adaptations Physiologiques à l’Exercice et Readaptation à l’Effort", Faculty of Sciences and Sport, University of Picardie Jules Verne, France
2Faculty of Kinesiology and Physical Education, University of Toronto, Canada

*Corresponding Author: Leunkeu AN, Research Laboratory, “Adaptations Physiologiques à l’Exercice et Readaptation à l’Effort", Faculty of Sciences and Sport, University of Picardie Jules Verne, France.

Received: April 22, 2021; Published: June 15, 2021

Abstract

Objective: The aim of this study is to examine if cardiorespiratory requirements assess during the 6-minute walking test (6WT) and the cardiopulmonary exercise test (CPET) before and after training are the same in children with cerebral palsy (CP).

Methods: Twenty-four children with CP (16 boys and 8 girls, with the mean age of 14.2 ± 2 years (10 to 16 years) classified at gross Motor Function Classification System level I and II were recruited from a school for special education in France. Participants were divided in two groups of twelve children matched for age, weight, height, sex, type of cerebral palsy and growth motor function classification system (GMFSC). One group (n = 12) underwent CPET before and after the 8-week training programme twice per week for 30 minutes (+5min of warm up and 5 minutes of rest), and another group (n = 12) assigned the 6WT before and after the 8-week training programme twice per week for 30 minutes.

Results: Cardiorespiratory data did not differ between the CPET and the 6WT before training (VO2 Peak: p = 0.86; VE Peak: p = 0.87 and HR Peak: p = 0.41) and after training (p = 0,41, p = 0,26 et p = 0,65) respectively.

Conclusion: These findings demonstrate that cardiorespiratory responses obtained during the 6WT and the CPET before and after training did no differ in children with cerebral palsy.

Keywords: Children with CP; Cardiopulmonary Exercise Test; 6WT; Exercise Training

References

  1. Angeline N Leunkeu., et al. “Optimizing Rehabilitation: The potential to Assess cardiorespiratory, Neuromuscular and Biomechanical Adaptations to Exercise of Children with Cerebral Palsy in the face of Intra-Individual Variation”. Journal of Novel Physiotherapy and Physical Rehabilitation 2 (2017): 042-047.
  2. Angeline Nsenga Leunkeu and Said Ahmaidi. “Longitudinal assessment of muscle function and oxygen cost during isometric testing in children with cerebral palsy”. Isokinetics and Exercise Science 20 (2012): 1-7.
  3. Angeline Nsenga Leunkeu., et al. “Six-Minute Walk Test in Children with Cerebral palsy Gross Motor Function Classification System Levels I and II: Reproducibility, validity and Training effects”. Archives of Physical Medicine and Rehabilitation 93 (2012): 2333-2339.
  4. Ashworth B. “Preliminary trial of carisoprodol in multiple sclerosis”. Practitioner 192 (1964): 540-542.
  5. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. “ATS statement: Guidelines for the six-minute walk test”. American Journal of Respiratory and Critical Care Medicine 166 (2002): 111-117.
  6. Blanchard J., et al. “New reference values for cardiopulmonary exercice testing in children”. Medicine and Science in Sports and Exercise6 (2018): 1125.
  7. Borg GA. “Psychophysical bases of perceived exertion”. Medicine and Science in Sports and Exercise 14 (1982): 377381.
  8. Enright PL. “The six-minute walk test”. Respiratory Care 48 (2003): 783-785.
  9. “Ethical Standards in Sport and Exercise Science Research”. International Journal of Sports Medicine 30 (2009): 701702.
  10. Harris DJ and Atkinson G. “Update – ethical standards in sport and exercise science research”. International Journal of Sports Medicine11 (2011): 819-821.
  11. Henderson RC., et al. “Skeletal maturation in moderate to severe cerebral palsy”. Developmental Medicine and Child Neurology4 (2005): 229-236.
  12. Leunkeu AN., et al. “Electromyographic (EMG) Analysis of quadriceps femoris muscle fatigue in children with cerebral palsy during a sustained isometric contraction”. Journal of Child Neurology 3 (2010): 287-293.
  13. Maltais D., et al. “Repeated treadmill walks affect physiologic responses in children with cerebral palsy”. Medicine and Science in Sports and Exercise 35 (2003): 1653-1661.
  14. Nsenga AL., et al. “Aerobic Training in Children with Cerebral Palsy”. International Journal of Sports Medicine 34 (2013): 533-537.
  15. Nsenga Leunkeu A., et al. “Cardiopulmonary exercise data during quadriceps isometric contraction sustained fatigue in children with cerebral palsy”. Isokinetics and Exercise Science 17 (2009): 27-33.
  16. Paap E., et al. “Physiologic response of the six minute walk test in children with juvenile idiopathic arthritis”. Arthritis and Rheumatology 53 (2005): 351-356.
  17. Palisano R., et al. “Validation of a model of Gross Motor Function for children with Cerebral Palsy”. Physical Therapy 80 (2002): 974-985.
  18. Potter C and Unnithan VB. “Interpretation and implementation of oxygen uptake kinetics studies in children with spastic cerebral palsy”. Developmental Medicine and Child Neurology 47 (2005): 353-357.
  19. Rogers A., et al. “Systematic review of the effectiveness of aerobic exercise interventions for children with cerebral palsy: an AACPDM evidence report”. Developmental Medicine and Child Neurology 50 (2008): 808-814.
  20. Takken Tim., et al. “Cardiopulmonary Exercice Testing in Pediatrics”. American Thoracic Society1 (2017): 123128.
  21. Verschuren O., et al. “Exercise programs for children with cerebral palsy: a systematic review of the literature”. American Journal of Physical Medicine and Rehabilitation 5 (2008): 404-417.
  22. Worley G., et al. “Secondary sexual characteristics in children with cerebral palsy and moderate to severe motor impairement: a cross-sectional survey”. Pediatrics5 (2002): 897-902.
  23. Zwinkels Maremka., et al. “Body mass index and Fitness in Hjgh-Functioning Cildren and adolescents with Cerebral Palsy; What Happened over a decade?” Research in Developmental Disabilities 71 (2017): 70-76.

Citation

Citation: Leunkeu AN., et al. “Exercise Testing in Children with Cerebral Palsy”. Acta Scientific Neurology 4.7 (2021): 32-38.

Copyright

Copyright: © 2021 Leunkeu AN., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US