Intervenção de esportes modificados para melhorar metas de participação e competências de atividade em crianças deambuladoras com paralisia cerebral: um ensaio clínico randomizado.
Ricardo R Sousa Junior, Georgina L Clutterbuck, Rafaela F Guimaraes and 5 others
PMID 40605783WHAT IT FOUND
Group modified sports improved parent-defined participation goals and motor performance more than usual individual physiotherapy in children with cerebral palsy.
The sports group attended fewer total therapy hours. Physical activity levels and general participation did not change.
Key findings
01The modified sports group showed greater improvement in parent-defined participation goals for frequency and involvement in leisure physical activities compared to usual physiotherapy.
02The modified sports group showed greater improvement in parent-defined motor performance goals compared to usual physiotherapy, despite receiving fewer total therapy hours.
03There were no improvements in overall physical activity levels, body functions, or general participation in home, school, or community settings.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The sample size was small (38 children), and the study was underpowered to detect differences in several secondary outcomes such as physical literacy and motor capacity. Data on the usual physiotherapy group was based on parent reports rather than direct therapist records, as therapists did not provide information. The study did not include adolescents, limiting generalisability to older children. There was no blinding of participants or therapists to the intervention, which may have influenced parent-reported outcomes. The study did not assess cost-effectiveness directly, despite suggestions of lower resource use.
Declared interests
The authors declared no conflicts of interest. The study was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) and the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) through scholarships.
The easy way to misread this
Do not assume this programme will increase a child's overall physical activity levels or general participation in daily life. The study found no significant changes in these areas, with improvements limited to specific parent-defined goals for leisure sports participation and motor performance.
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