Modified sports intervention for improving participation goals and activity competence in ambulant children with cerebral palsy: A randomized controlled trial.

The study was powered for the primary outcome but had low power (22%-64%) for some secondary outcomes like physical literacy and motor capacity tests. Data on the usual physical therapy control group relied on parent recall because therapists did not collaborate with data collection, potentially introducing bias regarding the content and adherence of usual care. Some participants had missing data at post-intervention and follow-up assessments, though there were no dropouts. The minimal clinically important difference for the COPM was not analysed because current evidence refutes standard MCID values for this measure. The study population was limited to children who could safely participate in physical activities and whose parents agreed to suspend usual therapy for the intervention group, which may limit generalizability to children with more complex needs.

The authors declare no conflicts of interest.

Do not assume that improved parent-set goals for participation translate to increased overall physical activity levels or improved body functions. The study found significant gains in specific COPM goals but no difference in accelerometer-measured activity or clinical measures of balance and strength.