Exercise, physical activity, and cerebral palsy
Children with cerebral palsy have major motor impairments that lead to reduced fitness and physical activity levels. Increased energy cost of walking in combination with reduced aerobic fitness induces high levels of physical strain that can lead to fatigue complaints and limited physical activity. To assess fitness, adapted laboratory and field exercise tests with good reliability and validity are available for both ambulant and wheelchair-using children with cerebral palsy. Children with cerebral palsy show increased sedentary time and low physical activity levels which relate to increased risks for health issues and loss of functional abilities at older age. Reducing sedentary time and increasing physical activity are important to counteract the increased health risks and loss of functional abilities. Fitness training of sufficient frequency, intensity, and duration is required to maintain and optimize long-term health and functional ability in children with cerebral palsy.