Time use patterns in ambulatory adolescents with cerebral palsy

Child Care Health Dev. 2013 May;39(3):404-11. doi: 10.1111/j.1365-2214.2011.01352.x. Epub 2011 Nov 25.

Abstract

Background: No studies to date have examined the daily time spent across a variety of activity types (sleep, screen time, physical activity, domestic and school-related) in children with cerebral palsy (CP).

Aim: To investigate the activity patterns of adolescents with CP and contrast them with those of typically developing (TD) adolescents, using a use-of-time approach.

Methods: Forty-one Australian adolescents with CP and 82 TD adolescents matched for age, sex, weight status and socio-economic status undertook structured interviews using a validated computerized use of time recall administered over 4 days. Time devoted to sleep, screen time, physical activity, domestic and school-related activity were compared using anova and Mann-Whitney tests.

Results: Adolescents with CP spent less time in physical activity (91 vs. 147 min/day, P= 0.0003), and in particular, its sub-components of active transport (28 vs. 52 min/day, P= 0.0013) and team sports (25 vs. 39 min/day, P= 0.04). They experienced significantly more quiet time (116 vs. 80 min/day, P= 0.0025) but spent less time in social interaction (6 vs. 22 min/day, P= 0.0016). There were no significant differences in sleep, screen time, domestic activities or school-related time.

Conclusions: By and large, the activity patterns of ambulatory adolescents with CP were similar to their TD peers. Results highlight physical activity in younger adolescents (11-13 years) as an area for targeted interventions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Adolescent
  • Adolescent Behavior / physiology*
  • Age Factors
  • Body Weight / physiology
  • Case-Control Studies
  • Cerebral Palsy / physiopathology
  • Cerebral Palsy / rehabilitation*
  • Child
  • Female
  • Humans
  • Interpersonal Relations
  • Male
  • Motor Activity / physiology
  • Motor Skills / physiology
  • Social Class
  • South Australia