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|Sports Stars: a practitioner-led, peer-group sports intervention for ambulant children with cerebral palsy. Activity and participation outcomes of a randomised controlled trial [with consumer summary]|
|Clutterbuck GL, Auld ML, Johnston LM|
|Disability and Rehabilitation 2020 Jun 30:Epub ahead of print|
|6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*|
PURPOSE: To investigate the effectiveness of a practitioner-led, peer-group sports intervention for children with CP at GMFCS Level I to II. METHOD: Children with CP (GMFCS I to II; 6 to 12 years) were randomised to Sports Stars or waitlist-control groups. Sports Stars included eight-weeks (eight hours) of physiotherapist-led, sports-specific gross motor activity training, sports education, teamwork development and confidence building. Sports participation was measured using self-identified participation goals (modified Canadian Occupational Performance Measure (mCOPM)). Physical competence was measured with mCOPM activity goals and high-level gross motor batteries (Test of Gross Motor Development (TGMD-2); GMFM-Challenge) and walking (Timed-Up-and-Go), running (Muscle Power Sprint Test; 10x5m Sprint Test), jumping (Standing Broad Jump; Vertical Jump) and throwing (Seated Throw) items. General participation and quality of life were also measured. Outcomes were measured pre, post and 12-weeks post-intervention. Data were analysed using linear mixed models. RESULTS: Fifty-four children were randomised into Sports Stars (n = 29; GMFCS I = 7, II = 22; male = 19; 8.9 +/- 2 years) or waitlist-control groups (n = 25; GMFCS I = 10, II = 15; male = 14; 8.6 +/- 2 years). The Sports Stars group improved sports participation and activity goals (mCOPM F = 5.49 to 10.29, p < 0.001) and sports-specific physical competence (TGMD-2, F = 3.45 to 5.19, p = 0.001 to 0.009) compared to the waitlist-control. CONCLUSION: Sports Stars is effective for improving sports-specific participation and physical competence for children with CP.