Physical Activity for improving cardiovascular fitness and respiratory function in children presenting with cerebral palsy GMFCS levels IV and V: a systematic review - preliminary findings.

Lieselotte Corten, Brenda Morrow, Veena Raigangar, Leonard Henry Joseph, Anna Bowerman, Anri Human

Research output: Contribution to conferenceAbstractpeer-review

Abstract

Aim: This systematic review aims to explore how PA can improve the cardiorespiratory outcomes of non-ambulatory children with CP.
Methodology: This systematic review (PROSPERO CRD420250653485) includes experimental studies investigating the impact of all forms of PA in children, younger than 18 years of age, with a diagnosis of non-ambulatory CP (GMFCS IV-V). PubMed, MEDLINE, CINAHL, PEDro, Cochrane Library, Web of Science, Clinical Trials registry were searched; with keywords related to children, CP, non-ambulatory/GMFCS IV-V, and PA. Studies published from 2005 onwards in English, French, German, Dutch, or Afrikaans were included. The primary outcomes for the review are cardiovascular fitness and respiratory function. Two independent reviewers screened titles, abstracts, and full texts for eligibility. Disagreements were resolved through
consensus, with a third reviewer if necessary. A standardised data extraction tool will be completed by two independent researchers.
Results: Database searches identified 1293 hits, of which 496 duplicates were removed and 718 excluded based on titles and abstracts. One full text was unavailable. Seventy-eight full texts and protocols were sourced, identifying 12 studies, 1 abstract and 7 ongoing trials for inclusion, 1 awaiting arbitration. A total of 399 children with CP (120 GMFCS IV, 27 GMFCS V) aged 3-18 years were included in the studies. Robot assisted gait training was the most common form of PA (n= 6); the 6-minute walk/run test the most preferred outcome measure (n= 7). [data analysis ongoing].
Conclusions / Implications: This systematic review targets an under-researched population of non-ambulatory children with CP, with GMFCS V significantly underrepresented. More research is warranted in this population group, investigating
habitual PA and outcome measures appropriate for non-ambulatory children.
Original languageEnglish
Pages14-15
DOIs
Publication statusPublished - 4 Nov 2025
EventAPCP National Conference - Convene Conference Centre London , London, United Kingdom
Duration: 3 Oct 20254 Oct 2025
https://apcp.csp.org.uk/news-events/events/events-listing/apcp-national-conference-2025-igniting-inspiring-excellence

Conference

ConferenceAPCP National Conference
Country/TerritoryUnited Kingdom
CityLondon
Period3/10/254/10/25
Internet address

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