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Purpose: To quantify level of everyday physical activity (PA) in adults with bilateral spastic cerebral palsy (CP), and to study associations with personal and CP-related characteristics. Methods: Fifty-six adults with bilateral spastic CP (mean age 36.4 (SD 5.8 years), 62% male) participated. About 75% had high gross motor functioning (GMFCS level I or II). Level of everyday PA was measured with an accelerometry-based Activity Monitor and was characterized by 1) duration of dynamic activities (composite measure, percentage of 24-hours; 2) intensity of activity (motility, in gravitational acceleration [g]); and 3) number of periods of continuous dynamic activity. We compared outcomes in adults with CP to able-bodied age-mates. Results: Duration of dynamic activities was 8.1(SD 3.7)% (116 minutes per day), and intensity of activity was 0.020 (SD 0.007)g; both outcomes were significantly lower compared to able-bodied age-mates. Of adults with CP, 39% had at least one period of continuous dynamic activities lasting longer than 10 minutes per day. Gross motor functioning was significantly associated with level of everyday PA (Rs: ā0.34 to ā0.48; pā¤.01). Conclusion: Adults with bilateral spastic CP, especially those with low-level gross motor functioning, are at risk for an inactive lifestyle.
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