Category: Pediatric Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Objective : General objective:To determine the cardio respiratory fitness of cerebral palsy children with GMFCS I, II, III in terms of VO2 max, heart rate and the Borg Scale for perceived exertion by 2 MWT.
Specific objectives:To explore the socio-demographic characteristics of participant, to assess factor associated with cardio respiratory fitness.To study the association between different heart rates measured during 2MWT, to study the association between cardio respiratory fitness and locomotion capacity of children with CP, to determine the association between VO2 max and HR during 2MWT, to show the association between Perceived Exertion and VO2 max.
Design : The study was a cross-sectional study (Screening).
Setting : The study was conducted at the Centre for the Rehabilitation of the Paralyzed (CRP) in Savar, Bangladesh.
Participants (or Animals, Specimens, Cadavers) : The study population was the cerebral palsy children with GMFS I-III from the William and Marie Taylor School and Pediatric unit of CRP. The number of participanys were 95 out of 110 because of inclusion crieteria.
A Convenience sampling was used for this study.
Interventions : Not applicable
Main Outcome Measure(s) : This study had no planned outcomes because its cross section (screeing) study withich aims to findout the status of VO2 max.
Children with CP have a poor cardiorespiratory fitness with lower level of VO2 max than normal child of same age group. There was no significantly difference in cardiorespiratory fitness of male and female in term of calculated VO2 max. However, female of age group 10-12 years has comparably better cardiorespiratory fitness than boys and more than half of the children with CP participant have a risk of developing Cardiovascular problem as determined by heart rate recovery.
Conclusions : Cardiorespiratory fitness was significantly poor in CP children than health children of same age and more than 50% have a risk of cardiorespiratory problems. Cardiorespiratory fitness doesn't affect locomotory capacity but heart rate recovery and heart rate reserve show high association with VO2 max. However, further study with better sample size, study time, comparison group and by using other research tools are needed for determining the cardiorespiratory fitness of Children with CP.
Rabindra Naha– Physiotherapist and Rehabilitation Coordinator, Nepal Korea Friendship Municipality Hospital, Bhaktapur, Bagmati