However, based on the results for the activity monitor, it is unl

However, based on the results for the activity monitor, it is unlikely that a larger C646 chemical structure sample

size would have resulted in a positive intervention effect for walking activity. A strength of this study was the location of the program in the children’s homes, in paediatric physiotherapy practices or special schools for children with disabilities. While different characters, motivational skills and training facilities might have influenced the effects of training, this variety increases the generalisability of our results to other paediatric practices. In conclusion, a physical activity stimulation program combining counselling through motivational interviewing, home-based physiotherapy and fitness training was not effective for increasing children’s physical activity, or improving mobility capacity, fitness, fatigue, and attitude towards sports. Further research should be performed to determine the separate contribution of each component of the program for improving physical activity. What is already known

on this topic: Children with cerebral palsy have lower levels of physical activity and fitness compared to their typically developing peers. Physical activity patterns may persist into adolescence and adulthood. Exercise programs can improve the fitness of children with cerebral palsy. Studies of interventions to promote physical activity in this population have shown favourable, but non-significant, trends. What this study adds: A physical SB-3CT activity stimulation program consisting of fitness training, counselling and home-based therapy was not effective in children with cerebral palsy. Although the program improved the children’s attitude to sports, the effect was small. Footnotes: a StepWatch™ Activity Monitor 3.0, Orthocare Innovations, Seattle, USA. b MicroFet dynamometer, Biometrics, Almere, The Netherlands. c Corival V2 Lode B.V., Groningen, The Netherlands. d Cosmed, Rome, Italy. eAddenda: Tables 6 and

7 can be found online at doi:10.1016/j.jphys.2013.12.007 The following are the supplementary data to this article: Table 6. Ethics: The Medical Ethical Board of the VU University Medical Center, Amsterdam, approved this study. Parents and children aged 12 years and over gave written informed consent before data collection began. Competing interests: Nil. Grant providers were not involved in the design of the study, data collection, data analysis, manuscript preparation and publication decisions. Source(s) of support: This project is part of the Dutch national LEARN 2 MOVE research program and is supported financially by ZonMw (grant number 89000002), Johanna Kinderfonds, Stichting Rotterdams Kinderrevalidatie Fonds Adriaanstichting, Revalidatiefonds, Phelps Stichting, Revalidatie Nederland, and the Nederlandse Vereniging van Revalidatieartsen.

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