{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T13:36:47Z","timestamp":1793367407375,"version":"4.5.0"},"reference-count":57,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effects of a 4-week intensive, goal-oriented muscle strengthening program on functional goal attainment, physical performance, fatigue, and self-esteem in ambulatory adults with cerebral palsy (CP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective monocentric uncontrolled observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Sixty-six ambulatory adults with hemiplegic, diplegic or quadriplegic CP, classified as Gross Motor Function Classification System (GMFCS) levels I\u2013III.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The intervention consisted in a 4-week intensive group program (48\u2005h total) focused on individualized, goal-directed muscle strengthening. Functional goals were assessed with the Canadian Occupational Performance Measure. Physical performance included the 6-Minute Walk Test, Gross Motor Function Measure, and muscle strength testing. Fatigue was measured using the Fatigue Impact Scale, and self-esteem with the Rosenberg Self-Esteem Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most goals concerned mobility (32%), domestic activities (25%), and leisure (19%). Significant improvements were observed in COPM performance (+1.8) and satisfaction (+2.4), walking distance (+49.4 m), GMFM dimensions D and E (+2.9 and +3), and muscle strength (all p&lt;0.001). Fatigue decreased across all FIS domains, and self-esteem improved modestly. No correlation was found between fatigue reduction and motor gains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This first study of intensive group therapy in adults with CP shows that participation in the program was associated in improvements in short-term functional outcomes without increasing fatigue, aligns with patient priorities, and may support active and healthy aging. These findings should be interpreted with caution due to the study design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261470440","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:28:23Z","timestamp":1785425303000},"page":"418-430","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Intensive Therapy in Adults with Cerebral Palsy? Yes, They Can! 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