{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:07:08Z","timestamp":1791889628745,"version":"4.3.4"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Despite the health benefits of regular physical activity, children with cerebral palsy (CP) are thought to participate in reduced levels of physical activity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The study objective was to assess physical activity and determine the proportion adhering to the recommended 60 minutes of moderate-to-vigorous physical activity (MVPA) daily in independently ambulant children and adolescents with unilateral CP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>This was a cross-sectional study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>Children (N=102; 52 boys, 50 girls; mean age=11 years 3 months, SD=2 years 4 months) with spastic hemiplegia classified at Gross Motor Function Classification System (GMFCS) levels I (n=44) and II (n=58) recorded physical activity over 4 days using an accelerometer. Activity counts were converted to daily and hourly time spent inactive and in light physical activity or MVPA using uniaxial cutpoints (inactive: \u2264100 vertical counts\u00b7min\u22121, light: 101 to 2,295 vertical counts\u00b7min\u22121, MVPA: \u22652,296 vertical counts\u00b7min\u22121) and recorded step counts. Differences between groups were examined using t tests.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of a potential 396 days, 341 days (86%) were recorded. The average wear time was 11:44 (SD=1:56) hours. On a typical day, participants recorded 438 (SD=234) counts\u00b7min\u22121, took 7,541 (SD=3,894) steps, spent 8:36 (SD=1:09) hours inactive, spent 2:38 (SD=0:51) hours in light activity, and spent 0:44 (SD=0:26) hours in MVPA. Only 25% of participants met the recommended level of MVPA on at least one day. Physical activity was highest in boys (versus girls), in children (versus adolescents), and on weekdays (versus weekends).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Limitations<\/jats:title>\n                  <jats:p>Participants were limited to children with unilateral spasticity who were classified at GMFCS levels I and II.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The majority of independently ambulant children with unilateral CP did not perform sufficient physical activity to meet public health recommendations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2522\/ptj.20140031","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T01:59:48Z","timestamp":1412301588000},"page":"202-211","source":"Crossref","is-referenced-by-count":44,"title":["Habitual Physical Activity of Independently Ambulant Children and Adolescents With Cerebral Palsy: Are They Doing Enough?"],"prefix":"10.1093","volume":"95","author":[{"given":"Louise E.","family":"Mitchell","sequence":"first","affiliation":[{"name":"L.E. Mitchell, PhD, MHSt(ClinEpi), BPhty, Queensland Centre of Cerebral Palsy and Rehabilitation Research, Level 7, Block 6, Royal Brisbane and Women's Hospital, Herston, Queensland 4029, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Ziviani","sequence":"additional","affiliation":[{"name":"J. Ziviani, PhD, MEd, BA, BAppSc(OT), Children's Health Queensland and Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roslyn N.","family":"Boyd","sequence":"additional","affiliation":[{"name":"R.N. Boyd, PhD, MSc(Phty), Pgrad(Biomech), Queensland Centre of Cerebral Palsy and Rehabilitation Research, Royal Brisbane and Women's Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"2019123005374452300_B1","unstructured":"World Health Organization. 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