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Issue title: Complex Care in Pediatrics: Great Progress, Greater Challenges
Subtitle:
Guest editors: Rishi Agrawal
Article type: Research Article
Authors: Dodds, Cindy B.a; * | Bjornson, Kristie F.b | Sweeney, Jane K.c | Narayanan, Unni G.d
Affiliations: [a] Division of Physical Therapy, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA | [b] Developmental Medicine, Seattle Children's Research Institution, University of Washington, Seattle, WA, USA | [c] Rocky Mountain University of Health Professions, Provo, UT, USA | [d] The Hospital for Sick Children, University of Toronto, Bloorview Research Institute, Toronto, ON, Canada
Correspondence: [*] Corresponding author: Cindy B. Dodds, Division of Physical Therapy, College of Health Professions, Medical University of South Carolina, 151 Rutledge Avenue Building B MSC 962, Charleston, SC 29425-9620, USA. Tel.: +1 843 792 5731; E-mail:doddscb@musc.edu
Abstract: PURPOSE: To investigate the impact of a 5-week supported physical activity (PA) intervention on parental report of health-related quality of life (HRQL) in children with medical complexity (CMC). METHODS: Twenty-nine CMC participated in 180 minutes of supported PA daily. A pre- and post-test design was used to assess HRQL total and domain scores as reported by parents. The relationship between supported PA duration and HRQL was also examined. RESULTS: Children with medical complexity experienced no adverse effects with the supported PA intervention. Significant improvements in HRQL scores (P < 0.05) were demonstrated. A 5- to 8-point HRQL improvement occurred when CMC engaged in an average of 40 minutes of PA daily. CONCLUSION: Short-term, supported PA enhanced parental report of HRQL in children with medical complexity. Supported PA appears safe for CMC and rehabilitation therapists should explore methods to expand opportunities for participation.
Keywords: Children with medical complexity, health-related quality of life, quality of life, physical activity
DOI: 10.3233/PRM-150322
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 8, no. 2, pp. 83-95, 2015
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