Affiliations: [a] Department of Rehabilitation Sciences, University of Hartford, West Hartford, CT, USA | [b] Department of Physical Therapy, Indiana University, Indianapolis, IN, USA | [c] Department of Physical Therapy, Springfield College, Springfield, MA, USA | [d] Department of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA | [e] Barney School of Business, University of Hartford, West Hartford, CT, USA
Correspondence:
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Corresponding author: Mary E. Gannotti, 200 Bloomfield Avenue, West Hartford, CT 06117, USA. Tel.: +1 860 768 5373; Fax: +1 860 768 4558; E-mail:Gannotti@hartford.edu
Abstract: Children with moderate to severe cerebral palsy are at risk for
low bone mass for chronological age, which compounds risk in adulthood for
progressive deformity and chronic pain. Physical activity and exercise can
be a key component to optimizing bone health. In this case report we present
a young adult male with non-ambulatory, spastic quadriplegia CP whom began a
seated speed, resistance, and power training exercise program at age 14.5
years. Exercise program continued into adulthood as part of an active
lifestyle. The individual had a history of failure to thrive, bowel and
bladder incontinence, reduced bone mineral density (BMD) for age, and spinal
deformity at the time exercise was initiated. Participation in the exercise
program began once a week for 1.5-2 hours/session, and progressed to 3-5
times per week after two years. This exercise program is now a component of
his habitual lifestyle. Over the 6 years he was followed, lumbar spine and
total hip BMD Z-scores did not worsen, which may be viewed as a positive
outcome given his level of gross motor impairment. Additionally, the
individual reported less back pain, improved bowel and bladder control,
increased energy level, and never sustained an exercise related injury.
Findings from this case report suggest a regular program of seated speed,
resistance, power training may promote overall well-being, are safe, and
should be considered as a mechanism for optimizing bone health.
Keywords: Cerebral palsy, quadriplegic, bone mineral density, exercise
