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Acceptability of a progressive resistance training programme for ambulatory adolescents with spastic cerebral palsy in England: a qualitative study.

journal contribution
posted on 2023-06-02, 09:07 authored by Jennifer RyanJennifer Ryan, Cherry Kilbride, Marika Noorkoiv, Nicola Theis, Adam Shortland, Wendy Levin, Grace Lavelle

Purpose: The aim of this study was to explore the acceptability of a 10-week progressive resistance training programme from the perspective of ambulatory adolescents with CP and physiotherapists.

Material and methods: Semi-structured interviews were conducted with 32 adolescents with spastic CP, aged 10-19 years in Gross Motor Function Classification System (GMFCS) levels I-III, and 13 physiotherapists. Adolescents had completed a 10-week progressive resistance training programme and physiotherapists had delivered the programme. The Framework Method was used to analyse data.

Results: The analysis identified four themes. "It's do-able" described the acceptability of the programme structure, including the frequency of sessions and the duration of the programme. "They were difficult but I did it" described the acceptability of the exercises. "It is completely different," explored the experience of using equipment to progress the programme and "I wish I could do it on a permanent basis" discussed continuing to participate in resistance training.

Conclusions: Findings suggest that resistance training is largely acceptable to adolescents and physiotherapists. Acceptability was enhanced by having a weekly supervised session and being able to adapt and progress the exercises to meet the individual's ability. However, there are challenges to implementing progressive resistance training as part of routine practice.

Clinical trial registration number: ISRCTN90378161.

Funding

The feasibility, acceptability and efficacy of resistance training for adolescents with cerebral palsy. | Funder: Action Medical Research and the Chartered Society of Physiotherapy Charitable Trust.

The Henry Smith Charity (GN2340)

History

Comments

This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 8 May 2023, available at: http://www.tandfonline.com/10.1080/09638288.2023.2208377.

Published Citation

Ryan JM, et al. Acceptability of a progressive resistance training programme for ambulatory adolescents with spastic cerebral palsy in England: a qualitative study. Disabil Rehabil. 2023:1-9.

Publication Date

8 May 2023

PubMed ID

37154619

Department/Unit

  • School of Population Health

Research Area

  • Population Health and Health Services

Publisher

Taylor & Francis

Version

  • Accepted Version (Postprint)