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Bike skills training for children with cerebral palsy: protocol for a randomised controlled trial

Toovey, Rachel, Harvey, Adrienne R., McGinley, Jennifer L., Lee, Katherine J., Shih, Sophy T. F. and Spittle, Alicia J. 2018, Bike skills training for children with cerebral palsy: protocol for a randomised controlled trial, BMJ Open, vol. 8, no. 2, doi: 10.1136/bmjopen-2017-019898.

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Title Bike skills training for children with cerebral palsy: protocol for a randomised controlled trial
Author(s) Toovey, Rachel
Harvey, Adrienne R.
McGinley, Jennifer L.
Lee, Katherine J.
Shih, Sophy T. F.ORCID iD for Shih, Sophy T. F. orcid.org/0000-0003-0049-2888
Spittle, Alicia J.
Journal name BMJ Open
Volume number 8
Issue number 2
Article ID e019898
Total pages 9
Publisher BMJ Publishing
Place of publication London, Eng.
Publication date 2018-02-03
ISSN 2044-6055
Keyword(s) Children
Adolescent
Australia
Bicycling
Cerebral Palsy
Child
Exercise
Female
Humans
Linear Models
Logistic Models
Male
Motor Skills
Research Design
Summary INTRODUCTION: Two-wheel bike riding can be a goal for children with cerebral palsy (CP) and a means of participating in physical activity. It is possible for some children with CP to ride a two-wheel bike; however, currently far fewer can ride compared with their typically developing peers. Evidence supports training targeted towards goals of the child with CP and their family; yet there is little evidence to guide best-practice bike skills training. Task-specific training may lead to attainment of two-wheel bike-specific goals. This study aims to determine if a novel task-specific approach to training two-wheel bike skills is more effective than a parent-led home programme for attaining individualised two-wheel bike-specific goals in independently ambulant children with CP aged 6-15 years.

METHODS AND ANALYSIS: Sixty eligible children with CP (Gross Motor Function Classification System levels I-II) aged 6-15 years with goals relating to riding a two-wheel bike will be randomised to either a novel task-specific centre-based group programme (intervention) or a parent-led home-based programme (comparison), both involving a 1-week intervention period. The primary outcome is goal attainment in the week following the intervention period (T1). Secondary outcomes include: goal attainment and participation in physical activity at 3 months postintervention (T2) and bike skills, attendance and involvement in bike riding, self-perception and functional skills at T1 and T2. Economic appraisal will involve cost-effectiveness and cost-utility analyses. Adherence of clinicians and parents to the intervention and comparison protocols will be assessed. Linear and logistic regression will be used to assess the effect of the intervention, adjusted for site as used in the randomisation process.

ETHICS AND DISSEMINATION: This study was approved by the Human Research and Ethics Committees at The Royal Children's Hospital (#36209). Results will be disseminated via peer-reviewed publications and conference presentations.
Language eng
DOI 10.1136/bmjopen-2017-019898
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30113444

Document type: Journal Article
Collections: Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.