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Modified Sports Intervention Combined with a Context-Focused Intervention for Children with Cerebral Palsy: A Feasibility Randomised Clinical Trial
Journal article   Peer reviewed

Modified Sports Intervention Combined with a Context-Focused Intervention for Children with Cerebral Palsy: A Feasibility Randomised Clinical Trial

Luana Cristina da Silva, Rafael Coelho Magalhães, Acsa Soares Santos, Ana Carolina Andrade Ramos de Souza, Emily Martins Ribeiro, Julia Melo Rocha Xavier, Ricardo Rodrigues de Sousa Junior, Dana Anaby, Georgina Clutterbuck, Egmar Longo, …
Physical & Occupational Therapy in Pediatrics, Vol.45(6), pp.934-955
2025
PMID: 40856330

Abstract

Cerebral palsy context-focused intervention feasibility modified Sports participation
Aims To investigate the feasibility and preliminary effects of a modified sports intervention (Sports Stars) combined with a contextual-focused approach (Pathways and Resources for Engagement in Participation- PREP). Methods This is a feasibility randomized clinical trial (RCT), registered under RBR-4m3b4b6 and U1111-1256-4998. Eighteen children with cerebral palsy (CP) were allocated to either the Sports Stars Brazil + PREP group (n = 9) or the Sports Stars Brazil group (n = 9). Feasibility outcomes included willingness to participate; acceptability of random allocation and screening; evaluator blinding feasibility; group contamination; treatment adherence and satisfaction; therapist communication; adverse events, and implementation resources. Effectiveness outcomes included performance and satisfaction with participation goals, participation pattern, physical literacy, family empowerment, and physical activity level. Descriptive statistics and tests were applied. Results Feasibility analysis showed a high completion rate and adequate satisfaction, credibility, and acceptability in both groups. Significant differences were found favoring the Sports Stars Brazil + PREP group in performance (p = 0.02) and satisfaction (p = 0.04); family empowerment at post-intervention (p = 0.005); and involvement in school (p = 0.04) at follow-up. No significant differences were found for other outcomes. Conclusions A future robust clinical trial appears feasible with adjustments. Combining a context-focused intervention with a modified sports approach shows potential to improve participation outcomes.

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