Physical activity and exercise rehabilitation in pediatric cerebral palsy: A cross-sectional study among physiotherapists in Kosovo and Albania
DOI:
https://doi.org/10.6018/sportk.711571Keywords:
Cerebral Palsy, Physical Activity, Physiotherapy, Pediatric Rehabilitation, Workforce DevelopmentAbstract
To improve physical functional capacity in people with cerebral palsy (CP), the rehabilitation workforce must be proficient in exercise physiology and load management, ensuring that interventions are both evidence-based and participation-focused. Currently, empirical data on the clinical preparedness and practice patterns remain scarce in the Southeast European region. To address this issue, this cross-sectional survey examined professional training, clinical experience, and use of standardized physical activity assessments among 202 licensed physiotherapists in Kosovo and Albania (113 females, 55.9%; 89 males, 44.1%; mean age 29.7±7.0 years). The study utilized a structured questionnaire specifically designed to reflect local cultural and professional contexts. Results showed limited participation in specialized neurodevelopmental training and inconsistent use of validated assessment frameworks in both Kosovo (74.0%) and Albania (76.5%), with no biological sex differences. Recognition of ≥ 3 early clinical signs was significantly higher in Kosovo compared to Albania (80.0% vs. 64.7%, p=0.007). The use of early diagnostic tools was reported more frequently in Albania than in Kosovo (49.0% vs. 33.0%, p=0.021), with a significant sex difference observed only in Albania (p=0.005, φ=0.277; moderate effect), where females reported greater use. To improve health trajectories, future initiatives must focus on competency in loan management and motor learning. Implementing participation-focused exercise through interdisciplinary collaboration represents a vital strategy for evolving CP rehabilitation into proactive, physical activity centered model.
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1. Agjencia e Statistikave të Kosovës. (n.d.). Retrieved March 20, 2025, from https://ask.rks-gov.net/Releases/Details/8429
2. Alamoudi, N. A., Algabbani, M. F., Al-Heizan, M. O., & Alhusaini, A. A. (2024). Physical activity and sedentary behavior among ambulatory children with cerebral palsy using accelerometer: a cross-sectional study. Frontiers in Pediatrics, 12, 1-10. https://doi.org/10.3389/fped.2024.1463288
3. Andrés-Pérez, F., Bru-Luna, L. M., Hidalgo-Fuentes, S., Llamas-Salguero, F., & Martí-Vilar, M. (2025). Influence of Physical Activity in Children and Adolescents with Cerebral Palsy: A Systematic Review. Children, 12(7), 1-36. https://doi.org/10.3390/children12070853
4. Cohen, J. (2013). Statistical Power Analysis for the Behavioral Sciences. Routledge.
5. Knox, V., Vuoskoski, P., & Mandy, A. (2019). Use of outcome measures in children with severe cerebral palsy: A survey of U.K. physiotherapists. Physiotherapy Research International, 24(4), 1-17. https://doi.org/10.1002/pri.1786
6. Maharaj, S. S., White, T. L., & Kaka, B. (2021). How are children with cerebral palsy managed in public hospitals of KwaZulu-Natal, South Africa? Physiotherapy Theory and Practice, 37(11), 1235–1243. https://doi.org/10.1080/09593985.2019.1686791
7. Merino-Andrés, J., Hidalgo-Robles, Á., Pérez-Nombela, S., Williams, S. A., Paleg, G., & Fernández-Rego, F. J. (2022a). Tool Use for Early Detection of Cerebral Palsy: A Survey of Spanish Pediatric Physical Therapists. Pediatric Physical Therapy, 34(2), 202–210. https://doi.org/10.1097/PEP.0000000000000877
8. Miller, S., O’Donnell, M., & Mulpuri, K. (2021a). Physical Therapists Are Key to Hip Surveillance for Children with Cerebral Palsy: Evaluating the Effectiveness of Knowledge Translation to Support Program Implementation. Physical & Occupational Therapy in Pediatrics, 41(3), 300–313. https://doi.org/10.1080/01942638.2020.1851337
9. National Institute of Neurological Disorders and Stroke. (n.d.). Cerebral palsy. Retrieved March 20, 2025, from https://www.ninds.nih.gov/health-information/disorders/cerebral-palsy
10. Novak, I., Mcintyre, S., Morgan, C., Campbell, L., Dark, L., Morton, N., Stumbles, E., Wilson, S., & Goldsmith, S. (2013b). A systematic review of interventions for children with cerebral palsy: State of the evidence. Developmental Medicine & Child Neurology, 55(10), 885–910. https://doi.org/10.1111/dmcn.12246
11. Oskoui, M., Coutinho, F., Dykeman, J., Jetté, N., & Pringsheim, T. (2013). An update on the prevalence of cerebral palsy: A systematic review and meta‐analysis. Developmental Medicine & Child Neurology, 55(6), 509–519. https://doi.org/10.1111/dmcn.12080
12. Romeo, D. M., D’Amario, G., Brunozzi, G., Napoli, V., Villa, M., Arpaia, C., Velli, C., Sini, F., & Brogna, C. (2024). Sports Activities in Children with Cerebral Palsy: A Narrative Review. Medicina, 60(3), 1-13. https://doi.org/10.3390/medicina60030457
13. Sogbossi, E. S., Gbaglo, M., Dahoueto, W., Kpadonou, T., & Mercier, C. (2026a). Current Practice of Physiotherapists in the Management of Children with Cerebral Palsy in Benin Country: A Cross‐Sectional Online Survey. Child: Care, Health and Development, 52(1), 1-9. https://doi.org/10.1111/cch.70192
14. Verschuren, O., Peterson, M. D., Balemans, A. C. J., & Hurvitz, E. A. (2016). Exercise and physical activity recommendations for people with cerebral palsy. Developmental Medicine & Child Neurology, 58(8), 798–808. https://doi.org/10.1111/dmcn.13053
15. World Health Organization. (2024). Mental health, human rights and legislation: Guidance and practice. https://www.who.int/publications/i/item/9789240087392
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