Study of a Stationary Cycling Intervention for Children With Spastic Diplegic Cerebral Palsy

Exclusion Criteria

• •musculoskeletal or neurosurgical surgery or baclofen pump implantation within the past year;
• •botulinum toxin injections within the past 6 months;
• •serial casting or new orthotics within the past 3 months;
• •initiating or increasing oral medications that affect the neuromuscular system, e.g. baclofen, within the past 3 months;
• •onset of physical therapy, exercise, sport activity, or change in assistive devices for walking within the past 3 months;
• •inability or unwillingness to maintain age appropriate behavior;
• •serious medical conditions such as cardiac disease, diabetes, asthma, or uncontrolled seizures;
• •current participation in a fitness program, that includes a cardiorespiratory endurance exercise, at least one time per week;
• •significant hip joint contractures so that the hip cannot be passively moved throughout an excursion between 30 and 80 degrees;
• •significant knee joint contractures so that the knee cannot be passively moved throughout an excursion between 40 and 110 degrees; and