High Intensity Interval Training Versus Moderate Intensity Training on Gait and Energy Expenditure in Children with Spastic Cerebral Palsy: A Mini Review

Children with cerebral palsy (CP) have significantly reduced physical fitness, with both aerobic and anaerobic capacities being notably lower than in typically developing (TD) children. They also use more energy when walking and move at slower speeds due to impaired motor control, balance issues, and inefficient gait. Exercise intensity is a key factor in determining energy expenditure and training effectiveness. Both high-intensity interval training (HIT) and moderate-intensity training (MIET) can improve cardiovascular health and aerobic fitness, but their effects on children with CP need further exploration. Children with CP also have unique energy requirements influenced by the severity and type of motor impairment, which affects muscle function and total energy expenditure usually lower than in TD children. Ambulatory children with CP expend more energy while walking and at slower speeds. Due to impaired motor control, they often show poor gait, balance, and a higher fall risk, necessitating intensive therapy. However, traditional static balance tests may not accurately reflect dynamic gait stability. So, this study was conducted To compare between the effect of high intensity interval training and moderate intensity training on gait and energy expenditure in children with spastic cerebral palsy.