Translating scientific recommendations into reality: a feasibility study using group-based high-intensity functional exercise training in adolescents with cerebral palsy

To examine the feasibility and effects of a functional high-intensity exercise intervention performed in a group-setting on functionality, cardiovascular health and physical performance in adolescents with cerebral palsy (CP). Ten adolescents with a diagnosis of CP (2 females; 16.6 ± 3.4 years; GMFCS: I-II) participated in a 12-week training intervention, containing progressive resistance training using free weights and high-intensity workouts twice a week. The six-minute walking test, arterial stiffness and physical performance (strength and power tests) were measured before and after the intervention. No adverse events were reported. We measured small increases in the six-minute walking test (Δ = 28.8 m, 95% CI [-1.78;52.7]; g = 0.34 [-0.04;0.72]) and a small reduction in arterial stiffness (Δ = −4.65% [-10.90;1.25]; g = −0.46 [-1.36;0.21]). All measures of physical performance increased (0.24 ≤ g ≤ 0.88). Functional training with free weights in high-functioning adolescents with CP is safe and effective in increasing parameters of physical performance and cardiovascular health. Positively influenced indicators of everyday independence (i.e. strength parameters) showed a transfer into movements of daily life. Concerns about adverse events through high-intensity training in adolescents with CP appear unjustified when training is performed progressively, following basic training principles. High-intensity functional exercise in a group-setting is safe in high functioning adolescents with cerebral palsy (CP) when following basic training principles.Compound, multi-joint movements performed at high intensities show a transfer-effect into daily functionality.High-intensity resistance training combined with anaerobic and aerobic exercise should be included in standard therapy for high-functioning adolescents with CP.The group-setting shows potential as innovative strategy for long-term training effectiveness. High-intensity functional exercise in a group-setting is safe in high functioning adolescents with cerebral palsy (CP) when following basic training principles. Compound, multi-joint movements performed at high intensities show a transfer-effect into daily functionality. High-intensity resistance training combined with anaerobic and aerobic exercise should be included in standard therapy for high-functioning adolescents with CP. The group-setting shows potential as innovative strategy for long-term training effectiveness.