A Feasibility Randomised Controlled Trial of an Online Exercise Programme for Adults With Cerebral Palsy

CP-EXCEL: A Feasibility Randomised Controlled Trial of an Online Exercise Programme for Adults With Cerebral Palsy

Adults with cerebral palsy (CP) often face challenges in accessing exercise programmes that are appropriate for their needs. Barriers such as limited mobility, a lack of tailored options, and restricted access to physiotherapy services can make participation difficult. Exercise is important for improving physical health, mental well-being, and overall quality of life. However, many adults with CP do not have regular opportunities to take part in structured physical activity. This study aims to investigate whether an online exercise programme can serve as an effective and accessible alternative.

The main aim of the study is to assess the feasibility of delivering an online exercise programme for adults with CP. Key areas of focus will include demand, implementation, practicality, adaptability, acceptability, and potential benefits to physical, mental, and social well-being.

A total of 60 adults with CP will be recruited and randomly assigned to one of two groups (30 participants per group). One group will complete an 8-week online exercise and education programme. The second group will receive the same educational materials during the study and will be provided with information about the home exercise programme after the 8-week intervention period. Data will be collected on attendance, completion rates, engagement with exercises, and any reported adverse events. Health-related surveys will be completed before and after the programme to assess any changes. In addition, a selected group of participants from the intervention group will take part in interviews to provide feedback on their experiences.

Findings from this study may support the development of accessible, effective, and person-centred online exercise programmes for adults with CP. Results may help improve future programme design and contribute to better care and support for adults with CP in Ireland.

Inclusion Criteria:

• Adults aged 18 and over with cerebral palsy (CP) residing on the island of Ireland.
• Individuals of any Gross Motor Function Classification System (GMFCS) level.
• Individuals with other associated impairments.
• People with mild-to-moderate intellectual disability who can access the online platform and follow study instructions, with or without support.

Exclusion Criteria:

• Individuals with severe intellectual disability where sufficient adaptations cannot be made.
• Adults with unstable medical conditions.