The Role of Physical Activity in Managing Epilepsy in Children and Adolescents: A Systematic Review
DOI:
https://doi.org/10.12775/QS.2025.38.58245Keywords
epilepsy, physical activity, children and adolescents, systematic reviewAbstract
Epilepsy is one of the most predominant neurological disorders in children and adolescents. It is characterized by recurrent, unprovoked seizures. While pharmacological treatments remain the primary approach for seizure control, non-pharmacological interventions like physical activity (PA) appear as potential complementary strategies for improving health outcomes in pediatric population. This systematic review evaluates the role of physical activity in the management of epilepsy in children and adolescents, focusing on its impact on seizure control, cognitive function, psychological well-being, and overall quality of life. Although the evidence regarding the impact of PA on seizure frequency is limited, regular physical activity has been shown to improve cognitive outcomes, mental health, and general quality of life in children with epilepsy. Safety concerns regarding PA of children with epilepsy are discussed. Further research among the pediatric population is needed, since PA might play an important role alongside conventional therapies in managing epilepsy in children and adolescents.
References
1. Aaberg KM, Gunnes N, Bakken IJ, et al. Incidence and Prevalence of Childhood Epilepsy: A Nationwide Cohort Study. Pediatrics. 2017;139(5):e20163908. doi:10.1542/peds.2016-3908
2. Sander JW, Shorvon SD. Epidemiology of the epilepsies. J Neurol Neurosurg Psychiatry. 1996;61(5):433-443. doi:10.1136/jnnp.61.5.433
3. Howard GM, Radloff M, Sevier TL. Epilepsy and Sports Participation. Curr Sports Med Rep. 2004;3(1):15-19. doi:10.1249/00149619-200402000-00004
4. Capovilla G, Kaufman KR, Perucca E, Moshé SL, Arida RM. Epilepsy, seizures, physical exercise, and sports: A report from the ILAE Task Force on Sports and Epilepsy. Epilepsia. 2016;57(1):6-12. doi:10.1111/epi.13261
5. Pimentel J, Tojal R, Morgado J. Epilepsy and physical exercise. Seizure. 2015;25:87-94. doi:10.1016/j.seizure.2014.09.015
6. Corbitt RW. Epileptics and Contact Sports. JAMA: The Journal of the American Medical Association. 1974;229(7):820. doi:10.1001/jama.1974.03230450054030
7. Livingston S. Convulsive Disorders and Participation in Sports. JAMA: The Journal of the American Medical Association. 1969;207(10):1917. doi:10.1001/jama.1969.03150230131032
8. Wong J, Wirrell E. Physical Activity in Children/Teens with Epilepsy Compared with That in Their Siblings without Epilepsy. Epilepsia. 2006;47(3):631-639. doi:10.1111/j.1528-1167.2006.00478.x
9. Sırtbaş G, Yalnızoğlu D, Livanelioğlu A. Comparison of physical fitness, activity, and quality of life of the children with epilepsy and their healthy peers. Epilepsy Res. 2021;178:106795. doi:10.1016/j.eplepsyres.2021.106795
10. Pohl D, Alpous A, Hamer S, Longmuir PE. Higher screen time, lower muscular endurance, and decreased agility limit the physical literacy of children with epilepsy. Epilepsy & Behavior. 2019;90:260-265. doi:10.1016/j.yebeh.2018.05.010
11. Brna PM, Gordon KE, Woolridge E, Dooley JM, Wood E. Perceived need for restrictions on activity for children with epilepsy. Epilepsy & Behavior. 2017;73:236-239. doi:10.1016/j.yebeh.2017.05.012
12. Willis J, Hophing L, Mahlberg N, Ronen GM. Youth with epilepsy: Their insight into participating in enhanced physical activity study. Epilepsy & Behavior. 2018;89:63-69. doi:10.1016/j.yebeh.2018.10.011
13. Do J, Webster RJ, Longmuir PE, et al. Physically active children with epilepsy have good objective sleep duration and efficiency despite subjective reports of fatigue and sleep problems. Epilepsy & Behavior. 2020;104:106853. doi:10.1016/j.yebeh.2019.106853
14. Zhang H, Yu L, Li H, Liu Y. Effect of low glycaemic diet and structured exercise on quality of life and psychosocial functions in children with epilepsy. Journal of International Medical Research. 2020;48(4). doi:10.1177/0300060519893855
15. Kanhere S, Bagadia D, Phadke V, Mukherjee P. Yoga in children with epilepsy: A randomized controlled trial. J Pediatr Neurosci. 2018;13(4):410. doi:10.4103/JPN.JPN_88_18
16. Eom S, Lee MK, Park JH, et al. The Impact of a 35-Week Long-Term Exercise Therapy on Psychosocial Health of Children With Benign Epilepsy. J Child Neurol. 2016;31(8):985-990. doi:10.1177/0883073816634859
17. Eom S, Lee MK, Park JH, et al. The impact of an exercise therapy on psychosocial health of children with benign epilepsy: A pilot study. Epilepsy & Behavior. 2014;37:151-156. doi:10.1016/j.yebeh.2014.06.017
18. Brown DMY, Mahlberg N, Pohl D, et al. Can behavioral strategies increase physical activity and influence depressive symptoms and quality of life among children with epilepsy? Results of a randomized controlled trial. Epilepsy & Behavior. 2019;94:158-166. doi:10.1016/j.yebeh.2019.03.011
19. Wilfred AM, Humphreys C, Patterson S, et al. Being physically active with epilepsy: Insights from young people and their parents. Epilepsy Res. 2022;188:107035. doi:10.1016/j.eplepsyres.2022.107035
20. Vooturi S, Lakshmi ANR, Jayalakshmi S. Adherence to exercise in people with epilepsy. Eur J Physiother. 2023;25(3):162-167. doi:10.1080/21679169.2022.2038264
21. Ng K, Rintala P, Hutzler Y, Kokko S, Tynjälä J. Organized Sport Participation and Physical Activity Levels among Adolescents with Functional Limitations. Sports. 2017;5(4):81. doi:10.3390/sports5040081
22. Rauchenzauner M, Hagn C, Walch R, et al. Quality of Life and Fitness in Children and Adolescents with Epilepsy (EpiFit). Neuropediatrics. 2017;48(03):161-165. doi:10.1055/s-0037-1599236
23. Ogwumike O, Agboke M, Adeniyi A. Association between Physical Activity Level and Health-Related Quality of Life of Children With and Without Epilepsy. Journal of Pediatric Neurology. 2016;14(03):095-101. doi:10.1055/s-0036-1587601
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Copyright (c) 2025 Wiktoria Pysiewicz, Wiktor Garbarczyk, Agnieszka Napieralska, Albert Kapla, Alicja Černohorská, Daria Bednarczyk, Julia Białeta, Karolina Siembab, Katarzyna Rowińska, Michalina Jurkiewicz
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