Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics
The paradigm of comprehensive treatment approaches for children with cerebral palsy has gained traction, prompting clinicians to deliberate between independent and integrated treatment delivery. However, this decision-making process is often hindered by the dearth of empirical evidence available to...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/11/2/243 |
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| author | Ragab K. Elnaggar Rodrigo Ramirez-Campillo Alshimaa R. Azab Saud M. Alrawaili Mshari Alghadier Mazyad A. Alotaibi Ahmed S. Alhowimel Mohamed S. Abdrabo Mohammed F. Elbanna Ahmed M. Aboeleneen Walaa E. Morsy |
| author_facet | Ragab K. Elnaggar Rodrigo Ramirez-Campillo Alshimaa R. Azab Saud M. Alrawaili Mshari Alghadier Mazyad A. Alotaibi Ahmed S. Alhowimel Mohamed S. Abdrabo Mohammed F. Elbanna Ahmed M. Aboeleneen Walaa E. Morsy |
| author_sort | Ragab K. Elnaggar |
| collection | DOAJ |
| description | The paradigm of comprehensive treatment approaches for children with cerebral palsy has gained traction, prompting clinicians to deliberate between independent and integrated treatment delivery. However, this decision-making process is often hindered by the dearth of empirical evidence available to inform optimal therapeutic strategies. This study, therefore, sought to compare the effects of Pilates-based core strengthening (PsCS), plyometric-based muscle loading (PlyoML), and their combination on postural control, balance, and mobility in children with unilateral cerebral palsy (ULCP). Eighty-one children with ULCP (age: 12–18 years) were randomized to PsCS (<i>n</i> = 27), PlyoML (<i>n</i> = 27), or a combined intervention (<i>n</i> = 27; equated for total sets/repetitions) group. The three interventions were applied twice/week over 12 successive weeks. Postural control (directional and overall limits of stability—LoS), balance, and mobility (Community Balance and Mobility Scale—CB&M; Functional Walking Test—FWT; Timed Up and Down Stair test—TUDS) were assessed pre- and post-intervention. The combined group exhibited greater increases in directional LoS compared to PsCS and PlyoML including the backward (<i>p</i> = 0.006 and 0.033, respectively), forward (<i>p</i> = 0.015 and 0.036, respectively), paretic (<i>p</i> = 0.017 and 0.018, respectively), and non-paretic directions (<i>p</i> = 0.006 and 0.004, respectively)], and this was also the case for overall LoS (<i>p</i> < 0.001 versus PsCS and PlyoML). In addition, the combined group displayed greater improvements compared to the PsCS and PlyoML groups regarding CB&M (<i>p</i> = 0.037 and <i>p</i> = 0.002, respectively), FWT (<i>p</i> = 0.012 and <i>p</i> = 0.038, respectively), and TUDS (<i>p</i> = 0.046 and <i>p</i> = 0.021, respectively). In conclusion, the combined PsCS and PlyoML exercise program promotes considerably greater improvements in postural control, balance, and mobility compared to unimodal training in children with ULCP. |
| first_indexed | 2024-03-07T22:37:07Z |
| format | Article |
| id | doaj.art-0204ba1997da46a380201e929e577df0 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-07T22:37:07Z |
| publishDate | 2024-02-01 |
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| series | Children |
| spelling | doaj.art-0204ba1997da46a380201e929e577df02024-02-23T15:12:29ZengMDPI AGChildren2227-90672024-02-0111224310.3390/children11020243Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and PlyometricsRagab K. Elnaggar0Rodrigo Ramirez-Campillo1Alshimaa R. Azab2Saud M. Alrawaili3Mshari Alghadier4Mazyad A. Alotaibi5Ahmed S. Alhowimel6Mohamed S. Abdrabo7Mohammed F. Elbanna8Ahmed M. Aboeleneen9Walaa E. Morsy10Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaExercise and Rehabilitation Sciences Institute, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, ChileDepartment of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaDepartment of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaDepartment of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaDepartment of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaDepartment of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaDepartment of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza 11432, EgyptDepartment of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza 12613, EgyptDepartment of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza 11432, EgyptDepartment of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza 12613, EgyptThe paradigm of comprehensive treatment approaches for children with cerebral palsy has gained traction, prompting clinicians to deliberate between independent and integrated treatment delivery. However, this decision-making process is often hindered by the dearth of empirical evidence available to inform optimal therapeutic strategies. This study, therefore, sought to compare the effects of Pilates-based core strengthening (PsCS), plyometric-based muscle loading (PlyoML), and their combination on postural control, balance, and mobility in children with unilateral cerebral palsy (ULCP). Eighty-one children with ULCP (age: 12–18 years) were randomized to PsCS (<i>n</i> = 27), PlyoML (<i>n</i> = 27), or a combined intervention (<i>n</i> = 27; equated for total sets/repetitions) group. The three interventions were applied twice/week over 12 successive weeks. Postural control (directional and overall limits of stability—LoS), balance, and mobility (Community Balance and Mobility Scale—CB&M; Functional Walking Test—FWT; Timed Up and Down Stair test—TUDS) were assessed pre- and post-intervention. The combined group exhibited greater increases in directional LoS compared to PsCS and PlyoML including the backward (<i>p</i> = 0.006 and 0.033, respectively), forward (<i>p</i> = 0.015 and 0.036, respectively), paretic (<i>p</i> = 0.017 and 0.018, respectively), and non-paretic directions (<i>p</i> = 0.006 and 0.004, respectively)], and this was also the case for overall LoS (<i>p</i> < 0.001 versus PsCS and PlyoML). In addition, the combined group displayed greater improvements compared to the PsCS and PlyoML groups regarding CB&M (<i>p</i> = 0.037 and <i>p</i> = 0.002, respectively), FWT (<i>p</i> = 0.012 and <i>p</i> = 0.038, respectively), and TUDS (<i>p</i> = 0.046 and <i>p</i> = 0.021, respectively). In conclusion, the combined PsCS and PlyoML exercise program promotes considerably greater improvements in postural control, balance, and mobility compared to unimodal training in children with ULCP.https://www.mdpi.com/2227-9067/11/2/243childrenspastic cerebral palsyrehabilitationexercise therapystrength trainingphysical conditioning |
| spellingShingle | Ragab K. Elnaggar Rodrigo Ramirez-Campillo Alshimaa R. Azab Saud M. Alrawaili Mshari Alghadier Mazyad A. Alotaibi Ahmed S. Alhowimel Mohamed S. Abdrabo Mohammed F. Elbanna Ahmed M. Aboeleneen Walaa E. Morsy Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics Children children spastic cerebral palsy rehabilitation exercise therapy strength training physical conditioning |
| title | Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics |
| title_full | Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics |
| title_fullStr | Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics |
| title_full_unstemmed | Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics |
| title_short | Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics |
| title_sort | optimization of postural control balance and mobility in children with cerebral palsy a randomized comparative analysis of independent and integrated effects of pilates and plyometrics |
| topic | children spastic cerebral palsy rehabilitation exercise therapy strength training physical conditioning |
| url | https://www.mdpi.com/2227-9067/11/2/243 |
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