Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review
Introduction A body of research has focused on helping children with disabilities stay physically active. As poor balance has been found as a major limitation in physical activities, a systematic review exploring balance intervention programs is warranted. Methods The primary aim of this is to syst...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2024-03-01
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| Series: | Physiotherapy Quarterly |
| Subjects: | |
| Online Access: | https://physioquart.awf.wroc.pl/Effectiveness-of-task-specific-training-for-improving-balance-performance-in-children,151840,0,2.html |
| _version_ | 1797215365096275968 |
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| author | Triana Karnadipa Wei Xin Dawn Pickering Judith Carrier |
| author_facet | Triana Karnadipa Wei Xin Dawn Pickering Judith Carrier |
| author_sort | Triana Karnadipa |
| collection | DOAJ |
| description | Introduction
A body of research has focused on helping children with disabilities stay physically active. As poor balance has been found as a major limitation in physical activities, a systematic review exploring balance intervention programs is warranted.
Methods
The primary aim of this is to systematically evaluate evidence for the effect of task-specific training to improve balance outcomes in ambulant children with cerebral palsy. Seven databases were searched for studies involving ambulant children with cerebral palsy (4–15 years old); balance TST; and balance-related outcomes. The quality of the studies was appraised using the JBI Critical Appraisal Checklists for risk of bias, study design, and quality of evidence. Continuous data were transformed and summarised using standardised mean difference and 95%CI.
Results
Seven randomised controlled trials met the inclusion criteria. The risk of bias was deemed low in most of the studies. Due to heterogeneity of study design and outcome measures, a narrative synthesis was conducted. Positive between-group effects favouring TST were found across the six studies (BBS d = 1.528, 95% CI = 0.7747–2.2813) and follow-up (BBS d = –1.667, 95% CI = –2.459 ÷ –0.874). Despite poor reporting of motor learning strategies, repetitive practice, feedback, and task modulation strategies were used consistently in balance TST.
Conclusions
TST could be recommended to be a part of an intervention programme to improve balance performance in children with CP. However, more studies with rigorous study design and adequately powered implementation of a more fun task-oriented training programme are needed. |
| first_indexed | 2024-04-24T11:28:54Z |
| format | Article |
| id | doaj.art-7865fb81d1b94abab63325e43cae1c9e |
| institution | Directory Open Access Journal |
| issn | 2544-4395 |
| language | English |
| last_indexed | 2024-04-24T11:28:54Z |
| publishDate | 2024-03-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Physiotherapy Quarterly |
| spelling | doaj.art-7865fb81d1b94abab63325e43cae1c9e2024-04-10T11:49:38ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952024-03-01321152410.5114/pq.2024.135418151840Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic reviewTriana Karnadipa0https://orcid.org/0000-0002-9446-9832Wei Xin1Dawn Pickering2https://orcid.org/0000-0003-4779-5616Judith Carrier3https://orcid.org/0000-0002-2657-2280Physiotherapy Department, Vocational Education Program, University of Indonesia, Depok City, IndonesiaDepartment of Rehabilitation Medicine, the Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong Province, ChinaSchool of Health Care Sciences, Cardiff University, Cardiff, South Wales, United KingdomSchool of Health Care Sciences, Cardiff University, Cardiff, South Wales, United KingdomIntroduction A body of research has focused on helping children with disabilities stay physically active. As poor balance has been found as a major limitation in physical activities, a systematic review exploring balance intervention programs is warranted. Methods The primary aim of this is to systematically evaluate evidence for the effect of task-specific training to improve balance outcomes in ambulant children with cerebral palsy. Seven databases were searched for studies involving ambulant children with cerebral palsy (4–15 years old); balance TST; and balance-related outcomes. The quality of the studies was appraised using the JBI Critical Appraisal Checklists for risk of bias, study design, and quality of evidence. Continuous data were transformed and summarised using standardised mean difference and 95%CI. Results Seven randomised controlled trials met the inclusion criteria. The risk of bias was deemed low in most of the studies. Due to heterogeneity of study design and outcome measures, a narrative synthesis was conducted. Positive between-group effects favouring TST were found across the six studies (BBS d = 1.528, 95% CI = 0.7747–2.2813) and follow-up (BBS d = –1.667, 95% CI = –2.459 ÷ –0.874). Despite poor reporting of motor learning strategies, repetitive practice, feedback, and task modulation strategies were used consistently in balance TST. Conclusions TST could be recommended to be a part of an intervention programme to improve balance performance in children with CP. However, more studies with rigorous study design and adequately powered implementation of a more fun task-oriented training programme are needed.https://physioquart.awf.wroc.pl/Effectiveness-of-task-specific-training-for-improving-balance-performance-in-children,151840,0,2.htmltask-orientedbalancechildrencerebral palsy |
| spellingShingle | Triana Karnadipa Wei Xin Dawn Pickering Judith Carrier Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review Physiotherapy Quarterly task-oriented balance children cerebral palsy |
| title | Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review |
| title_full | Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review |
| title_fullStr | Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review |
| title_full_unstemmed | Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review |
| title_short | Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review |
| title_sort | effectiveness of task specific training for improving balance performance in children with cerebral palsy cp a narrative systematic review |
| topic | task-oriented balance children cerebral palsy |
| url | https://physioquart.awf.wroc.pl/Effectiveness-of-task-specific-training-for-improving-balance-performance-in-children,151840,0,2.html |
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