Article

The aim of this study was to evaluate the efficacy and effectiveness of
exercise interventions that may improve postural control in children with
cerebral palsy (CP). METHOD:
A systematic review was performed using American
Academy of Cerebral Palsy and Developmental Medicine (AACPDM) and Preferred
Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology.
Six databases were searched using the following keywords: ('cerebral palsy' OR
'brain injury'); AND ('postur*' OR 'balance' OR 'postural balance' [MeSH]); AND
('intervention' OR 'therapy' OR 'exercise' OR 'treatment'). Articles were
evaluated based on their level of evidence and conduct. RESULTS: Searches yielded
45 studies reporting 13 exercise interventions with postural control outcomes for
children with CP. Five interventions were supported by a moderate level of
evidence: gross motor task training, hippotherapy, treadmill training with no
body weight support (no-BWS), trunk-targeted training, and reactive balance
training. Six of the interventions had weak or conflicting evidence: functional
electrical stimulation (FES), hippotherapy simulators, neurodevelopmental therapy
(NDT), treadmill training with body weight support, virtual reality, and visual
biofeedback. Progressive resistance exercise was an ineffective intervention, and
upper limb interventions lacked high-level evidence. INTERPRETATION: The use of
exercise-based treatments to improve postural control in children with CP has
increased significantly in the last decade. Improved study design provides more
clarity regarding broad treatment efficacy. Research is required to establish
links between postural control impairments, treatment options, and outcome
measures. Low-burden, low-cost, child-engaging, and mainstream interventions also need to be explored.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS