Effect of Trunk Targeted Interventions on Functional Outcomes in Children with Cerebral Palsy- A Systematic Review

Talgeri, Aishwarya J; Nayak, Akshatha; Karnad, Shreekanth D.; Jain, Preyal D.; Tedla, Jaya Shanker; Reddy, Ravi Shankar; Sangadala, Devika Rani

doi:10.1080/17518423.2023.2193265

Cited by 4 publications

(4 citation statements)

References 55 publications

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“…Ahl et al (2005) reported favorable outcomes from functional, goal-directed therapy in children with CP, influencing gross motor capacity and performance in self-care, mobility, and social function. 2020) demonstrated the effectiveness of PNF techniques in improving functional activities of daily living (Talgeri et al, 2023). The neuromuscular mechanisms of PNF, explained by the author, shed light on its impact on motor-evoked potentials (Shimura and Kasai, 2002).…”

Section: Resultsmentioning

confidence: 99%

Comparison between Task-Oriented Training and Proprioceptive Neuromuscular Facilitation Exercise on Upper Extremity Function in Spastic Cerebral Palsy

Selvi,

Kumar P.G.

et al. 2024

IJERR

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This research investigates and compares the impacts of task-oriented training and proprioceptive neuromuscular facilitation (PNF) on the motor function of the affected arm in children diagnosed with spastic cerebral palsy (CP). The study addresses the need for effective interventions to address the motor challenges in this population. Thirty participants were randomly assigned to either Group A (task-oriented training) or Group B (PNF training) in a two-month comparative study conducted in special schools. Both groups participated in daily 40-minute sessions five days a week for eight weeks. Pre and post-tests, utilizing the Assistive Hand Assessment (AHA-22) and Manual Ability Measure (MAM-16), were administered to evaluate outcomes. The analysis revealed no significant differences in post-test scores between Group A and Group B, indicating comparable effectiveness of both interventions in improving upper extremity function in children with spastic cerebral palsy. This study contributes valuable insights into therapeutic approaches for enhancing motor function in children with spastic cerebral palsy. Both task-oriented training and proprioceptive neuromuscular facilitation emerge as effective methodologies, providing healthcare professionals and educators with evidence-based options for optimizing outcomes in this population. These findings hold international relevance, offering a foundation for informed decision-making in the selection of interventions for children with spastic cerebral palsy across diverse global contexts.

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Section: Resultsmentioning

confidence: 99%

Comparison between Task-Oriented Training and Proprioceptive Neuromuscular Facilitation Exercise on Upper Extremity Function in Spastic Cerebral Palsy

Selvi,

Kumar P.G.

et al. 2024

IJERR

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“…They found that children with CP have difficulty stabilizing their head and controlling their trunk during movement, which can affect their ability to walk and perform daily activities independently. Recent studies also found that a rehabilitation program focused on trunk postural activities can improve trunk control and walking ability in children with CP [16,17]. These findings highlight the importance of evaluating and addressing trunk control in the rehabilitation of children with CP.…”

Section: Introductionmentioning

confidence: 80%

Differences between Novice and Expert Raters Assessing Trunk Control Using the Trunk Control Measurement Scale Spanish Version (TCMS-S) in Children with Cerebral Palsy

López‐de‐Uralde‐Villanueva

2023

JCM

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The Trunk Control Measurement Scale (TCMS) is a valid and reliable tool to assess static and dynamic trunk control in cerebral palsy . However, there is no evidence informing about differences between novice and expert raters. A cross-sectional study was conducted with participants between the ages of 6 and 18 years with a CP diagnosis. The TCMS Spanish version (TCMS-S) was administered in-person by an expert rater, and video recordings were taken for later scoring by the expert and three other raters with varying levels of clinical experience. The intraclass correlation coefficient (ICC) was used to evaluate reliability between raters for the total and subscales of the TCMS-S scores. Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC) were also calculated. There was a high level of agreement between expert raters (ICC ≥ 0.93), while novice raters demonstrated good agreement (ICC > 0.72). Additionally, it was observed that novice raters had a slightly higher SEM and MDC than expert raters. The Selective Movement Control subscale exhibited slightly higher SEM and MDC values compared to the TCMS-S total and other subscales, irrespective of the rater’s level of expertise. Overall, the study showed that the TCMS-S is a reliable tool for evaluating trunk control in the Spanish pediatric population with cerebral palsy, regardless of the rater’s experience level.

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“…64 ► A systematic review of physiotherapy in children with cerebral palsy showed that trunk-targeted exercises improve gross motor function, trunk control and balance, and help in greater functional recovery. 65 ► In India, children aged 5-18 years with unilateral cerebral palsy given 6 Hz primed, low-frequency, repetitive transcranial magnetic stimulation improved upper limb function, dexterity and strength. 66 I have been liberal in what is included as an RCT.…”

Section: Reviewmentioning

confidence: 99%

“…A systematic review of physiotherapy in children with cerebral palsy showed that trunk-targeted exercises improve gross motor function, trunk control and balance, and help in greater functional recovery 65…”

mentioning

confidence: 99%

Randomised controlled trials in child and adolescent health in 2023

Duke

2023

Arch Dis Child

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In the year July 2022 to June 2023 there were 501 publications from randomised controlled trials (RCTs) in child and adolescent health in developing countries identified through a standardised search strategy that has been going for 20 years. This year, trials addressed the widest range of diseases and conditions that affect the health, development and well-being of children, newborns, adolescents and mothers. RCTs reflected old, neglected and new problems, the changing epidemiology of child health, social and economic circumstances in many countries, local and global priorities of low-income and middle-income countries, environmental causes of poor child health, and inequities. The RCTs tested new and refined treatments, diagnostics, vaccines, holistic management, and prevention approaches, and explored many outcomes, including mortality, nutrition, psychosocial measures, and neurodevelopment. The studies were conducted in numerous hospitals and healthcare clinics, schools, and communities, including among some of the world’s most disadvantaged populations in humanitarian and refugee emergencies. Some studies are of the highest quality, and others fall short. Many RCTs will influence guidelines, practice and policies for years to come.

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Effect of Trunk Targeted Interventions on Functional Outcomes in Children with Cerebral Palsy- A Systematic Review

Cited by 4 publications

References 55 publications

Comparison between Task-Oriented Training and Proprioceptive Neuromuscular Facilitation Exercise on Upper Extremity Function in Spastic Cerebral Palsy

Comparison between Task-Oriented Training and Proprioceptive Neuromuscular Facilitation Exercise on Upper Extremity Function in Spastic Cerebral Palsy

Differences between Novice and Expert Raters Assessing Trunk Control Using the Trunk Control Measurement Scale Spanish Version (TCMS-S) in Children with Cerebral Palsy

Randomised controlled trials in child and adolescent health in 2023

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