Effectiveness of Exercise on Functional Mobility in Adults with Cerebral Palsy: A Systematic Review

Lawrence, Hillary S.; Hills, Sara; Kline, Nicole M.; Weems, Kyra; Doty, Antonette

doi:10.3138/ptc.2015-38lhc

Cited by 27 publications

(18 citation statements)

References 27 publications

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“…Early-onset motor decline not only negatively affects function in daily life but also makes it difficult to form social connections, which can lead to psychological decline and social isolation (3). Studies on life expectancy in CP have reported that the increase in the survival rates of adults with CP has led to growth in their total population, including those with minor and severe disabilities (4,5).…”

Section: Introductionmentioning

confidence: 99%

Effect of Dance on Balance, Mobility, and Activities of Daily Living in Adults With Cerebral Palsy: A Pilot Study

2021

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The age-related decline in motor function with respect to balance and mobility may hamper the activities of daily living, quality of life, and social participation. Despite the importance of managing secondary conditions leading to premature aging, the literature regarding appropriate physical activity for adults with cerebral palsy (CP) is still scarce. Dance forms have emerged as an effective physical activity that improves balance and mobility in individuals with neurological conditions and boosts social engagement. However, its effect on adults with CP has yet to be examined. This pilot study aimed to examine the long-term effect of dance on improving balance and mobility in adults with CP. This single-cohort study included 10 adults with CP. They attended two 90-min-long creative dance sessions per week for 12 weeks. The outcomes measured effects on balance, mobility, balance confidence, and level of functional independence. These measurements were obtained at pre-intervention, post-intervention, and the 3-month follow-up. Outcome data of pre- to post-intervention and pre-intervention to 3-month follow-up were analyzed and compared. Statistically significant differences were found in the pre- and post-intervention displacement of the center of pressure (CoP) in the eyes-opened (EO) condition, timed up and go test (TUG), and Berg Balance Scale (BBS), Dynamic Gait Index (DGI), and Korean-Activity of Balance Confidence (K-ABC) scores. Significant improvements were also observed for the CoP-EO, BBS, TUG, DGI, and K-ABC between the pre-intervention and 3-month follow-up assessments. However, there were no significant differences in the CoP in the eyes-closed condition and Korean modified Barthel Index score. Participants expressed enjoyment without any pain or fatigue. Our findings suggest that dance may have a positive impact in improving balance and mobility and may consequently contribute to healthy aging in adults with CP.

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Section: Introductionmentioning

confidence: 99%

Effect of Dance on Balance, Mobility, and Activities of Daily Living in Adults With Cerebral Palsy: A Pilot Study

2021

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“…In an attempt to further improve the care and rehabilitation of patients with CP, new approaches have been applied recently, specifically the use of games within the interventions’ schemes (e.g., Tatla et al, 2013 ; Lawrence et al, 2016 ; Cooper and Williams, 2017 ; Ravi et al, 2017 ). Due to their design elements, games can offer rewarding and engaging experiences that can be shared with other players in the form, for instance, of “achievements” (e.g., number of points, ranking) (see Boyle et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

“…In fact, the interactive nature of the games enables constructive, situational, and experiential learning opportunities, enhanced by active game experimentation ( Squire, 2008 ; Hainey et al, 2011 ; Girard et al, 2012 ). For these reasons, games have been employed as a way of promoting the engagement and participation of patients with CP in their rehabilitation programs (e.g., Tatla et al, 2013 ; Bonnechère et al, 2014a ; Lawrence et al, 2016 ; Cooper and Williams, 2017 ; Ravi et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Games Used With Serious Purposes: A Systematic Review of Interventions in Patients With Cerebral Palsy

et al. 2018

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The purpose of the present systematic review was to examine extant research regarding the role of games used seriously in interventions with individuals with cerebral palsy. Therefore, PubMed, PsyINFO, Web of Science, Scopus, and IEEE databases were used. Search terms included: “serious games” OR “online games” OR “video games” OR “videogame” OR “game based” OR “game” AND “intervention” AND “cerebral palsy.” After the full reading and quality assessment of the papers, 16 studies met the inclusion criteria. The majority of the studies reported high levels of compliance, motivation, and engagement with game-based interventions both at home and at the clinical setting intervention. Regarding the effectiveness of the use of games, the results of the studies show both positive and negative results regarding their effectiveness. The efficacy was reported to motor function (i.e., improvements in the arm function, hand coordination, functional mobility, balance and gait function, postural control, upper-limbs function) and physical activity. Findings of this review suggest that games are used as a complement to conventional therapies and not as a substitute. Practitioners often struggle to get their patients to complete the assigned homework tasks, as patients display low motivation to engage in prescribed exercises. Data of this review indicates the use of games as tools suited to promote patients’ engagement in the therapy and potentiate therapeutic gains.

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“…We found six additional articles that defined FM. [6][7][8][9][10][11] Although few, and none presenting a formal definition of FM, all shared with the Forhan and Gill description, the idea that FM is a subject's ability to move in his or her environment, focused on gait, balance, and transfers, in order to accomplish functional tasks of everyday living (e.g., walking in a corridor at work, climbing stairs at home, getting up from bed, rising from a chair to answer the phone, standing, and bending to reach an object). Therefore, we assume this as the most suitable definition to be in the context of this systematic review.…”

Section: Methodsmentioning

confidence: 99%

“…To check the adequacy of our choice, we matched the adopted definition with those founded in a Medline/PubMed electronic open search, conducted to look for a formal definition of FM (regardless of the research topics). We found six additional articles that defined FM . Although few, and none presenting a formal definition of FM, all shared with the Forhan and Gill description, the idea that FM is a subject's ability to move in his or her environment, focused on gait, balance, and transfers, in order to accomplish functional tasks of everyday living (e.g., walking in a corridor at work, climbing stairs at home, getting up from bed, rising from a chair to answer the phone, standing, and bending to reach an object).…”

Section: Methodsmentioning

confidence: 99%

Measurement Instruments to Assess Functional Mobility in Parkinson's Disease: A Systematic Review

Bouça‐Machado

Duarte

Patriarca³

et al. 2019

Movement Disord Clin Pract

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Background Background: Functional mobility (FM) is a person's ability to move to accomplish activities of daily living; it bridges the concepts of mobility and functional ability. There is frequently a loss of FM in Parkinson's disease (PD). Several instruments have been used to assess this concept in PD; however, there is no consensus on which are the most appropriate. Objective Objective: We aimed to identify and critically appraise which measurement instruments have been used to assess FM. Methods Methods: A systematic review was conducted using the databases CENTRAL, MEDLINE, Embase, and PEDro from their inception to January 2019 to identify all observational and experimental studies conducted in PD or atypical parkinsonism that included an FM assessment. Two reviewers independently screened citations, extracted data, and assessed clinimetric properties. Results Results: We included 95 studies that assessed FM in PD. Fifty-five (57.9%) studies mentioned FM in the article, and 39 (41.1%) specified the measurement tools used to evaluate FM. FM was the primary outcome in 12 (12.6%) studies. The Timed Up and Go test was the most frequently used measurement tool. Only one study presented a definition of FM. Several overlapping terms were used, the most common being mobility. Conclusion Conclusion: Several studies reported the use of FM measurement tools in PD, though with frequent misconceptions, an inadequate context of use, or suboptimal assessment. We propose the establishment of the concept of FM applied to PD, followed by the adequate clinimetric validation of existing measurement tools to provide a comprehensive and reliable evaluation of FM in PD.

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Effectiveness of Exercise on Functional Mobility in Adults with Cerebral Palsy: A Systematic Review

Cited by 27 publications

References 27 publications

Effect of Dance on Balance, Mobility, and Activities of Daily Living in Adults With Cerebral Palsy: A Pilot Study

Effect of Dance on Balance, Mobility, and Activities of Daily Living in Adults With Cerebral Palsy: A Pilot Study

Games Used With Serious Purposes: A Systematic Review of Interventions in Patients With Cerebral Palsy

Measurement Instruments to Assess Functional Mobility in Parkinson's Disease: A Systematic Review

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