The Effect of Physical Exercise on Gross Motor Function in Children with Cerebral Palsy: A Meta-Analysis

Abstract

This study aimed to evaluate the effect of physical exercise intervention on gross motor function in children with cerebral palsy (CP). Computer searches of Web of Science, PubMed, Embase (Ovid), Cochrane Library, and Medline databases were conducted on October 6, 2021. Randomized controlled trials (RCTs) or quasi-experimental studies were included. Ten methodological quality trials were identified, and the literature's quality was assessed using the PEDro scale. Data from the Gross Motor Function Assessment Scale GMFM-66, GMFM-88 and A (lying and turning), B (sitting), C (climbing and kneeling), D (standing), and E (walking, running, and jumping) dimension scores were extracted, and Meta-analysis was performed using Revman 5.4. Data were pooled and expressed as mean difference (MD) or standardized difference (SMD) with 95% CI. The results showed that GMFM-66 [SMD=1.90,95%CI (0.55~3.25), Z=2.76, P=0.006], 95%CI (0.83 ~ 2.15), Z=4.42, P<0.00001] and D dimension [SMD=3.13, 95%CI (1.23 ~ 5.02), Z=3.23, P=0.001] and E dimension [SMD=3.34, 95% CI (2.00 ~ 4.69), Z=4.88, P<0.00001]. The study results showed that the differences between the results of the experimental and control groups were statistically significant. Physical exercise could significantly improve gross motor function in children with CP and could be used as a reference for physical therapy in children with CP. These findings should be used with caution based on the limitations of this study.

Effect of aerobic exercise on the improvement of executive function in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis

“…In this study, to ensure the reliability of the cited evidence, the PEDro scoring system was used to evaluate the risk of bias of the nine selected papers ( Yang et al, 2022 ). The PEDro scoring system consists of eleven criteria: explicitly setting the inclusion criteria for the study participants, the randomization of the participant selection process and the concealment of the allocation in the grouping, the similarity at baseline and blinding of participants, therapists, and evaluators, a follow-up rate of greater than 85%, the use of intention-to-treat analysis, statistical comparisons between groups, and accurate reporting of data points and indicators of variability are all key factors in ensuring the reliability and validity of the study results.…”

Tingkat Pemahaman Orang Tua Anak Cerebral Palsy Terhadap Petunjuk Terapi Latihan Mandiri Menggunakan Aplikasi KORTIKO.EDU

“…Anak CP memerlukan terapi latihan yang berkelanjutan dan terprogram setiap hari (Gimigliano, 2019). Terapi latihan diperlukan sepanjang hidup anak CP (Yang, 2022). Terapi latihan yang dilakukan secara berkelanjutan dapat mencegah beberapa gangguan gerak seperti kontraktur otot, anak sulit tidur di malam hari, sembelit, dan gangguan pada motorik kasar, motorik halus dan fungsi oral (Gbonjubola, 2021).…”