The efficacy of physical therapy on the improvement of the motor components of visual attention in children with cerebral palsy: a case series study

Abuín-Porras, Vanesa; Pedersini, Paolo; Berjano, Pedro; Villafañe, Jorge Hugo

doi:10.12965/jer.1836568.284

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…Kinesitherapy had a significant therapeutic effect that exceeded the placebo effect, as the kinesitherapy group performed better than the control group after two weeks and sixth months, at comparable values at the beginning of follow-up. This supports the opinion of other authors that kinesitherapy has a short-term and long-term therapeutic effect [9,13,[23][24][25]28,29].…”

Section: Discussion:-supporting

confidence: 91%

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Six-Month Follow-Up of Kinesitherapy for Cerebral Motor Disorders in Early Childhood

Kostova¹,

Aleksiev²

2021

IJAR

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Introduction:- There is a consensus about the positive effect of kinesitherapy in cerebral motor disorders, but not about its recommended frequency. There is no consensus on the statistical significance of predictive factors. Aim:- To compare the effect of kinesitherapy versus control, as well as to compare the statistical significance of the following factors: age, corrected age, weight, gender, pregnancy, number of pregnancies, conception, birth, twins, pathological reflexes, primitive reflexes, kinesiology tests, cranial ultrasound, follow-up and frequency of kinesitherapy. Material and methods:- 27 children (age 8.21 Â± 5.49 months) with cerebral motor disorders were followed for six months. They were divided into kinesitherapy group and control group. The control group (n = 15) was followed up in the beginning, at the second week, and at the sixth month. The treatment group (n = 12) was followed up in the same way but received kinesitherapy once daily for two weeks at the beginning of every month. Parents were instructed to perform the same techniques with their children as often as possible at home. The following factors were recorded and analyzed: age, corrected age, weight, gender, pregnancy (normal or pathological), number of pregnancies, conception (normal or in vitro), birth (normal or pathological), twins (yes or no), pathological reflexes, primitive reflexes, kinesiology tests, cranial ultrasound, follow-up (short-term and long-term) and frequency of kinesitherapy. Results:- At the beginning of the follow-up, there was no difference between the two groups regarding all factors (P>0.05). Both groups showed better results after two weeks (P<0.05) and after six months (P<0.05) regarding kinesiology tests, pathological and primitive reflexes. The kinesitherapy group showed better results versus the control group at the end of the second week (P<0.05) and at the end of the sixth month (P<0.05) regarding kinesiology tests, pathological and primitive reflexes. The regression coefficients of the factors decreased in the following sequence: frequency of kinesitherapy (0.787), kinesiology tests (0.412), primitive reflexes (0.352), conception (0.298) , birth (0.282), twins (0.221), corrected age (0.220), age (0.197), pregnancy (0.197), pathological reflexes (0.143), cranial ultrasound (0.127), number of pregnancies (0.0501), gender (0.0306), follow-up (0.00547), and weight (0.0000031). Conclusion:- Kinesitherapy has a significant short-term and long-term effect that exceeds the placebo effect. Significance of the factors decreased in the following order: frequency of kinesitherapy, kinesiology tests, primitive reflexes, conception, birth, pregnancy, corrected age, age, pathological reflexes, cranial ultrasound, pregnancy, gender, follow-up, and weight. The frequency of kinesitherapy is the most important factor, which should be recommended at least three times daily in cerebral motor disorders in early childhood.

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Section: Discussion:-supporting

confidence: 91%

“…Bobat kinesitherapy included neuro-developmental treatment: key joints, fixation, stimulation of equilibrium and upright reactions, development of motor skills, and automation of motor skills in everyday life [9,29].…”

Section: Materials and Methods:-mentioning

confidence: 99%

Six-Month Follow-Up of Kinesitherapy for Cerebral Motor Disorders in Early Childhood

Kostova¹,

Aleksiev²

2021

IJAR

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“…The Bobath concept, which emphasizes both the integration of postural control and task performance, and the selective movement control to produce coordinated sequences of movements, is, as mentioned before, one of the most well-established problem-solving approaches in the field of rehabilitation of neuro-motor dysfunctions [ 58 , 59 , 60 ]. In addition, it is important to highlight that, although there are some authors that highlight the effectiveness of this therapy claiming that it improves functional motor ability, independence level on daily living activities, and balance ability in children with CP [ 31 , 61 ], some recent systematic reviews concluded that, contrary to popular beliefs (in fact, this treatment obtained the highest percentages of use in the survey), the Bobath approach is not backed sufficiently by evidence [ 62 ] and that there are no circumstances where any of the aims of neurodevelopment therapy could not be achieved by a more effective treatment [ 15 ]. These results demonstrated a controversy that should be tackled with further research.…”

Section: Discussionmentioning

confidence: 99%

Studying the Research–Practice Gap in Physical Therapies for Cerebral Palsy: Preliminary Outcomes Based on a Survey of Spanish Clinicians

Sánchez

Lerma-Lara

García-Carmona

et al. 2022

IJERPH

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The purpose of this work is to study the gap between the research evidence and the clinical practice in the physical rehabilitation of people with cerebral palsy. A review process was performed to (1) identify physical therapies to improve postural control in children with cerebral palsy and (2) determine the scientific evidence supporting the effectiveness of those therapies. A Likert-based survey addressing a total of 43 healthcare professionals involved in pediatric physical therapy departments in Spain was carried out. The discussion was mainly supported by studies of level I or II evidence (according to the Oxford scale). The search process yielded 50 studies reporting 16 therapies. A strong positive correlation between the most used treatments and elevated levels of satisfaction was found. Some well-known but not often used techniques, such as hippotherapy, were identified. The treatment with the highest degree of use and satisfaction—neurodevelopment therapy (Bobath)—and some emerging techniques, such as virtual reality, were also identified. The fact that there is a meaningful gap between clinical practice and the scientific evidence was confirmed. The identified gap brings a certain degree of controversy. While some classic and well-known therapies had poor levels of supporting evidence, other relatively new approaches showed promising results.

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Interventions with an Impact on Cognitive Functions in Cerebral Palsy: a Systematic Review

et al. 2022

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The efficacy of physical therapy on the improvement of the motor components of visual attention in children with cerebral palsy: a case series study

Cited by 5 publications

References 15 publications

Six-Month Follow-Up of Kinesitherapy for Cerebral Motor Disorders in Early Childhood

Six-Month Follow-Up of Kinesitherapy for Cerebral Motor Disorders in Early Childhood

Studying the Research–Practice Gap in Physical Therapies for Cerebral Palsy: Preliminary Outcomes Based on a Survey of Spanish Clinicians

Interventions with an Impact on Cognitive Functions in Cerebral Palsy: a Systematic Review

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