Therapeutic interventions for trunk and improvement of posture in children with cerebral palsy: a review of the literature

The examination of the human gait cycle can be useful for physiotherapists for identifying and/or predicting body motion disorders and it provides important data about the patient's condition in many ways. In this paper, the progress of a special TheraSuit physiotherapy treatment of a child, who has reduced mobility due to cerebral palsy, has been investigated. Generally, this type of disorder is classified into strict levels and the effectiveness of the therapy is expressed by changing between distinct levels. On the other hand paper describes a new markerless self-developed movement analysis system, which is able to show the effectiveness of the treatment with quantitative parameters. These parameters are determined by statistical methods.

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“…In this paper, statistical methods [13] have been used to show significant changes before and after the therapy.…”

Section: Introductionmentioning

confidence: 99%

Characterization of walking gait features using Kinect

Müller

Schiffer

2021

Pollack

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“…Physical therapy interventions are commonly used in an attempt to enhance postural control in children with CP 14,15 . The majority of the existing studies for improving sitting ability in children with CP have included children over 5 years of age 16,17 . The timing of intervention may play a significant role in the efficacy of intervention as the first 2 years of a child’s life represent a ‘critical period’ of development, because of maximal synaptogenesis and corticospinal development occurring during this time.…”

mentioning

confidence: 99%

“…14,15 The majority of the existing studies for improving sitting ability in children with CP have included children over 5 years of age. 16,17 The timing of intervention may play a significant role in the efficacy of intervention as the first 2 years of a child's life represent a 'critical period' of development, because of maximal synaptogenesis and corticospinal development occurring during this time. Moreover, inability or difficulty to achieving independent sitting by 5 years represents a significant motor delay, which can negatively impact other milestones.…”

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confidence: 99%

Physical therapy interventions to improve sitting ability in children with or at‐risk for cerebral palsy: a systematic review and meta‐analysis

Inamdar

Molinini

Panibatla

et al. 2020

Develop Med Child Neuro

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Aim To conduct a systematic review and meta‐analysis on the effectiveness of physical therapy interventions to improve sitting ability in young children with or at risk for cerebral palsy (CP). Method A systematic literature search was performed using five databases. Study selection criteria were randomized controlled trials published in English on physical therapy interventions targeting sitting, reporting developmental or functional sitting outcomes, and focused on young children with or at risk for CP (mean age ≤5y). Risk of bias (ROB) was assessed using the Cochrane ROB 2.0 tool. Results Twelve unique studies met the inclusion criteria and were categorized into one of two categories: (1) comparison of two physical therapy interventions or (2) physical therapy plus adjunct versus physical therapy alone. The combined pooled effect size (g) for the 10 studies included in meta‐analysis was large (g=0.78) but non‐significant. Pooled effect for category 1 was small (g=–0.06) and non‐significant. Interventions in category 2 showed a large and significant effect (g=1.90, p=0.022). Interpretation There is a lack of strong evidence for physical therapy interventions targeting sitting in young children with or at‐risk for CP due to limitations in methodological rigor and sample sizes. Components of impairment remediation combined with functional balance training should be explored to improve sitting in children diagnosed with CP. Given the benefits of early achievement of sitting, strong evidence‐based research is needed. What this paper adds Strong evidence is lacking for physical therapy interventions to improve sitting ability in young children with/at risk for cerebral palsy (CP). Kinesio‐taping may be an effective adjunct to conventional physical therapy in improving sitting ability in children with spastic bilateral CP. Task‐specific, intensive, and child‐initiated intervention components show promise for improving sitting in young infants at risk for CP.

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