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Slackline training in children with spastic cerebral palsy: a randomized clinical trial
Gonzalez L, Arguelles J, Gonzalez V, Winge K, Iscar M, Olmedillas H, Blanco M, Valenzuela PL, Lucia A, Federolf PA, Santos L
International Journal of Environmental Research & Public Health 2020 Nov;17(22):8649
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To assess whether a slackline intervention program improves postural control in children/adolescents with spastic cerebral palsy (CP). DESIGN: Randomized controlled trial. SETTING: Patients' association. PARTICIPANTS: Twenty-seven children/adolescents with spastic CP (9 to 16 years) were randomly assigned to a slackline intervention (n = 14, 13 +/- 3 years) or control group (n = 13, 12 +/- 2 years). INTERVENTION: Three slackline sessions per week (30 min/session) for 6 weeks. MAIN OUTCOME MEASURES: The primary outcome was static posturography (center of pressure -- CoP -- parameters). The secondary outcomes were surface myoelectrical activity of the lower-limb muscles during the posturography test and jump performance (countermovement jump test and Abalakov test). Overall (RPE > 6 to 20 scale) rating of perceived exertion was recorded at the end of each intervention session. RESULTS: The intervention was perceived as "very light" (RPE 7.6 +/- 0.6). The intervention yielded significant benefits on static posturography (a significant group by time interaction on Xspeed, p = 0.006) and jump performance (a significant group by time interaction on Abalakov test, p = 0.015). CONCLUSIONS: Slackline training improved static postural control and motor skills and was perceived as non-fatiguing in children/adolescents with spastic CP.

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