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| Rehabilitation of postural control and gait in children with cerebral palsy: the beneficial effects of trunk-focused postural activities |
| Pierret J, Beyaert C, Vasa R, Rumilly E, Paysant J, Caudron S |
| Developmental Neurorehabilitation 2023 Apr;26(3):180-192 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; 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: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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PURPOSE: In children with cerebral palsy (CP), with impaired trunk control and toe-walking, trunk-focused rehabilitation (TFR) based on postural activities was hypothesized to improve trunk postural control, early trunk deceleration, and ankle dorsiflexion braking during walking. METHODS: Seventeen children with CP (5 to 12 years) walking autonomously were randomly assigned to TFR and then usual rehabilitation (TFR-UR) or vice versa (UR-TFR). RESULTS: Only after TFR was significant improvements in (i) the Trunk Control Measurement Scale score, postural sway on an unstable sitting device and standing, and (ii) early sternal and sacral decelerations and coupled negative ankle power due to plantar flexors. CONCLUSION: TFR improves trunk dynamics and consequently improves coupled toe-walking.
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