oseretsky test of motor proficiency; hVCT, home-based virtual cycling training CP is the most frequent motor disability in childhood and as a result the prevalence of CP is estimated at about 3, 6 per 1000 in children going to school. 4 Severe CP can be associated with a reduced life expectancy. 5 As the person with CP develops, the clinical picture changes and is characterized by brain lesions even when CP is not progressive. 4 Thus, CP brings in numerous problems that affect the whole individual such as significant musculoskeletal and movement disorders. These are presented in Appendix 1.More specifically for trunk and posture disorders, activities like reaching and walking activate the truck which should remain a stable base of support during execution of upper or lower limb movements. 6 Therefore, poor trunk control has direct influence in daily activities

BACKGROUND Functioning is considered a third indicator of health and a key outcome in rehabilitation. A universal practical tool for collecting functioning information is essential. This tool would be ideally based on the International Classification of Functioning, Disability and Health. AIM To report the results of the development of country/language-specific versions of an ICF-based clinical tool in six European countries. DESIGN Consensus process. SETTING Expert conferences. POPULATION Multi-professional group of rehabilitation professionals in six European countries. METHODS 1) Developed an initial proposal by translating the published English-language version of the simple descriptions into the targeted language; 2) conducted a multi-stage consensus conference to finalize the descriptions; 3) employed a three-stage multi-professional expert panel translation back to English. The consensus conference model was modified for geographically large countries. RESULTS Croatian, Flemish/Dutch, Greek, Polish, and Turkish versions were produced. CONCLUSIONS The creation of the country/language-specific simple descriptions is a significant part of the “system-wide implementation of the ICF” initiative that will pave the way for the implementation of the ICF in national health systems. CLINICAL REHABILITATION IMPACT The practical ICF-based clinical tool with country/language specific versions for standardized reporting of functioning will serve as a means of integrating functioning information in national health systems and additionally for monitoring the effects of rehabilitation interventions.

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Background: Parkinson's disease (PD) in a neurodegenerative disorder that is mainly managed with medication and conventional physiotherapy. Virtual reality (VR) and treadmill training (TT) can be used in rehabilitation programs for PD patients to improve their motor control, balance, functional mobility and gait problems.Objective: The aim of this review was to collect the current evidence on these interventions and assess their effectiveness on patients with Parkinson's disease.Methodology: After electronic searches through databases and search engines, 19 articles were identified as suitable for the review focusing on a total of 952 PD patients participating in either VR or TT interventions.Main Results: The VR intervention significantly improved balance, gait, daily life activities and quality of life of PD patients compared to a passive control group and increased avails on stride and step length compared with an active control group (p-value<0.05). Similarly, the TT intervention was shown to significantly improve gait speed and balance performance of PD patients compared to passive control group and gait speed, stride length and walking distance compared with an active control group (p-value<0.05). Conclusion:Both VR and TT approaches have beneficial effects on PD patients and the interventions should further explored, enhanced and applied to improve the rehabilitation process of the patients.

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