Effect of arm cycling on gait of children with hemiplegic cerebral palsy

Hussein, Zeinab; Abd-Elwahab, Manal S.; Elshennawy, Shorouk

doi:10.1016/j.ejmhg.2014.02.008

Cited by 7 publications

(28 citation statements)

References 18 publications

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“…Results should be considered with caution for a study considering arm cycling in addition to gait training because of low study quality, high risk of selection bias, and no reporting on attrition rates. 42 Large effect sizes were estimated in one study for outcomes favouring myofeedback; however, this study was of poor quality and provided little information on blinding of outcome assessors or attrition rates, possibly biasing results. 47 Clinical significance should also be examined when interpreting results.…”

Section: Discussionmentioning

confidence: 94%

“…Compared with interventions, control therapies were less well‐described. Several comparison groups were described as having ‘conventional therapy’, ‘gait training’, or ‘traditional rehabilitation’, with little additional information provided. Four studies provided brief details on exercises or activities involved in the control therapy .…”

Section: Resultsmentioning

confidence: 99%

“…Motor skill groups were all of similar duration, and there did not seem to be a better outcome from 2 hours compared with 1 hour of class. Although largest effect sizes for interventions targeting body structure and function outcomes were found for the two studies with the longest durations (6mo), both studies were of low quality, and any associations between duration and effect should thus be considered with caution. The details of the interventions themselves and what they involved were not consistently described.…”

Section: Discussionmentioning

confidence: 99%

“…37,38,42,43,47,49,50 Most emphasized an individualized programme, with intervention components chosen or adapted to suit each child, 37,38,43,49,50 while two studies delivered a standardized protocol. 42,47 A combined approach was adopted by a study evaluating a CIMT intervention, which comprised exercises performed as a group as well as individual therapy. [34][35][36] Overall, interventions were described with variable detail.…”

Section: Interventionsmentioning

confidence: 99%

“…36,38,43,44,46 Key concerns for risk of bias included high risk of bias for randomization (four articles), 39,40,42,46 and high 39,40,42,46,49 or unclear [34][35][36]41,45,47,48 allocation concealment for most studies. Two studies had high risk of detection bias, 45,46 attrition bias was high 41,48 or unclear 42,47 in four studies, while two studies did not report results for all outcomes. 41,49 As is common in movement-based therapies, no studies were able to blind therapists or participants.…”

Section: Quality Assessment and Risk Of Biasmentioning

confidence: 99%

See 4 more Smart Citations

Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Cameron

Albesher

McGinley

et al. 2019

Develop Med Child Neuro

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Aim To explore the efficacy of movement‐based interventions to improve motor skills in preschool‐age children with, or at risk of, motor impairment, including those with a diagnosis of cerebral palsy, autism spectrum disorder, and developmental coordination disorder. Method Relevant electronic databases were searched for randomized or quasi‐randomized controlled trials. Outcomes were classified using domains of the International Classification of Functioning, Disability and Health: Children & Youth version. Quality was assessed using the Physiotherapy Evidence Database scale. Risk of bias was assessed using the Cochrane Risk of Bias tool. Effect sizes were calculated using Cohen’s d. Results Seventeen articles exploring a heterogeneity of intervention types, population groups, and outcome measures met the inclusion criteria. Movement‐based interventions did not significantly improve outcomes in either the body structure and function or activity domains in most studies. No studies used a participation outcome measure. Interpretation There is a paucity of evidence exploring movement‐based interventions in the preschool‐age group. Although movement‐based interventions showed potential for improving body structure and function and activity outcomes for children with motor impairment, results were mostly not significant. Small sample sizes, variable study quality, and risk of bias limit confidence in the results. What this paper adds The evidence is inconclusive to support movement‐based interventions in this group. No studies used outcome measures assessing participation. Variability in intervention type and study quality limit confidence in results.

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Section: Discussionmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Quality Assessment and Risk Of Biasmentioning

confidence: 99%

See 3 more Smart Citations

Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Cameron

Albesher

McGinley

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

Exercise interventions for cerebral palsy

Ryan

Cassidy²,

Noorduyn

et al. 2017

Cochrane Database of Systematic Reviews

131

166

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The quality of evidence for all conclusions is low to very low. As included trials have small sample sizes, heterogeneity may be underestimated, resulting in considerable uncertainty relating to effect estimates. For children with CP, there is evidence that aerobic exercise may result in a small improvement in gross motor function, though it does not improve gait speed. There is evidence that resistance training does not improve gait speed, gross motor function, participation or quality of life among children with CP.Based on the evidence available, exercise appears to be safe for people with CP; only 55% of trials, however, reported adverse events or stated that they monitored adverse events. There is a need for large, high-quality, well-reported RCTs that assess the effectiveness of exercise in terms of activity and participation, before drawing any firm conclusions on the effectiveness of exercise for people with CP. Research is also required to determine if current exercise guidelines for the general population are effective and feasible for people with CP.

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Effect of hand-arm bimanual intensive therapy on fine-motor performance in children with hemiplegic cerebral palsy

Wahab

Hamed

2015

Egyptian Journal of Medical Human Genetics

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Effect of arm cycling on gait of children with hemiplegic cerebral palsy

Cited by 7 publications

References 18 publications

Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Exercise interventions for cerebral palsy

Effect of hand-arm bimanual intensive therapy on fine-motor performance in children with hemiplegic cerebral palsy

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