Effect of task-oriented training on gross motor function, balance and activities of daily living in children with cerebral palsy: A systematic review and meta-analysis

Abstract

Background: To systematically evaluate task-oriented training (TOT) on the improvement of gross motor function, balance and activities of daily living in children with cerebral palsy (CP).Methods: A number of randomized controlled trials (RCTs) of TOT in children with CP were searched from Pubmed, Cochrane Library, Web of Science, EmBase, China National Knowledge Infrastructure, Chinese Biology Medicine, Chinese Scientific Journals Database and Wanfang data from the establishment of database to March 2022. The methodological quality of the included studies was evaluated, and meta-analysis was performed by RevMan5.4 software.Results: A total of 16 studies were included in the systematic review (n = 893). Meta-analysis showed that the gross motor function measure (GMFM) (MD = 11.05, 95%CI [8.26,13.83], P < .00001), dimension D (MD = 3.05, 95%CI [1.58,4.53], P < .0001) of the GMFM, dimension E (MD = 7.36, 95%CI [5.88,8.84], P < .00001) of the GMFM, the Berg Balance Scale (BBS) (MD = 6.23, 95%CI [3.31,9.15], P < .0001), the pediatric evaluation of disability inventory (PEDI) mobile function (MD = 6.44, 95%CI [3.85,9.02], P < .00001) score improved significantly in the TOT group compared with the control group.Conclusions: Current evidence shows that TOT could effectively improve gross motor function, balance and activities of daily living in children with CP. Due to the limitations of the number and quality of the included studies, the above conclusions need to be verified by more high-quality studies.

Fisioterapia para la mejora de la participación en el entorno escolar de educación infantil, equilibrio y la marcha en la Parálisis Cerebral: Estudio de caso

“…En lo referente a la intervención de Fisioterapia, según la revisión sistemática desarrollada por Zai y cols. [9] sobre la aplicación de TAMOT, no hay un consenso en la duración del tratamiento o de las sesiones, ni en la frecuencia. La duración de los tratamientos oscila entre 4 semanas y 4 meses, la duración de las sesiones se encuentra entre 10 minutos y una hora, y la frecuencia de los tratamientos varía entre 2 sesiones a la semana y 6 sesiones.…”

“…Actualmente, hay distintos Métodos Específicos de Intervención en Fisioterapia que han demostrado tener eficacia para el tratamiento de los niños con PC como son la Terapia de Aprendizaje Motor Orientado a la Tarea (TAMOT), que es una terapia que consiste en la repetición y entrenamiento de una tarea que imita la ejecución de actividades funcionales [9] y el ejercicio terapéutico basado en un entrenamiento en tapiz rodante [9][10][11].…”

Comparative Effects of Functional Task Training Versus Functional Therapy Program on Gross Motor Function, Range of Motion and Balance in Children With Cerebral Palsy

“…Functional Task Training, which emphasizes task-specific activities, and the Functional Therapy Program, which incorporates goal-directed exercises, both capitalize on the principles of neuronal plasticity. This phenomenon, crucial in pediatric rehabilitation, suggests that the brain's ability to reorganize itself through new neural connections can lead to substantial improvements in motor functions when exposed to consistent and targeted physical therapy (19). (20).…”

“…This phenomenon, crucial in pediatric rehabilitation, suggests that the brain's ability to reorganize itself through new neural connections can lead to substantial improvements in motor functions when exposed to consistent and targeted physical therapy (19). (20). Despite these promising results, the study had several limitations.…”

Movement Therapy (Dohsa-hou) for Cambodian Children with Cerebral Palsy: Effectiveness in Improving Gross Motor Skills in Sitting Position

“…Among the interventions showing evidence include medicinal approach (such as anticonvulsants, BoNT or Botulinum Toxin, bisphosphonates, diazepam), surgical approach (such as ankle casting, hip surveillance, and selective dorsal rhizotomy), and physical approach (such as bimanual training, constraint-induced movement therapy, context-focused therapy, goaldirected/functional training, home programs, and occupational therapy) [9]. In physical therapy, which aims to promote the development of independent activities of daily living in people with cerebral palsy, various techniques have been developed with a focus on repetitive practice of daily living activities to be acquired, strength training necessary daily living activities, and training of upper limb movements to use equipment to support daily living activities [9] [10]. While previous physiotherapeutic interventions have narrowed their scope on techniques that focus on walking and findings on factors that facilitate walking in people with cerebral palsy, more recent findings have begun to identify effective techniques that instead focus on sitting and factors that facilitate such techniques.…”