Effects of interventions with therapeutic suits (clothing) on impairments and functional limitations of children with cerebral palsy: a systematic review

Almeida, Kênnea Martins; Fonseca, Sérgio T.; Figueiredo, Priscilla R. P.; Aquino, Amanda A.; Mancini, Marisa Cotta

doi:10.1016/j.bjpt.2017.06.009

Cited by 50 publications

(50 citation statements)

References 38 publications

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“…The standardized mean difference (SMD), with its 95% confidence interval (95% CI), was chosen as a summary measure of the effect to allow us to combine data for the following motor function scales: Gross Motor Function Measure (GMFM), Lateral Step Up (LSU), Time Up and Go (TUG), and Mobility Questionnaire (MobQue) used in the meta-analysis. This strategy, which is consistent with the approach taken in other reviews [7,23], increases the pool of studies, thereby increasing the power to detect both intra-group and between-group differences in the motor functions.…”

Section: Methodssupporting

confidence: 56%

Impact of Resistance Therapy on Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis

Collado-Garrido

Parás‐Bravo

Calvo-Martín

et al. 2019

IJERPH

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Cerebral palsy is one of the main causes of disability in childhood. Resistance therapy shows benefits in increasing strength and gait in these patients, but its impact on motor function is not yet clear. The objective was to analyze the impact of resistance therapy on the improvement in the motor function using a review and meta-analysis. A comprehensive literature research was conducted in Medline (PubMed), Institute for Scientific Information (ISI) Web of Knowledge, and Physiotherapy Evidence Database (PEDro) in relation to clinical trials in which resistance therapy was used and motor function was assessed. Twelve controlled clinical trials and three non-controlled clinical trials (only one intervention arm) studies were identified. In terms of pre–post difference, the overall intra-group effect was in favor of resistance therapy intervention: standardized mean difference (SMD) = 0.37, 95% confidence interval (CI) = 0.21 to 0.52, p < 0.001 (random-effects model), with moderate heterogeneity (I2 = 59.82%). SMDs were also positive by restricting to each of the analyzed scales: SMD = 0.37, 1.33, 0.10, and 0.36 for Gross Motor Function Measure (GMFM), Lateral Step Up (LSU), Time Up and Go (TUG), and Mobility Questionnaire (MobQue) scales, respectively. Regarding the difference between groups, the results showed a high heterogeneity (I2 < 99%), with the mean difference (MD) also favorable for the GMFM scale: MD = 1.73, 95% CI = 0.81 to 2.64, p < 0.001 (random-effects model). Our results support a positive impact of resistance therapy on motor function. Further studies should delve into the clinical relevance of these results.

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Section: Methodssupporting

confidence: 56%

Impact of Resistance Therapy on Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis

Collado-Garrido

Parás‐Bravo

Calvo-Martín

et al. 2019

IJERPH

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“…Muscle weakness is significant in trunk, postural and antigravity muscles. In addition, proprioception and tactile sense insufficiencies are also observed (2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

Upper Extremity Impairments and Activities in Children with Bilateral Cerebral Palsy

et al. 2017

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Background: There is a lack of evidence about the upper extremity impairments and function in children with diparetic cerebral palsy. Objectives: This study was planned to investigate the upper extremity impairments, dexterity, grip strength and function in the daily living activities in children with diparetic cerebral palsy (CP). Methods: Eighteen children with diparetic CP and 15 typical peers between the ages 5 -12 years were included in the study. Manual Ability Classification System (MACS) was used for the classification of upper extremity fine motor skills; WeeFIM for activities of daily living; Abilhand-Kids for the manual abilities; and Pediatric Evaluation of Disability Inventory (PEDI) for the disability in the daily living activities respectively. Grip strength was evaluated with Jamar Hand Dynamometer, hand functions were assessed with Nine-hole Peg Test and Jebsen-Taylor test. Results: Children with diparetic CP were affected in manual abilities and functions, grip strength, activities of daily living, and levels of disability and the results were statistically significant (P < 0.05). Conclusions: As a conclusion, upper extremity impairments, dexterity, grip strength, and functions in the activities of daily living are affected in children with diparetic CP. Physiotherapy interventions for upper extremities and hand should be included as well as the lower extremities in the treatment of the spastic diparetic children.

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“…Rennie, et al [12] found an improvement in proximal stability in eight CP children after wearing a "whole-body Lycra garment orthosis" for eight weeks, but the improvement was not statistically significant. some review articles, which conclude that garment orthoses in general do not improve function [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have used 3D gait analysis, one with spatiotemporal data such as stride length, cadence and gait speed [10] and others report data from kinematics [11,12]. In spite of great expectations for an orthosis without stiffness, review articles could not find evidence of improved function after using Lycra-orthoses [13][14][15]. They concluded that the effect is not evident and more studies are required.…”

Section: • 3d Gait-labmentioning

confidence: 99%

Does the Use of Lycra-Hip-Orthoses Stabilize Gait and Increase Activity among Adults with Neurological Disabilities?

E¹,

Tobias²,

B³

et al. 2020

Int J Foot Ankle

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Background: The benefits of Lycra-garment-orthoses have not been convincing. We wanted to evaluate the effects of Lycra-hip-orthoses with several objective and subjective methods. The hypothesis was that the Lycra-hip-orthosis would improve gait, reduce lateral instability in the pelvis, reduce Trendelenburg gait and increase daily activity. Methods: Ten patients with neurological disabilities with reduced stability of the pelvis were investigated at a 3D gait-lab with and without Lycra-hip-orthoses at baseline and after a follow-up period of median 7.5 (range: 6-19) weeks using the Lycra-hip-orthosis. The patients also used an Accelerometer to measure activity and filled in questionnaires at baseline and endpoint. Results: Apart from a reduction in anterior tilt of the pelvis, there were only minor changes for all the measured parameters. Conclusion: We found no clinically relevant effects after wearing Lycra-hip-orthoses for a median follow-up time of 7.5 weeks.

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Effects of interventions with therapeutic suits (clothing) on impairments and functional limitations of children with cerebral palsy: a systematic review

Cited by 50 publications

References 38 publications

Impact of Resistance Therapy on Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis

Impact of Resistance Therapy on Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis

Upper Extremity Impairments and Activities in Children with Bilateral Cerebral Palsy

Does the Use of Lycra-Hip-Orthoses Stabilize Gait and Increase Activity among Adults with Neurological Disabilities?

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