Efficacy of Induced Spherical Based Modified Balance Board on Improvement of Sitting Level Stage in Spastic Cerebral Palsy Children

Azzam, Ahmed M.

doi:10.4172/2165-7025.1000210

Cited by 2 publications

(19 citation statements)

References 10 publications

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“…The balance board plus physical therapy group in this study received an additional 2 hours of daily training along with 6 hours of a home program (8 additional hours of practice per day in total) as compared with the 1 hour of conventional physical therapy in the ‘physical therapy alone’ group. There was no additional effect of the intensive balance board practice on the sitting ability of children with CP 38 . Kyvelidou et al recruited 20 children with bilateral CP, seven children with dystonic CP, one child with dyskinetic CP, and two children with non‐classifiable CP 48 .…”

Section: Resultsmentioning

confidence: 99%

“…38,48 The study by Azzam et al recruited 30 children with bilateral CP (diplegia). 38 The balance board plus physical therapy group in this study received an additional 2 hours of daily training along with 6 hours of a home program (8 additional hours of practice per day in total) as compared with the 1 hour of conventional physical therapy in the 'physical therapy alone' group. There was no additional effect of the intensive balance board practice on the sitting ability of children with CP.…”

Section: Results For Children At Risk For Cp At Enrollmentmentioning

confidence: 99%

“…There was no additional effect of the intensive balance board practice on the sitting ability of children with CP. 38 Kyvelidou et al recruited 20 children with bilateral CP, seven children with dystonic CP, one child with dyskinetic CP, and two children with non-classifiable CP. 48 The GMFCS levels were 12 children in level II/III and 18 children in level III/IV.…”

Section: Results For Children At Risk For Cp At Enrollmentmentioning

confidence: 99%

“…The results for conduct, based on each category are as follows: of the seven studies in category 1, the conduct of four studies was rated ‘strong’, 35,36,41,47 one study ‘moderate’, 44 and two studies were ‘weak’ 45,46 . In category 2, of the five studies, the conduct of two studies was ‘strong’, 40,48 two studies ‘medium’, 37,39 and one study ‘weak’ 38 …”

Section: Resultsmentioning

confidence: 99%

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Physical therapy interventions to improve sitting ability in children with or at‐risk for cerebral palsy: a systematic review and meta‐analysis

Inamdar

Molinini

Panibatla

et al. 2020

Develop Med Child Neuro

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Aim To conduct a systematic review and meta‐analysis on the effectiveness of physical therapy interventions to improve sitting ability in young children with or at risk for cerebral palsy (CP). Method A systematic literature search was performed using five databases. Study selection criteria were randomized controlled trials published in English on physical therapy interventions targeting sitting, reporting developmental or functional sitting outcomes, and focused on young children with or at risk for CP (mean age ≤5y). Risk of bias (ROB) was assessed using the Cochrane ROB 2.0 tool. Results Twelve unique studies met the inclusion criteria and were categorized into one of two categories: (1) comparison of two physical therapy interventions or (2) physical therapy plus adjunct versus physical therapy alone. The combined pooled effect size (g) for the 10 studies included in meta‐analysis was large (g=0.78) but non‐significant. Pooled effect for category 1 was small (g=–0.06) and non‐significant. Interventions in category 2 showed a large and significant effect (g=1.90, p=0.022). Interpretation There is a lack of strong evidence for physical therapy interventions targeting sitting in young children with or at‐risk for CP due to limitations in methodological rigor and sample sizes. Components of impairment remediation combined with functional balance training should be explored to improve sitting in children diagnosed with CP. Given the benefits of early achievement of sitting, strong evidence‐based research is needed. What this paper adds Strong evidence is lacking for physical therapy interventions to improve sitting ability in young children with/at risk for cerebral palsy (CP). Kinesio‐taping may be an effective adjunct to conventional physical therapy in improving sitting ability in children with spastic bilateral CP. Task‐specific, intensive, and child‐initiated intervention components show promise for improving sitting in young infants at risk for CP.

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Section: Resultsmentioning

confidence: 99%

Section: Results For Children At Risk For Cp At Enrollmentmentioning

confidence: 99%

Section: Results For Children At Risk For Cp At Enrollmentmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Physical therapy interventions to improve sitting ability in children with or at‐risk for cerebral palsy: a systematic review and meta‐analysis

Inamdar

Molinini

Panibatla

et al. 2020

Develop Med Child Neuro

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“…10 In addition to its role as a classification index, the Level of Sitting Scale 7 may be useful for evaluative purposes when measuring change in sitting balance and postural control. 11–13 Therefore, the purposes of this study were to (1) translate and cross-culturally adapt the Level of Sitting Scale 7 for the Italian culture and (2) investigate its measurement properties in a cohort of children with cerebral palsy.…”

Section: Introductionmentioning

confidence: 99%

A study validating the Italian version of the Level of Sitting Scale in children with cerebral palsy

et al. 2019

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Objectives: To assess measurement properties of the Italian version of the Level of Sitting Scale when classifying sitting ability of children with cerebral palsy. Design: Methodological study. Setting: Children’s hospital (inpatients and outpatients). Subjects: Children 18 years of age or younger with cerebral palsy. Methods: The original English version of the Level of Sitting Scale was translated and culturally adapted for the Italian culture following international guidelines. Examination of reliability and validity of the Italian Level of Sitting Scale was then undertaken. Inter-rater and one-week test–retest reliability were estimated using both intraclass correlation coefficients (ICCs) with 95% confidence intervals and Bland–Altman plots. Construct validity of the Italian Level of Sitting was evaluated using three approaches examining Pearson’s correlation coefficient ( r) and Mann–Whitney U test ( P-value < 0.05). Main measures: Italian Level of Sitting Scale and Gross Motor Function Classification System. Results: The Italian Level of Sitting Scale was administered to 109 subjects. Inter-rater reliability and one-week test–retest showed excellent value with ICCs of 0.99 for both. (1) The Pearson correlation coefficient comparing Italian Level of Sitting Scale with Gross Motor Function Classification System was −0.91 and (2) correlation with total amount of adaptive seating components was −0.90. Differences in sitting abilities and use/non-use of wheelchair were found. All reported a statistical significance of P < 0.01. Conclusion: Our findings provide evidence of reliability and validity when using the Italian Level of Sitting Scale to classify seated postural abilities in a sample of Italian children with cerebral palsy.

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Efficacy of Induced Spherical Based Modified Balance Board on Improvement of Sitting Level Stage in Spastic Cerebral Palsy Children

Cited by 2 publications

References 10 publications

Physical therapy interventions to improve sitting ability in children with or at‐risk for cerebral palsy: a systematic review and meta‐analysis

Physical therapy interventions to improve sitting ability in children with or at‐risk for cerebral palsy: a systematic review and meta‐analysis

A study validating the Italian version of the Level of Sitting Scale in children with cerebral palsy

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