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Impact of physical activity on postural stability and coordination in children with posterior fossa tumor: randomized
Mahmoud Usama1, Faten Abdelaziem2,3, Wafaa M Rashed4
1Department of Physical Therapy for Paediatrics, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzaiat St. Ben Elsaryat, El Dokki, Giza, Egypt. mahmoud_usama@cu.edu.eg.
Insights
This study found that balance and coordination training significantly improved motor skills in children with posterior fossa tumors. Adding these specialized exercises to physiotherapy enhances recovery for pediatric brain tumor patients.
Area of Science:
- Pediatric Oncology
- Neurorehabilitation
- Clinical Trials
Background:
- Posterior fossa tumors affect balance and coordination in children.
- Frequent falls are a common issue for pediatric patients with these tumors.
- Targeted physiotherapy is crucial for improving functional outcomes.
Purpose of the Study:
- To evaluate the effectiveness of specific balance and coordination training programs.
- To assess the impact of these interventions on pediatric patients with posterior fossa tumors.
- To compare the outcomes of different training modalities.
Main Methods:
- A randomized control trial (NCT04528316) involving 60 children (ages 5-12).
- Participants were assigned to a control group (Pilates), a postural stability group (Pilates + HUMAC balance), or a coordination group (Pilates + BOT-2).
- Statistical analysis used a semi-parametric proportional odds model to compare outcomes.
Main Results:
- All groups showed significant improvements in postural stability and coordination.
- Key metrics included sensory integration of balance, center of pressure, limits of stability, and bilateral/upper-limb coordination.
- Both specialized training groups demonstrated positive functional gains.
Conclusions:
- Adding postural stability and coordination training is valuable for physiotherapy in children with posterior fossa tumors.
- These targeted interventions can enhance motor function and reduce fall risk.
- The findings support integrating specialized training into rehabilitation plans for this population.
Background:
Posterior fossa tumor is a type of brain tumor that is located at the borders of both the brain stem and cerebellum. The cerebellum is the brain region in charge of balance and coordination. Pediatric patients diagnosed with posterior fossa tumor have been reported to fall frequently.
Objectives:
The aim of this study is to investigate the effectiveness of balance and coordination training in these children.
Methods:
This randomized control clinical trial (ClinicalTrials.gov Identifier: NCT04528316) was carried out between September 2020 and April 2021 at Children's Cancer Hospital-57357. The inclusion criteria were patients with posterior fossa tumor in maintenance phase and, age between 5 and 12 years. The exclusion criteria were patients who had a genetic disorder or suffer from mental retardation, a chronic lung disease, severe cardiomyopathy, or a neuromuscular disease that does not relate to tumor. The study participants were randomly assigned into three groups: Group I/Control group: they received Pilates core stability exercises program, Group II/Postural stability group: they received the same program plus HUMAC balance program, and Group III/Coordination group: they received the same program plus coordination exercises of BOT-2. The semi-parametric proportional odds model was used to compare follow-up scores of the Postural stability group vs Control, and Coordination group vs Control, while adjusting for baseline values. All tests were two sided, with alpha set to 0.05.
Results:
Sixty children including 38 boys and 22 girls were enrolled in this study. In all three groups, postural stability and coordination improved significantly in terms of modified clinical test of sensory integration of balance, center of pressure, limits of stability, bilateral coordination, and upper-limb coordination.
Conclusion:
The current study supports the value of adding postural stability and coordination training to the physiotherapy plan for children with posterior fossa tumor.
Trial Registration Number And Date Of Registration:
ClinicalTrials.gov Identifier: NCT04528316 on August 27, 2020.
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