Comparison of the Effectiveness of Different Trunk-Focused Exercise Approaches for Children With Unilateral Cerebral...

Area of Science:

• Pediatric rehabilitation
• Neurology
• Physical therapy

Background:

• Unilateral cerebral palsy (UCP) significantly impacts motor function, particularly trunk control and balance.
• Effective interventions are crucial for improving functional outcomes in children with UCP.
• Various trunk training approaches exist, but their comparative efficacy requires further investigation.

Purpose of the Study:

• To compare the effects of Neuro-Developmental Treatment-based trunk training, video game-based trunk training (VG-TT), and VG-TT with an orthotic garment.
• To evaluate the impact of these interventions on trunk control, sitting balance, and overall functional mobility in children with UCP.

Main Methods:

• A randomized controlled trial involving 42 children with UCP.
• Participants received 8 weeks of usual physiotherapy followed by 8 weeks of either Neuro-Developmental Treatment-based trunk training, VG-TT, or VG-TT with an orthotic garment.
• Primary outcomes included the Trunk Control Measurement Scale and Becure Balance Assessment System; secondary outcomes included the Pediatric Berg Balance Scale and Gillette Functional Assessment Questionnaire.

Main Results:

• No significant trunk control improvements were noted during the initial control period.
• All intervention groups demonstrated significant gains in trunk control and balance during the intervention period.
• No significant differences in trunk control, balance, or walking function were observed between the three intervention groups.

Conclusions:

• Trunk-specific training is effective in enhancing trunk control and functional balance in children with UCP.
• The choice of intervention (Neuro-Developmental Treatment-based, VG-TT, or VG-TT with orthotics) can be individualized based on patient needs and clinical feasibility.
• Further research may explore long-term effects and optimal combinations of therapies.