A Systematic Review of Mobile Applications to Support Individuals With Cerebral Palsy and Their Caregivers

This study aims to systematically review the effect of mobile applications (apps) in supporting individuals with cerebral palsy (CP) and their caregivers. Five databases were searched for articles published between 2013 and 2023. Included studies were original with full available text that assessed the effectiveness of mobile apps to support the daily life of individuals with CP and their caregivers. The Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool was used to assess the risk of bias, and quality of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Six studies, encompassing 91 individuals with CP, were included. Included studies were mostly experimental (3/6, 50.0%). Predominantly focused on children with CP, the studies covered various areas, such as assistance with speech impairment, intervention mapping with gamification, athletics, relaxation, and educational apps for individuals with CP. Among all, one study focused on caregivers. Out of six studies, two were found to be serious (33.3%), and four (66.7%) had a moderate risk of bias. Quality assessments revealed that grades were low (4/6, 66.7%) and very low quality (2/6, 33.3%). The limited available studies indicate the need for future research on the potential of integrating technological solutions, such as mobile apps, in addressing various facets of management and care of individuals with CP.