The use of exercise-based treatments to improve postural control in children with CP has increased significantly in the last decade. Progressive resistance exercise was an ineffective intervention, and upper limb interventions lacked high-level evidence. Six of the interventions had weak or conflicting evidence: functional electrical stimulation (FES), hippotherapy simulators, neurodevelopmental therapy (NDT), treadmill training with body weight support, virtual reality, and visual biofeedback. Five interventions were supported by a moderate level of evidence: gross motor task training, hippotherapy, treadmill training with no body weight support (no-BWS), trunk-targeted training, and reactive balance training. Searches yielded 45 studies reporting 13 exercise interventions with postural control outcomes for children with CP. Articles were evaluated based on their level of evidence and conduct. Six databases were searched using the following keywords: ('cerebral palsy' OR 'brain injury') AND ('postur*' OR 'balance' OR 'postural balance' ) AND ('intervention' OR 'therapy' OR 'exercise' OR 'treatment'). The aim of this study was to evaluate the efficacy and effectiveness of exercise interventions that may improve postural control in children with cerebral palsy (CP).Ī systematic review was performed using American Academy of Cerebral Palsy and Developmental Medicine (AACPDM) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology.
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