Effect of Exercise and Motor Interventions on Physical Activity and Motor Outcomes of Adults with Cerebral Palsy: A Systematic Review.
Study Goal
The researchers aimed to systematically review the effects of exercise and motor interventions, including gait training, on physical activity and motor outcomes in adults with cerebral palsy.
Results Summary
The study found that gait training improved gait velocity, quality of gait, and ankle stiffness more effectively than standard care or neurodevelopmental treatment, while balance training enhanced walking self-confidence and perceived balance change. However, whole-body vibration and resistance training showed no significant advantages over typical exercise programs for strength or gait function.
Population
Adults with cerebral palsy (439 participants across 25 studies).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
gait training | increase | gait velocity | adults with cerebral palsy | - | is more effective than standard care or neurodevelopmental treatment for improving | #1 |
gait training | increase | quality of gait | adults with cerebral palsy | - | is more effective than standard care or neurodevelopmental treatment for improving | #2 |
gait training | increase | ankle stiffness | adults with cerebral palsy | - | is more effective than standard care or neurodevelopmental treatment for improving | #3 |
balance training | increase | walking self-confidence | adults with cerebral palsy | - | is more effective than seated therapeutic activities for improving | #4 |
balance training | increase | perceived change in balance | adults with cerebral palsy | - | is more effective than seated therapeutic activities for improving | #5 |
whole-body vibration | no change | strength | adults with cerebral palsy | - | is no more effective than resistance training for improving | #6 |
whole-body vibration | no change | gait function | adults with cerebral palsy | - | is no more effective than resistance training for improving | #7 |
resistance training | no change | strength | adults with cerebral palsy | - | is no more effective than a person's typical exercise program for improving | #8 |
resistance training | no change | gait function | adults with cerebral palsy | - | is no more effective than a person's typical exercise program for improving | #9 |
PURPOSE: Systematically review the effect of exercise and motor interventions on physical activity and motor outcomes of adults with cerebral palsy (CP). METHODS: Eight databases were searched. RESULTS: Twenty-five studies were included, representing 439 adults with CP. Very low to low quality evidence supports that gait training is more effective than standard care or neurodevelopmental treatment for improving gait velocity, quality of gait, and ankle stiffness; balance training is more effective than seated therapeutic activities for improving walking self-confidence and perceived change in balance; whole-body vibration is no more effective than resistance training for improving strength or gait function; and resistance training is no more effective than a person's typical exercise program for improving strength or gait function of adults with CP. Adverse events were reported for balance training, functional training, resistance training, and whole-body vibration. DISCUSSION: Further research is needed that is adequately powered and uses well-controlled study designs.