Impact of sensory perceptual motor core stability exercise program on trunk control in achieving independent sitting in children with cerebral palsy -- a randomized controlled trial.
AIM: Independent sitting, essential for children's crucial functional activities and motor development, is often impaired in Bilateral Spastic Cerebral Palsy (BSCP) due to neuromuscular control deficits. This double-blinded, randomized controlled trial evaluated the effectiveness of a Sensory Percep...
| Publicado en: | Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia Vol. 15; pp. 1 - 15 |
|---|---|
| Autores principales: | , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia
2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192803164&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192803164 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22382704 MZWC jtl: Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia issn: 22382704 maglogo: N pubinfo: dt: 2025 vid: 15 pid: 69389 pub: Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia artinfo: ui: 192803164 192803164 192803164 10.17267/2238-2704rpf.2025.e6004 192803164 ppf: 1 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Impact of sensory perceptual motor core stability exercise program on trunk control in achieving independent sitting in children with cerebral palsy -- a randomized controlled trial. aug: au: Sivaramachandran, Rathish Natarajan, Meena affil: Corresponding author. Annamalai University (Chidambaram). Tamil Nadu, India. Pondicherry University (Puducherry). India sug: subj: Cerebral Palsy Rehabilitation Core Exercises Methods Sitting Evaluation Torso Physiology Motor Skills Program Evaluation Sensory Motor Integration Functional Status Treatment Outcomes Human Male Female Child, Preschool Child Randomized Controlled Trials Random Assignment Comparative Studies Prospective Studies Double-Blind Studies Power Analysis India Schools, Special Scales Intraclass Correlation Coefficient Intrarater Reliability Interrater Reliability Internal Consistency Sociodemographic Factors Data Analysis Software Descriptive Statistics Chi Square Test Wilcoxon Rank Sum Test Repeated Measures Friedman Test Anthropometry Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: AIM: Independent sitting, essential for children's crucial functional activities and motor development, is often impaired in Bilateral Spastic Cerebral Palsy (BSCP) due to neuromuscular control deficits. This double-blinded, randomized controlled trial evaluated the effectiveness of a Sensory Perceptual Motor Core Stability Exercise Program (SPMCSEP) to improve independent sitting control in this population, addressing the need for novel interventions beyond conventional therapy to specifically improve independent sitting control. METHODS: Seventy-two children aged 3-7 years with BSCP were randomly assigned to either SPMCSEP plus conventional therapy (n=36) or conventional therapy alone (n=36). Both groups received 1-hour sessions, 3 times weekly for 8 weeks. Sitting control was assessed using the Trunk Control Measurement Scale (TCMS) at baseline, 6, and 8 weeks. RESULTS: The SPMCSEP group showed statistically significant improvements in TCMS scores compared to the control group at 6 and 8 weeks (p<0.05). The intervention yielded a moderate effect size (0.52) and a substantial minimum detectable change (MDC), indicating a clinically meaningful enhancement in independent sitting control attributable to the SPMCSEP intervention. CONCLUSION: Incorporating SPMCSEP into rehabilitation programs as an adjunct to conventional therapy can significantly improve sitting control in children with BSCP, potentially supporting their continued motor development. Future studies is warranted to investigate the long-term impact of SPMCSEP on functional abilities and participation. OBJETIVO: A capacidade de sentar-se de forma independente, essencial para atividades funcionais cruciais e para o desenvolvimento motor de crianças, é frequentemente prejudicada na Paralisia Cerebral Espástica Bilateral (PCEB) devido a déficits no controle neuromuscular. Este ensaio clínico randomizado e duplo-cego avaliou a eficácia de um Programa de Exercícios de Estabilidade do Core Sensório-Perceptivo-Motor (PEECSM) para melhorar o controle da postura sentada nesta população, abordando a necessidade de novas intervenções além da terapia convencional para melhorar especificamente o controle da postura sentada. MÉTODOS: Setenta e duas crianças com PCEB, com idade entre 3 e 7 anos, foram aleatoriamente designadas para o PEECSM mais terapia convencional (n=36) ou apenas terapia convencional (n=36). Ambos os grupos receberam sessões de 1 hora, 3 vezes por semana, durante 8 semanas. O controle da postura sentada foi avaliado utilizando a Escala de Medida de Controle de Tronco (EMCT) na linha de base, 6 e 8 semanas. RESULTADOS: O grupo PEECSM mostrou melhorias estatisticamente signifi- cativas nos escores da EMCT em comparação ao grupo controle em 6 e 8 semanas (p<0,05). A intervenção produziu um tamanho de efeito moderado (0,52) e uma mudança mínima detectável (CMD) substancial, indicando uma melhora clinicamente significativa no controle da postura sentada atribuível à intervenção PEECSM. CONCLUSÃO: A incorporação do PEECSM em programas de reabilitação como um complemento à terapia convencional pode melhorar significativamente o controle da postura sentada em crianças com PCEB, potencialmente apoiando seu desenvolvimento motor contínuo. Estudos futuros são necessários para investigar o impacto a longo prazo do PEECSM nas habilidades funcionais e na participação. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|