Evaluating Neurodevelopmental Treatment for Cerebral Palsy: Insights from a Systematic Review and Meta-Analysis.
Abstract: Background: Neurodevelopmental treatment (NDT), also known as the Bobath concept, is widely utilized in cerebral palsy (CP) management. Despite its clinical popularity, definitive evidence supporting its effectiveness is still emerging. This systematic review and meta-analysis aims to eval...
| Publicado en: | Journal of Pediatric Neurosciences Vol. 21; no. 2; pp. 109 - 129 |
|---|---|
| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Apr-Jun2026
|
| 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=195188570&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195188570 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18171745 1KUH jtl: Journal of Pediatric Neurosciences issn: 18171745 maglogo: N pubinfo: dt: Apr-Jun2026 vid: 21 iid: 2 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 195188570 195188570 195188570 10.4103/jpn.jpn_121_25 195188570 ppf: 109 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluating Neurodevelopmental Treatment for Cerebral Palsy: Insights from a Systematic Review and Meta-Analysis. aug: au: Kumar, Vinay Pradhan, Ashish Mohanty, Patitapaban Gupta, Saumen affil: Department of Paediatrics, Sikkim Manipal Institute of Medical Sciences, Sikkim Manipal University, Gangtok, Sikkim, India sug: subj: Cerebral Palsy Rehabilitation Neuromuscular Facilitation Treatment Outcomes Motor Skills Evaluation Human Child, Preschool Child Adolescence Systematic Review Meta Analysis Medline Embase Physiotherapy Evidence Database Checklists Confidence Intervals Patient Centered Care Medical Practice, Evidence-Based Functional Status Balance, Postural Physical Mobility Descriptive Statistics Data Analysis Software Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years ab: Abstract: Background: Neurodevelopmental treatment (NDT), also known as the Bobath concept, is widely utilized in cerebral palsy (CP) management. Despite its clinical popularity, definitive evidence supporting its effectiveness is still emerging. This systematic review and meta-analysis aims to evaluate the therapeutic outcomes of NDT on motor performance in children diagnosed with CP. Materials and Methods: Extensive literature searches were conducted across databases, including MEDLINE, Embase, Physiotherapy Evidence Database (PEDro), and Google Scholar, covering the period from January 2015 to January 2025. Studies were selected if they employed randomized controlled trials or quasi-experimental designs that compared NDT with either standard care or alternative rehabilitation approaches. The PEDro scale was applied for quality assessment. Meta-analysis was conducted using standardized mean differences (SMDs), and the certainty of the evidence was determined using the Grading of Recommendations, Assessment, Development, and Evaluation framework. Results: Out of 832 screened records, 10 met the inclusion criteria, and data from 8 studies (580 total participants) were included in the meta-analysis. The pooled analysis demonstrated a statistically significant small-to-moderate improvement in motor abilities among children receiving NDT (SMD = 0.39; 95% confidence interval: 0.22–0.55; P < 0.0001), with no significant heterogeneity (I 2 = 0%). Subgroup analyses revealed better outcomes with longer therapy durations (>6 weeks) and among children with more advanced gross motor impairment (Gross Motor Function Classification System Levels > III). Conclusion: NDT appears to offer modest but clinically relevant gains in motor performance for children with CP, particularly with prolonged and intensive intervention schedules. However, inconsistencies in methodological design and therapy protocols highlight the need for more standardized research and long-term studies. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|