Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy
A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics
Bibliographic Data
| ID | 15719944 |
|---|---|
| Authors | Ragab K Elnaggar (0000-0001-5080-702X, Prince Sattam Bin Abdulaziz University, corresponding author), Rodrigo Ramirez‐campillo (0000-0003-2035-3279, Universidad Andres Bello), Alshimaa R Azab (0000-0002-9533-0699, Prince Sattam Bin Abdulaziz University), Saud M Alrawaili (0000-0002-3067-129X, Prince Sattam Bin Abdulaziz University), Mshari Alghadier (0000-0003-3686-8074, Prince Sattam Bin Abdulaziz University), Mazyad Alotaibi (0000-0003-2854-4176, Prince Sattam Bin Abdulaziz University), Ahmed Alhowimel (Prince Sattam Bin Abdulaziz University), Ahmed S Alhowimel (0000-0002-2936-7581, Prince Sattam Bin Abdulaziz University), Mohamed S Abdrabo (0000-0002-1599-4146, Cairo University), Mohammed F Elbanna (0000-0001-6538-2300, Cairo University), Ahmed M Aboeleneen (0000-0002-7947-4123, Cairo University), Walaa E Morsy (0000-0002-7985-0109, Cairo University) |
| Year | 2024 |
| Volume | 11 |
| Issue | 2 |
| Pages | 243-243 |
| Publication date | 2024-02-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children11020243 |
| PMID | 38397355 |
| OpenAlex | W4391843649 |
| Language | EN |
| Citations received | 2 |
| References cited | 37 |
The paradigm of comprehensive treatment approaches for children with cerebral palsy has gained traction, prompting clinicians to deliberate between independent and integrated treatment delivery. However, this decision-making process is often hindered by the dearth of empirical evidence available to inform optimal therapeutic strategies. This study, therefore, sought to compare the effects of Pilates-based core strengthening (PsCS), plyometric-based muscle loading (PlyoML), and their combination on postural control, balance, and mobility in children with unilateral cerebral palsy (ULCP). Eighty-one children with ULCP (age: 12-18 years) were randomized to PsCS ( n = 27), PlyoML ( n = 27), or a combined intervention ( n = 27; equated for total sets/repetitions) group. The three interventions were applied twice/week over 12 successive weeks. Postural control (directional and overall limits of stability-LoS), balance, and mobility (Community Balance and Mobility Scale-CB&M; Functional Walking Test-FWT; Timed Up and Down Stair test-TUDS) were assessed pre- and post-intervention. The combined group exhibited greater increases in directional LoS compared to PsCS and PlyoML including the backward ( p = 0.006 and 0.033, respectively), forward ( p = 0.015 and 0.036, respectively), paretic ( p = 0.017 and 0.018, respectively), and non-paretic directions ( p = 0.006 and 0.004, respectively)], and this was also the case for overall LoS ( p p = 0.037 and p = 0.002, respectively), FWT ( p = 0.012 and p = 0.038, respectively), and TUDS ( p = 0.046 and p = 0.021, respectively). In conclusion, the combined PsCS and PlyoML exercise program promotes considerably greater improvements in postural control, balance, and mobility compared to unimodal training in children with ULCP
Balance (ability · Cerebral palsy · Core stability · Physical medicine and rehabilitation · Physical therapy · Plyometrics · Psychological intervention · Randomized controlled trial · Timed Up and Go test · Botulinum Toxin and Related Neurological Disorders · Cerebral Palsy and Movement Disorders · Family and Disability Support Research · Medicine · Internal Medicine
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |