The effects of a `home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury
Abstract
Objectives: To evaluate the feasibility and the ability to recruit and retain children with severe traumatic brain injury or cerebral palsy, and their families, to a simple home-based exercise programme and to assess the immediate and short-term effects of such intervention on reducing impairment and improving function. Study design: Randomized clinical trial. Participants: Twenty children aged 7—13 years, with traumatic brain injury (N = 10) or cerebral palsy (N = 10) who were independent ambulators. Five children from each group were randomly assigned to a control group — regular daily activities, or to an experimental group — regular daily activities plus a home-based task-oriented exercise programme of sit-to-stand and step-up exercise, for six weeks. Outcome measures: Feasibility: The number of participants who completed the programme protocol. Efficacy: Timed Up and Go Test and Functional Reach Test were used as functional balance tests. Maximal isometric strength was assessed by using a hand-held dynamometer; walking performance was assessed by the 10 m walk test, 2-minute walk test and Energy Expenditure Index. Results: Nine children completed all parts of the training programme. At the end of the intervention period an increase of 3—4 cm in the mean Functional Reach Test and a reduction of 1.6 ± 2.1 seconds in the Timed Up and Go Test were noted (P<0.01) in the experimental group while no changes were noted in the control group. In all other outcomes assessed no significant differences were noted between groups. The positive change in balance performance in the experimental group was maintained during a six-week follow-up period. Conclusions: A home-based task-oriented exercise programme can improve balance performance in children with spastic cerebral palsy or severe traumatic brain injury.
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Thirty hours of sit-to-stand and step-up exercises improved standing balance and dynamic postural stability during gait in children with CP aged 5 to 12 years (evidence level II, conduct moderate).
“Thirty hours (five 1h sessions/ wk for 6wks) of sit-to-stand and step-up exercises improved standing balance ('activity') and dynamic postural stability during gait ('activity') in children with CP aged between 5 and 12 years (evidence level II, conduct moderate; see Table SIIIa). 43”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [43]
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- Authors
- Katz-Leurer, M., Rotem, H., Keren, O., & Meyer, S.
- Affiliations
- Alyn Hospital, Pediatric and Adolescent Rehabilitation Center, Jerusalem , , Physical Therapy Department, School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv
- Alyn Hospital (IL)
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2009-06-08
- Volume
- 23
- Issue
- 8
- Pages
- 714-724
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2108666852
- Cited by
- 119
- References
- 40
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 10 · 2022: 7 · 2021: 5 · 2020: 8 · 2019: 9 · 2018: 7 · 2017: 15 · 2016: 8 · 2015: 8 · 2014: 5 · 2013: 13 · 2012: 6
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- home-based exercise, task-oriented training, spastic cerebral palsy, traumatic brain injury, balance performance, motor function, children, sit-to-stand training, functional reach test, Timed Up and Go test, isometric strength, walking performance, energy expenditure, feasibility, recruitment and retention
- MeSH terms
- Activities of Daily Living, Adolescent, Brain Injuries, Cerebral Palsy, Child, Postural Balance, Exercise Test, Exercise Therapy, Feasibility Studies, Female, Humans, Male, Patient Compliance, Physical Endurance, Self Care, Muscle Strength
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