Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy
Abstract
Purpose: The purpose of this study was to evaluate the effects of balance training on postural control and fall risk in children with diplegic cerebral palsy. Methods: Thirty spastic diplegic cerebral palsied children (10–12 years) were included in this study. Children were randomly assigned into two equal-sized groups: control and study groups. Participants in both groups received a traditional physical therapy exercise program. The study group additionally received balance training on the Biodex balance system. Treatment was provided 30 min/d, 3 d/week for 3 successive months. To evaluate the limit of stability and fall risk, participated children received baseline and post-treatment assessments using the Biodex balance system. Overall directional control, total time to complete the test, overall stability index of the fall risk test and total score of the pediatric balance scale were measured. Results: Children in both groups showed significant improvements in the mean values of all measured variables post-treatment (p < 0.05). The results also showed significantly better improvement in the measured parameters for the study group, as compared to the control group (p < 0.05). Conclusion: Balance training on Biodex system is a useful tool that can be used in improving postural balance control in children with diplegic cerebral palsy. Implications for RehabilitationPostural problems play a central role in the motor dysfunction of children with diplegic cerebral palsy.Balance control is important in the competence in the performance of most functional skills.The Biodex Balance System is an important balance assessment and training tool.Balance training in children with cerebral palsy can improve performance in postural control.
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Three studies of reactive balance training were identified, of which two were level II.
“Three studies were identified, of which two were level II (Table I). 50,52”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [50]
Reactive balance training using the Biodex balance system for 18 hours (three 30min sessions/wk for 12wks) improved limits of stability (BF&S) and standing balance ('activity'), and reduced fall risk ('activity'), in children with spastic diplegic CP (GMFCS I-II).
“Training using the Biodex balance system, for a higher dose of 18 hours (three 30min sessions/wk for 12wks), improved limits of stability (BF&S) and standing balance ('activity'), and reduced fall risk ('activity'), in children with spastic diplegic CP (GMFCS I -II) (evidence level II, conduct moderate; see Table SIIIa]. 50”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [50]
NDT for 72 hours (three 120min sessions/wk for 12wks) improved limits of stability (BF&S) and standing balance ('activity'), and reduced fall risk ('activity'), in children with spastic diplegic CP, GMFCS I-II.
“NDT (composed of stretching, strengthening exercises, standing exercises, postural reactions exercises, reflex-inhibiting patterns, and gait training exercises) for 72 hours (three 120min sessions/wk for 12wks) improved limits of stability (BF&S) and standing balance ('activity'), and reduced fall risk ('activity'), in children with spastic diplegic CP, GMFCS I -II (evidence level II, conduct”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [50]
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- Authors
- El-Shamy, S. M., & Abd El Kafy, E. M.
- Affiliations
- Cairo University (EG)
- Physical Therapy for Disturbance of Growth and Development in Children and its Surgery, Faculty of Physical Therapy, Cairo University
- Corresponding author
- El-Shamy, Shamekh Mohamed
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2013-09-13
- Volume
- 36
- Issue
- 14
- Pages
- 1176-1183
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2005314503
- Cited by
- 72
- References
- 45
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 10 · 2023: 4 · 2022: 6 · 2021: 9 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 8 · 2016: 4 · 2015: 6 · 2014: 2
- FWCI
- 2.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fakultet Medicinskih Nauka, Univerziteta U Kragujevcu
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- balance training, spastic diplegia, postural control, fall risk, children, Biodex Balance System, spasticity, physiotherapy, Pediatric Balance Scale, stability index
- MeSH terms
- Accidental Falls, Cerebral Palsy, Child, Postural Balance, Exercise Therapy, Female, Follow-Up Studies, Humans, Male, Sensation Disorders, Severity of Illness Index, Treatment Outcome, Risk Assessment, Recovery of Function, Gait Disorders, Neurologic
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