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dc.contributor.authorHotari, Sini-Pauliina
dc.date.accessioned2023-12-19T06:36:47Z
dc.date.available2023-12-19T06:36:47Z
dc.date.issued2022-05-02en
dc.description.abstractAIM: This study is a systematic literature review and meta-analysis that aimed to explore and assess the effectiveness of physiotherapist-delivered task-oriented training on functional mobility and balance in children with cerebral palsy (CP). METHOD: This is a systematic literature review in which the following electronic databases were searched in order to find and include relevant trials for the meta-analysis: CINAHL, Cochrane Library, EMBASE, MEDLINE, PEDro, PubMed and PsycINFO. Nine randomized clinical trials (RCT) were included in the study. Eight of the studies were included in a quantitative meta-analysis that was conducted on each measurement instrument using the RevMan 5.3 software. The included measurement instruments were Pediatric Balance Scale (PBS), Timed Up & Go (TUG), and Gross Motor Function Measure (GMFM) domains D & E. The standardised mean difference (SMD) and 95% confidence intervals (95%CI) were calculated and examined from pre- and post-test scores. The PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses statement) and the Cochrane Handbook for Systematic Reviews of Interventions were followed in order to ensure the best possible quality for this review. RESULTS: A total of 253 children of 2 to 15 years old participated in eight RCTs that were included in the final meta-analysis. The experimental groups in each study received taskoriented training focusing on functional goal-directed tasks, while the control groups received physical therapy with a focus on facilitation and normalization of movement patterns, or passive stretching and range of motion exercises. The duration of the intervention varied from 4 weeks to 41 months, while the intensity range across the trials was between 6 times a week to approximately 3 times a month, single sessions varying from 45min to 1 hour. A significant effect of task-oriented training was observed from the scores in Pediatric Balance Scale (P=0.0003, Mean D 3.80) and Timed Up & Go -test (P=0.02, Mean D 1.98), while no statistical or clinical significance was observed in the scores of Gross Motor Function Measure D & E. CONCLUSION: The results from the meta-analysis implicate a significant effect of task-oriented training in children with cerebral palsy when assessed in Pediatric Balance Scale and Timed Up & Go -test, when compared to other treatment methods used in the included trials. Improvements in functional mobility and balance in experimental and comparison groups were observed in all of the studies.en_US
dc.identifier.urihttps://hdl.handle.net/10037/32133
dc.language.isoengen_US
dc.publisherUiT Norges arktiske universitetno
dc.publisherUiT The Arctic University of Norwayen
dc.rights.holderCopyright 2022 The Author(s)
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0en_US
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)en_US
dc.subject.courseIDHEL-3966
dc.subjectcerebral palsy, physiotherapy, task-oriented training, functional mobility, balance, EBPen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Fysioterapi: 807en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Physiotherapy: 807en_US
dc.titleEffect of therapist-delivered task-oriented training on functional mobility and balance in children with cerebral palsy: a systematic review and meta-analysisen_US
dc.typeMastergradsoppgaveno
dc.typeMaster thesisen


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Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)