Browsing by Author "Deus, Filipa Machado Moita de"
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- Do physical therapy interventions thar target postural control influence function and participation outcomes in children with cerebral palsy? A systematic reviewPublication . Deus, Filipa Machado Moita de; Pedro, LuísaABSTRACT - Introduction: Cerebral Palsy (CP) is the most common physical disability in childhood, characterized by motor dysfunction, which includes alterations in postural control and in other domains, such as function and participation. The purpose of this study is to present a systematic review of interventions that target postural control and report the influence of such interventions in function and participation outcomes for children with CP. Method: A journal database search was conducted – PubMed, PEDro, SciELO, Scopus and Web of Science and ERIC –, using the terms “cerebral palsy”, “postural control”, “function” and “participation”. Inclusion criteria were: studies 1) from 2010-2020, 2) where participants were children with CP, 3) of level 2-4 of Oxford Evidence, 4) that reported the effectiveness of Physical Therapy interventions, 5) full final versions, 6) in English or Portuguese. Results: 888 studies were screened and sixteen met the inclusion criteria. Eight types of interventions were identified in those studies, namely gait training, hippotherapy, balance training, assistive devices, stochastic vibration, environmental changes, perceptual-motor intervention, and NDT. Different instruments were identified in the studies for postural control and function. Discussion and Conclusion: Management of postural control dysfunction, with a view to function, may include the use of balance training using the Biodex® Balance System, backward gait training, and the use of postural insoles for children with CP levels I-II of the GMFCS. For GMFCS levels III-V, interventions such as perceptual-motor therapy and hippotherapy simulator show promise. As for the management of postural control dysfunction, with a view to function and participation or just participation, it is not possible to suggest any intervention based on present results.