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 Rehabilitation

• Postural 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.

• Balance training
• cerebral palsy
• fall risk
• limit of stability
• postural control

Acknowledgements

The authors would like to express their appreciation to all the children and parents who participated in this study with all content and cooperation.