Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-Analysis

ObjectiveTo evaluate the effect of task oriented training (TOT) on gross motor dysfunction for children with cerebral palsy (CP) by meta analysis.MethodsThe databases of PubMed, Embase, Cochrane Library, Web of Science, CINAHL, ProQuest, CNKI, VIP, Wanfang Data, CBMdisc and Electronic literature sea...

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Main Authors: LI Yang, CHEN Ying, ZHU Xiangyu, SHI Jiehong, FENG Yuan, WU Wenlei, FU Ruochen
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2022-12-01
Series:康复学报
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Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.06011
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author LI Yang
CHEN Ying
ZHU Xiangyu
SHI Jiehong
FENG Yuan
WU Wenlei
FU Ruochen
author_facet LI Yang
CHEN Ying
ZHU Xiangyu
SHI Jiehong
FENG Yuan
WU Wenlei
FU Ruochen
author_sort LI Yang
collection DOAJ
description ObjectiveTo evaluate the effect of task oriented training (TOT) on gross motor dysfunction for children with cerebral palsy (CP) by meta analysis.MethodsThe databases of PubMed, Embase, Cochrane Library, Web of Science, CINAHL, ProQuest, CNKI, VIP, Wanfang Data, CBMdisc and Electronic literature search database of Peking University Health Science Center were searched from inception to March 10, 2022 for randomized controlled trials (RCTs) on TOT for children with CP by manual and computer search. The Cochrane Collaboration's tool for assessing risk of bias was used to evaluate the qualities of included studies, and relevant data were extracted. Outcome measures mainly included gross motor function measure (GMFM) score, Berg balance scale (BBS) score, pediatric evaluation of disability inventory (PEDI) score, timed "up and go" (TUG). RevMan 5.4 software was used for meta-analysis. Continuous data were described by mean difference (MD), standardized mean difference (SMD) and 95% confidence interval (CI), and <italic>I </italic><sup>2</sup> and <italic>P</italic> value were used to evaluate heterogeneity. The fixed effects model was used when the included studies were homogeneous (<italic>I </italic><sup>2</sup>≤50%, <italic>P</italic>≥0.1) , while the random effects model was used for analysis when the included studies were heterogeneous (<italic>I </italic><sup>2</sup>&gt;50%, <italic>P</italic>&lt;0.1).ResultsA total of 22 RCTs with 1 159 cases were included, with 579 cases in the control group and 580 cases in the experimental group. Meta-analysis results showed that, compared with the control group, the GMFM scale standing score in the experimental group was higher [<italic>SMD</italic>=0.78, 95% <italic>CI</italic> (0.59, 0.98), <italic>P</italic>&lt;0.000 01], walking, running and jumping scores was higher [<italic>SMD</italic>=4.05, 95% <italic>CI</italic> (2.06, 6.05), <italic>P</italic>&lt;0.000 01], GMFM scale overall score was higher [<italic>SMD</italic>=10.23, 95% <italic>CI</italic> (7.00, 13.46), <italic>P</italic>&lt;0.000 01], PEDI score was higher [<italic>SMD</italic>=6.87, 95% <italic>CI</italic> (4.19, 9.54), <italic>P</italic>&lt;0.000 01], TUG test time was shorter [<italic>SMD</italic>=-3.17, 95% <italic>CI</italic> (-4.84, -1.49), <italic>P</italic>=0.000 2], and BBS score was higher [<italic>SMD</italic>=5.26, 95% <italic>CI</italic> (4.05, 6.46), <italic>P</italic>&lt;0.000 01].ConclusionTask oriented training can effectively improve the gross motor function (such as walking, running, jumping, etc.) of children with cerebral palsy, shorten the TUG test time, and improve their balance function and activities of daily living.
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spelling doaj-art-64daed76b41a4449b1701fa1945bf5b52025-01-14T10:07:55ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282022-12-013254555233049555Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-AnalysisLI YangCHEN YingZHU XiangyuSHI JiehongFENG YuanWU WenleiFU RuochenObjectiveTo evaluate the effect of task oriented training (TOT) on gross motor dysfunction for children with cerebral palsy (CP) by meta analysis.MethodsThe databases of PubMed, Embase, Cochrane Library, Web of Science, CINAHL, ProQuest, CNKI, VIP, Wanfang Data, CBMdisc and Electronic literature search database of Peking University Health Science Center were searched from inception to March 10, 2022 for randomized controlled trials (RCTs) on TOT for children with CP by manual and computer search. The Cochrane Collaboration's tool for assessing risk of bias was used to evaluate the qualities of included studies, and relevant data were extracted. Outcome measures mainly included gross motor function measure (GMFM) score, Berg balance scale (BBS) score, pediatric evaluation of disability inventory (PEDI) score, timed "up and go" (TUG). RevMan 5.4 software was used for meta-analysis. Continuous data were described by mean difference (MD), standardized mean difference (SMD) and 95% confidence interval (CI), and <italic>I </italic><sup>2</sup> and <italic>P</italic> value were used to evaluate heterogeneity. The fixed effects model was used when the included studies were homogeneous (<italic>I </italic><sup>2</sup>≤50%, <italic>P</italic>≥0.1) , while the random effects model was used for analysis when the included studies were heterogeneous (<italic>I </italic><sup>2</sup>&gt;50%, <italic>P</italic>&lt;0.1).ResultsA total of 22 RCTs with 1 159 cases were included, with 579 cases in the control group and 580 cases in the experimental group. Meta-analysis results showed that, compared with the control group, the GMFM scale standing score in the experimental group was higher [<italic>SMD</italic>=0.78, 95% <italic>CI</italic> (0.59, 0.98), <italic>P</italic>&lt;0.000 01], walking, running and jumping scores was higher [<italic>SMD</italic>=4.05, 95% <italic>CI</italic> (2.06, 6.05), <italic>P</italic>&lt;0.000 01], GMFM scale overall score was higher [<italic>SMD</italic>=10.23, 95% <italic>CI</italic> (7.00, 13.46), <italic>P</italic>&lt;0.000 01], PEDI score was higher [<italic>SMD</italic>=6.87, 95% <italic>CI</italic> (4.19, 9.54), <italic>P</italic>&lt;0.000 01], TUG test time was shorter [<italic>SMD</italic>=-3.17, 95% <italic>CI</italic> (-4.84, -1.49), <italic>P</italic>=0.000 2], and BBS score was higher [<italic>SMD</italic>=5.26, 95% <italic>CI</italic> (4.05, 6.46), <italic>P</italic>&lt;0.000 01].ConclusionTask oriented training can effectively improve the gross motor function (such as walking, running, jumping, etc.) of children with cerebral palsy, shorten the TUG test time, and improve their balance function and activities of daily living.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.06011cerebral palsytask oriented traininggross motor functionMeta-analysis
spellingShingle LI Yang
CHEN Ying
ZHU Xiangyu
SHI Jiehong
FENG Yuan
WU Wenlei
FU Ruochen
Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-Analysis
康复学报
cerebral palsy
task oriented training
gross motor function
Meta-analysis
title Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-Analysis
title_full Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-Analysis
title_fullStr Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-Analysis
title_full_unstemmed Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-Analysis
title_short Effect of Task Oriented Training on Gross Motor Dysfunction for Children with Cerebral Palsy: A Meta-Analysis
title_sort effect of task oriented training on gross motor dysfunction for children with cerebral palsy a meta analysis
topic cerebral palsy
task oriented training
gross motor function
Meta-analysis
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.06011
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