Optimal exercise dose and training modalities for improving gross motor function in children with cerebral palsy: a systematic review and Bayesian network meta-analysis of RCTs.
Jing Ma, Shangbin Li, Ayinuer Aili et al.
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In 30 seconds
This systematic review and Bayesian network meta-analysis evaluated the efficacy of six exercise modalities on gross motor function in 886 children with cerebral palsy. The study found that robot-assisted gait training significantly improved walking, running, and jumping skills (SMD = 0.48), while resistance training had the largest effect on balance (SMD = 0.95).
Key findings
- Robot-assisted gait training improved walking, running, and jumping skills (SMD = 0.48, P = 0.042).
- Resistance training showed the largest effect on balance function (SMD = 0.95, P = 0.001).
- Nonlinear dose-response relationships were identified, indicating domain-specific optimal exercise ranges.
- Evidence certainty for findings was rated as 'very low'.
Why it matters
Understanding the optimal exercise modalities and dosages for children with cerebral palsy can guide rehabilitation strategies, potentially enhancing functional outcomes and quality of life for this population.
What to keep in mind
Evidence certainty is rated as 'very low', and findings require confirmation in larger, methodologically rigorous RCTs.