Effect of Neurodevelopmental Treatment on fall risk and balance in children with spastic cerebral palsy: randomized controlled trial.

Developmental neurorehabilitation Pub Date : 2025-01-01 Epub Date: 2024-12-07 DOI:10.1080/17518423.2024.2438948

Fatih Tekin, Feride Yarar

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Abstract

Aim: Investigating the effect of Neurodevelopmental Treatment (NDT) on the risk of falling and balance in children diagnosed with Cerebral Palsy (CP).

Methods: Participants were randomly assigned to experimental and control groups. At baseline, the balancing skills of all participants was assessed using the Pediatric Balance Scale, and the gait parameters and fall risk was measured using the LEGSys. The experimental group underwent an 8-week, case-specific, NDT program with intensive gait and balance training for 45-minute sessions, twice a week. The control group received only conventional physiotherapy for the duration of the study. Balancing, gait, and fall risk evaluations repeated after treatment was completed.

Results: A total of 44 cases (Experimental: 22, Control: 22) were analyzed. Pre- and post-treatment comparisons were made within groups and change rates for both groups were compared. The differences in the change rates of specific fall risk parameters between groups was significant.

Conclusion: The eight-week NDT and conventional physiotherapy combined program effectively reduced the risk of falling in children with spastic CP.

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神经发育治疗对痉挛型脑瘫儿童跌倒风险和平衡的影响：随机对照试验。

目的：探讨神经发育治疗（NDT）对脑瘫（CP）患儿跌倒及平衡风险的影响。方法：将参与者随机分为实验组和对照组。基线时，使用儿科平衡量表评估所有参与者的平衡技能，使用LEGSys测量步态参数和跌倒风险。实验组接受了为期8周的病例特异性NDT计划，每周两次，每次45分钟的强化步态和平衡训练。对照组在研究期间仅接受常规物理治疗。治疗完成后重复进行平衡、步态和跌倒风险评估。结果：共分析44例（实验组22例，对照组22例）。在组内进行治疗前后的比较，并比较两组的变化率。两组间特定跌倒危险参数的变化率差异显著。结论：8周NDT联合常规物理治疗方案可有效降低痉挛性脑瘫患儿跌倒风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Developmental neurorehabilitation

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