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.

What was studied

This study pulled together results from earlier trials in children with cerebral palsy. Each trial put children into groups by chance. In total, 886 children took part across the trials. The team compared several types of exercise, such as robot-aided walking and strength work. They also looked at how much exercise gave the largest gains.

What they found

Robot-aided walking training did better than other options for walking, running and jumping. Strength training showed the largest effect on balance. The authors note that robot-aided training also helped standing. The link between exercise dose and gains was not a straight line. The ideal dose was different for each type of movement skill. For walking, running and jumping, it was about 248 METs hours.

What it means for patients

Different types of exercise may help different movement skills. Too little or too much exercise may weaken the effect. The authors say these results are early and need testing. They say bigger, careful trials must come before any change in care.

Why it is not certain yet

The authors rated the certainty of the evidence as very low. They call the findings exploratory. Larger and stronger trials are still needed to confirm them. A review can only be as good as the studies in it.

Source

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.

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