Efectividad de ejercicios de equilibrio en la paralisis cerebral infantil. Una revision sistematica.
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2018-04-13
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Jaén: Universidad de Jaén
Resumen
[ES] Objetivos: Analizar la efectividad de la práctica de ejercicios de equilibrio en la mejora de la funcionalidad en niños con parálisis cerebral infantil.
Metodología: Se lleva a cabo una revisión sistemática en la que se han buscado artículos en las bases de datos PubMed, Scopus, Cinhal y PEDro. Se seleccionaron once ensayos clínicos aleatorizados (ECAs) que estudian la efectividad de programas de ejercicios de equilibrio frente a otros tratamientos, tratamiento simulado o ningún tratamiento.
Resultados: Respecto a Biodex Balance System, un artículo muestra efectividad y otro no. En cinta de correr, tres tienen efecto y otro a largo plazo. Respecto a Nintendo Wii, dos artículos demuestran beneficios y uno no. Caminar hacia atrás y la estabilización de core, parecen ser efectivos.
Conclusión: Le evidencia es contradictoria a favor de estas terapias. Se necesitan más investigación. Solo la intervención de la cinta de correr tiene suficiente evidencia.
[EN] Objectives: To analyze the effectiveness of balance exercises in improving the functionality of children with cerebral palsy. Methodology: A systematic review was carried out for the search of articles in PubMed, Scopus, Cinhal and PEDro databases. The Randomized Controlled Trials included in this review were selected in order to study the effectiveness of balance exercise programs versus other treatments, simulated treatment or no treatment. Results: Eleven articles were selected. Regarding Biodex Balance System, one article does shows effectiveness and another doesn’t. On treadmill, three articles have effect and another only in long-term. Regarding the Nintendo Wii, two articles show benefits and one does not. Both backward and base stabilization appear to be effective. Conclusion: The evidence is contradictory in favor of this kind of therapies. Further research is needed to demonstrate its effects on childhood cerebral palsy. Only the intervention with treadmill has enough evidence to prove some effectiveness.
[EN] Objectives: To analyze the effectiveness of balance exercises in improving the functionality of children with cerebral palsy. Methodology: A systematic review was carried out for the search of articles in PubMed, Scopus, Cinhal and PEDro databases. The Randomized Controlled Trials included in this review were selected in order to study the effectiveness of balance exercise programs versus other treatments, simulated treatment or no treatment. Results: Eleven articles were selected. Regarding Biodex Balance System, one article does shows effectiveness and another doesn’t. On treadmill, three articles have effect and another only in long-term. Regarding the Nintendo Wii, two articles show benefits and one does not. Both backward and base stabilization appear to be effective. Conclusion: The evidence is contradictory in favor of this kind of therapies. Further research is needed to demonstrate its effects on childhood cerebral palsy. Only the intervention with treadmill has enough evidence to prove some effectiveness.