Exercise and Physical Therapy Interventions for Children with Ataxia: a systematic review

Helen Hartley, Elizabeth Cassidy, Lisa Bunn, Ram Kumar, Barry Pizer, Steven Lane, BERNIE CARTER

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    3 Citations (Scopus)
    50 Downloads (Pure)

    Abstract

    The effectiveness of exercise and physical therapy for children with ataxia is poorly understood. The aim of this systematic review was to critically evaluate the range, scope and methodological quality of studies investigating the effectiveness of exercise and physical therapy interventions for children with ataxia. The following databases were searched: AMED, CENTRAL, CDSR, CINAHL, ClinicalTrials.gov, EMBASE, Ovid MEDLINE, PEDro and Web of Science. No limits were placed on language, type of study or year of publication. Two reviewers independently determined whether the studies met the inclusion criteria, extracted all relevant outcomes, and conducted methodological quality assessments. A total of 1988 studies were identified, and 124 full texts were screened. Twenty studies were included in the review. A total of 40 children (aged 5–18 years) with ataxia as a primary impairment participated in the included studies. Data were able to be extracted from eleven studies with a total of 21 children (aged 5–18 years), with a range of cerebellar pathology. The studies reported promising results but were of low methodological quality (no RCTs), used small sample sizes and were heterogeneous in terms of interventions, participants and outcomes. No firm conclusions can be made about the effectiveness of exercise and physical therapy for children with ataxia. There is a need for further high-quality child-centred research.

    Original languageEnglish
    Pages (from-to)951-968
    Number of pages18
    JournalCerebellum
    Volume18
    Issue number5
    Early online date7 Aug 2019
    DOIs
    Publication statusPublished - 1 Oct 2019

    Keywords

    • Exercise
    • Physical therapy
    • Paediatrics
    • Ataxia
    • Systematic Review
    • Systematic review

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