Article

We identified evidence evaluating the effect of exercise on functional
mobility in adults (aged 18 y or older) with cerebral palsy (CP). Method: An
exhaustive search was conducted using the electronic databases PubMed, MEDLINE,
CINAHL, PsycINFO, SPORTDiscus, and Cochrane Database of Systematic Reviews from
the earliest available evidence (1975) to the present (January 2016) for studies
whose participants were ambulatory adults with CP receiving conservative
treatment to address functional mobility limitations. Two independent reviewers
agreed on the eligibility, inclusion, and level of evidence of each study. The
Maastricht-Amsterdam List (MAL) was used to assess evidence quality. Results:
Five of the six studies included were randomized controlled trials, and one was a
pre-post case series. Interventions included whole-body vibration, treadmill
training without body-weight support, rhythmic auditory stimulation, dynamic
balance and gait activities, progressive resistance training, and interactive
serious gaming for balance. All studies were considered high quality, as
indicated by their MAL scores. Four studies showed no statistical difference and
trivial effect sizes between the intervention and the control group. Rhythmic
auditory stimulation and interactive serious gaming were found to be
statistically significant in benefiting adults with CP. Conclusions: Evidence of
the effect of exercise on functional mobility for ambulatory adults with CP is
lacking. A need exists for quality research to determine the best interventions
for adults with CP to maximize functional mobility.

Langue : ANGLAIS