Motor training for young children with cerebral palsy: A single-blind randomized controlled trial

Abstract

Cerebral palsy (CP) is a condition that affects muscle coordination and movement, often from birth. The researchers wanted to see if a specific type of motor training called iMOVE (Intensive Mobility training with Variability and Error) could improve the motor skills of children with CP.

The study involved a group of young children with CP who were randomly assigned to either a treatment group or a control group. The treatment group received the iMOVE motor training, which encouraged child-initiated movement, independent motor practice, movement error and variability, while the control group received usual therapy. This kind of study design, known as a randomized controlled trial, is considered a strong way to test the effectiveness of interventions because it reduces bias.

Both groups received therapy three times a week for 12 to 24 weeks. The researchers observed how the children moved before, during, and after the therapy.

The results showed that the children in both groups made significant improvements in their gross motor skills. There were no major differences between the two groups, even though the iMOVE group experienced more falls, more independent practice, and higher child-initiation. Together, one-third of the children improved more than expected after 12 weeks, and most children (77%) improved more than expected after 24 weeks.

Though iMOVE therapy was not superior to the control (conventional physical) therapy, the study provides evidence that both therapy programs were effective interventions for young children with CP. This could lead to better therapeutic strategies and support for these children, helping them achieve greater independence and fuller participation in daily activities.