운동 중재가 뇌성마비 아동의 균형에 미치는 효과에 대한 네트워크 메타분석 = A Network Meta-Analysis of the Effects of the Exercise Interventions on Balance in Children with Cerebral Palsy

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to demonstrate the effectiveness of different types of exercise interventions on the balance abilityof children with cerebral palsy through network meta-analysis.
Methods: The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews andMeta-Analysis (PRISMA) network meta-analysis guidelines for the review of comprehensive research. The study used the PICOSframework (P – Participants; I – Intervention; C – Comparison, O – Outcome; S-Study design) for subject selection wherein Preferred to children with cerebral palsy, I referred to exercise programs, C referred to general physical therapy, O referred to balanceability measured by the BBS (Berg Balance Scale), PBS (Pediatric Balance Scale), and S referred to a randomized controlled trialwith experimental and control groups. In this study, the network meta-analysis used the “netmeta” package in R to estimate thecomparative advantage of exercise programs for cerebral palsy. The effects of the exercise programs were compared and analyzedusing the mean and standard deviation of balance ability.
Results: Among the exercise programs for children with cerebral palsy analyzed in this study, the Pilates program improvedBBS scores (P-score: 64.90%) and was ranked as the most effective. In terms of PBS improvement, the exercise program thatwas ranked as the most effective in improving the PBS was Pilates combined with conventional physical therapy (Pilates+CPT)(P-score: 67.98%), followed by game-based dual task (P-score: 59.53%), dual task training (P-score: 56.45%), and gaming balanceboard training (P-score: 56.02%). The Pilates+CPT program showed a larger effect size than other intervention methods, and thisdifference was statistically significant.
Conclusion: These findings support the preferential application of Pilates-based interventions for balance rehabilitation in children with cerebral palsy, particularly suggesting that combination with conventional physical therapy may provide optimaltherapeutic effects. Furthermore, game-based interventions and dual-task training also demonstrated significant effects, indicatingthat personalized selection of interventions, taking into account children’s characteristics and preferences, is feasible.