title: Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the effects of balance training on postural control and fall risk in children with diplegic cerebral palsy.
  
  
  METHODS
  Thirty spastic diplegic cerebral palsied children (10-12 years) were included in this study. Children were randomly assigned into two equal-sized groups: control and study groups. Participants in both groups received a traditional physical therapy exercise program. The study group additionally received balance training on the Biodex balance system. Treatment was provided 30 min/d, 3 d/week for 3 successive months. To evaluate the limit of stability and fall risk, participated children received baseline and post-treatment assessments using the Biodex balance system. Overall directional control, total time to complete the test, overall stability index of the fall risk test and total score of the pediatric balance scale were measured.
  
  
  RESULTS
  Children in both groups showed significant improvements in the mean values of all measured variables post-treatment (p < 0.05). The results also showed significantly better improvement in the measured parameters for the study group, as compared to the control group (p < 0.05).
  
  
  CONCLUSIONS
  Balance training on Biodex system is a useful tool that can be used in improving postural balance control in children with diplegic cerebral palsy.
authors.affiliation: Physical Therapy for Disturbance of Growth and Development in Children and its Surgery, Faculty of Physical Therapy, Cairo University , Egypt and.
authors.forename: Shamekh Mohamed
authors.initials: SM
authors.lastname: El-Shamy
authors.forename: Ehab Mohamed
authors.initials: EM
authors.lastname: Abd El Kafy
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D002547:Cerebral Palsy / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation*; D002648:Child; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D020233:Gait Disorders, Neurologic / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D004856:Postural Balance / Q000502:physiology*; D020127:Recovery of Function / Q000502:physiology; D018570:Risk Assessment; D012678:Sensation Disorders / Q000534:rehabilitation; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Balance training; cerebral palsy; fall risk; limit of stability; postural control