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. 2019 May 3;24(4):295–305. doi: 10.1016/j.bjpt.2019.04.005

Table 1.

Characteristics of included studies (n = 7).

Study Sample characteristics Intervention Outcome measures
Abd El-Kafy et al. (2014)29 n = 30
Source = pediatrics outpatient clinic of the Faculty of Physical Therapy & Al Kaser Al Eini Hospital, Cairo University, Cairo, Egypt.
Age (yr) = 8.8 (SD 0.7)
% Female = 56.7%
Classification = spastic diplegia
GMFCS Level I = 13; II = 17.
Balance training
Comparison: Additional effect
EG (n = 15): Balance training plus NDT
CG (n = 15): NDT
120 min × 3/wk × 8 wk
Overall/anteroposterior/mediolateral stability index.
Step length/velocity/cycle time/stance phase percentage/ swing phase percentage.
Follow-up = 8 wk
El-Shamy (2014)27 n = 30
Source = pediatrics outpatient clinic at the Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Age (yr) = 9.8 (SD 1.2)
% Female = 23.3%
Classification = spastic diplegia
GMFCS Level I = 13; II = 17.
Whole body vibration training
Comparison: Additional effect
EG (n = 15): Whole body vibration training plus NDT
CG (n = 15): NDT

60 min × 5/wk × 12 wk
Overall/ anteroposterior/mediolateral stability index.
Follow-up = 12 wk
El-Shamy et al. (2014)26 n = 30
Source = physical therapy department, Al Noor Hospital, Mecca, Saudi Arabia.
Age (yr) = 10.6 (SD 1.4)
% Female = 33.3%
Classification = spastic diplegia
GMFCS Level I = 13; II = 17.
Balance training
Comparison: Additional effect
EG (n = 15): Balance training plus NDT
CG (n = 15): NDT
120 min × 3/wk × 12 wk
Overall directional control/ PBS
Follow-up = 12 wk
El-Shamy (2017)31 n = 30
Source = Maternity and Children Hospital, Makkah, Saudi Arabia.
Age (yr) = 10.3 (SD 1.3)
% Female = 40.0%
Classification = spastic diplegia
GMFCS Level I = 13; II = 17.
Antigravity treadmill training
Comparison: Additional effect
EG (n = 15): Antigravity treadmill training plus NDT
CG (n = 15): NDT
20 min × 3/wk × 12 wk
Overall/ anteroposterior/ mediolateral stability index.
Fall risk test
Cadence/Stride length/velocity/time spent in double-limb support.
Follow-up = 12 wk
Ibrahim et al. (2014)28 n = 30
Source = the outpatient clinic, college of Physical Therapy, Cairo University, Cairo, Egypt.
Age (yr) = 9.6 (SD 1.4)
% Female = not reported
Classification = spastic diplegia
GMFCS Level not reported.
Whole body vibration training
Comparison: Additional effect
EG (n = 15): Whole body vibration training plus NDT
CG (n = 15): NDT
60 min × 3/wk × 12 wk
6MWT
TUG
Follow-up = 12 wk
Uysal and Baltaci (2016)30 n = 24
Source = Hacettepe University,
Faculty of Physiotherapy and Rehabilitation, Department of Paediatric Neurological Clinic, Ankara, Turkey.
Age (yr) = 9.6 (SD 2.6)
% Female = 58.3%
Classification = spastic hemiplegia
GMFCS Level I = 19; II = 5.
Wii therapy
Comparison: Additional effect
EG (n = 12): Wii therapy plus NDT
CG (n = 12): NDT
30 min × 2/wk × 12 wk
PBS
Follow-up = 12 wk
Yildirim et al. (2012)20 n = 23
Source = Not reported.
Age (yr) = 7 (SD not reported)
% Female = 35.0%
Classification = spastic diplegia (11), hemiplegia (4) and quadriplegia (5).
GMFCS Level Not reported.
Hippotherapy
Comparison: Additional effect
EG (n = 13): Hippotherapy plus NDT
CG (n = 10): NDT
30–45 min × 7/wk × 10 wk.
PBS
Cadence/walking speed.
Follow-up = 10 wk

n, participants included in the baseline; Yr, year; min, minutes; wk, week; GMFCS, Gross Motor Function Classification System; EG, experimental group; CG, control group; PBS, Pediatric Balance Scale; TUG, Timed Up and Go test; NDT, neurodevelopmental treatment.