Action Observation for Children and Adolescents with Cerebral Palsy: Hope or Hype? A Systematic Review with Meta-Analysis
Autor/a
Altres autors/es
Data de publicació
2025ISSN
2227-9067
Resum
Cerebral palsy generates an elevated burden on both patients and health-care systems.
Cost-effective therapies such as action observation therapy (AOT), have been proposed to
enhance motor performance in these patients. Objective: This systematic review with
meta-analysis aimed to evaluate the effectiveness of AOT in children and adolescents with
CP and describe its prescription parameters. Results: Fourteen studies involving a total
of 393 patients with CP were included. Most studies presented some concerns on risk of
bias. Meta-analyses compared AOT to placebo (no motor content) observation and found
inconclusive results for the following: unilateral upper limb function (g = 0.565; 95% CI
−0.174, 1.305), assisting hand function during bimanual activities (g = 0.200; 95% CI −0.742,
1.143), manual function daily activities (g = −0.022; 95% CI −3.134, 3.090), and hand grip
strength (MD (kg) = 1.175; 95% CI −0.280, 2.630). Meta-analysis comparing AOT and physical
therapy also yielded inconclusive findings for standing (g = 0.363; 95% CI −5.172,
5.898), as well as the combined dimension of walking, standing, and jumping (g = 0.798;
95% CI −8.821, 10.417) within gross motor function. Conclusions: Current evidence is imprecise
and does not support definitive conclusions regarding the effectiveness of AOT
over placebo observation, or over physical therapy, on functional outcomes including upper
limb, hand, and lower limb functioning parameters. Current findings prevent recommending
AOT for its employment in clinical practice. Further evidence is required to
draw precise conclusions.
Tipus de document
Article
Versió del document
Versió publicada
Llengua
Anglès
Matèries (CDU)
61 - Medicina
Paraules clau
Pàgines
36 p.
Publicat per
MDPI
Citació
Fierro-Marrero, J.; Cabrera-López, C.D.; Rodríguez de Rivera-Romero, B.; López-Mejías, A.; Ochandorena-Acha, M.; Lerma-Lara, S.; La Touche, R. (2025). Action Observation for Children and Adolescents with Cerebral Palsy: Hope or Hype? A Systematic Review with Meta-Analysis. Children 2025, 12, 810. https://doi.org/10.3390/ children12070810
Nota
Systematic Review
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