Safe Education Strategies In Balance Improvement For Children With Cerebral Palsy

The study aimed to quantify the effects of physiotherapy using Build N'Balance® proprioceptive stimulation materials on the balance, gait and coordination of three children with cerebral palsy (CP) and to examine how the level of balance development influences their coordination and ability. The subjects of this study were three 9-year-old boys with gait and balance impairments due to spastic cerebral palsy (CP). According to the Gross Motor Function Classification System (GMFM) the children were differentiated by severe motor dysfunction related to CP, extension deficit at the knees, high base of support, and kyphotic posture with anteriorly projected center of gravity. Dynamic balance control and speed of movement were assessed before and after the application of the physiotherapy program using the adapted 10MWTest- Build N'Balance® proprioception stimulation balance test. Mini-BESTest - Balance Evaluation Systems Test was used to assess functional balance, pre and post intervention. Each subject achieved an average on the final 10MWTest (time, errors, accuracy of execution) equal to or lower than baseline, with improvements observed in movement accuracy and coordination. According to the Mini-BESTest improvements were observed in spatial orientation, static balance and dynamic balance. Proprioceptive sensory stimulation increases the safety level of children with CP. There are different results depending on the motor disability. Our goal was how to reflect and develop safe education strategies for special children needs to increase their motivation to be involved and take part in motor activities.