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Abstract

Background: Hemiparesis, a common consequence of cerebral palsy (CP), significantly impairs motor function, leading to asymmetrical gait, poor balance, and reduced mobility in affected children. The resulting functional limitations can negatively impact a child's participation in daily activities, social interactions, and overall quality of life. Purpose: To investigate and compare the effectiveness of lateral and backward walking training with mirror visual feedback on standing balance in children with hemiparesis. Methods: Ninety children with hemiparesis, ages five to seven, of both sexes who met the following inclusion criteria were included in the study: They have spasticity at grades 1+ to 2 on the modified Ashworth scale and are able to walk independently at level II on the Gross Motor Function Classification System (GMFCS). Results: For all balance-related outcomes, including the modified Clinical Test of Sensory Integration of Balance (mCTSIB), Eye Open Stability Score (EOSS) and Eye Closed Stability Score (ECSS), and Limits of Stability Standing Balance Bilateral (LOSSBB), all groups demonstrated statistically significant improvements after training, with the lateral walking study group showing more improvement. Conclusion: Children with hemiparesis cerebral palsy benefit more from lateral and backward walking training with mirror visual feedback, along with the forward walking training and a designed physical treatment program (task-oriented training) in improving balance, with the highest benefit in favor of lateral walking training.

Article Type

Original Study

Subject Area

Physical Therapy

IRB Number

HB000140

Creative Commons License

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

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