Impact of sensory-based therapy on problems with balance and posture in children with cerebral palsy: a systematic review and meta-analysis

The present systematic review and meta-analysis was intended to evaluate the efficacy of Sensory Integration Therapy (SIT) in ameliorating postural and balance dysfunctions in pediatric populations with cerebral palsy (CP).

An exhaustive literature search was directed through several well-known systematic databases, including PubMed, Web of Science, Google Scholar, and Scopus, until July 2024. The inclusion criteria targeted studies on sensory integration therapy in children under 18 years diagnosed with CP. This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Physiotherapy Evidence Database (PEDro) scale and the Cochrane Risk of Bias-2 (RoB 2.0) were employed to evaluate the methodological rigor and potential bias of the included studies.

Seven randomized controlled trials were selected, encompassing 203 children with CP. The interventions predominantly utilized SIT, focusing on enhancing sensorimotor integration. The findings reveal that sensory-based interventions significantly boost gross motor capabilities and skills, contributing to improved functional mobility and standards of living in CP children. These therapies also facilitate the postural control and active participation in day to day activities.

Sensory-based interventions are efficacious in correcting postural and balance impairments in children with CP. Their integration into comprehensive rehabilitative frameworks is recommended to foster functional autonomy and augment overall developmental outcomes. Future studies should investigate the synergistic effects of these interventions with other therapeutic modalities to maximize rehabilitation efficacy.