Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growthand Development Disorders in Pediatrics

Background: Cerebral palsy (CP) is a permanent non progressive brain lesion accompanied by disturbances of sensation, perception, cognition, communication, behavior and secondary musculoskeletal problems. Aim of this systematic review: to systematic review the effect of visual feedback on motor abilities in children with spastic CP. Methods: A search was made in databases Pubmed, Cochrane and Pedro from August 2015 to December 2016 and in International Journal of Physiotherapy from February 2017 to March 2017. The inclusion criteria were: published randomized controlled trials (RCT), studies including children ranging in age from 2 to 18 years old with spastic cerebral palsy, studies which demonstrated the effect of visual feedback including mirror visual feedback, video clips and action observation therapy. The outcome measures were balance, gait and hand function. Two independent reviewers assessed the methodological quality and extracted data of included studies. Results: A total number of 246 records, 96 of them were duplicated, 105 of them were excluded after screened the title and abstract, 45 were retrieved by the electronic searches, 38 of them were excluded after reading the full article, only 7 articles were met the inclusion criteria underwent quality appraisal. The existing data weren{u2019}t homogenous. Thus the current studies were analyzed using descriptive analysis Conclusion: The level of evidence to support the effectiveness of visual feedback in children with spastic CP remains weak due to minimum number of the randomized control trials, minimum number of the participants in the included studies and visual feedback has different methods and all studies didn{u2019}t use the same method

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