Core Stabilization for Upper Extremity Function and Balance in Children With Cerebral Palsy

Cerebral palsy (CP) is a group of permanent disorders of movement and posture that occur due to non-progressive disturbances in the developing fetal or infant brain. Children with CP often experience deficits in trunk control, balance, and upper extremity function, which significantly affect their daily activities and quality of life. Core stabilization exercises are widely used in neurorehabilitation to improve trunk control and postural stability, potentially enhancing balance and upper limb function.

This randomized controlled trial aimed to evaluate the effects of core stabilization exercises on upper extremity function and balance in children with CP. The study included children aged 5 to 12 years, classified at levels I-III according to the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS), and with spasticity levels ≤2 according to the Modified Ashworth Scale (MAS). Participants were randomly assigned to either an intervention or a control group. Both groups received a standardized physiotherapy and occupational therapy program five days a week for four weeks. In addition to the standard care, the intervention group performed daily 45-minute sessions of core stabilization exercises.

Outcome measures included the Pediatric Berg Balance Scale (PBBS) and the Trunk Control Measurement Scale (TCMS) for evaluating balance, and the Box and Block Test (BBT) and the Assisting Hand Assessment (AHA) for assessing upper extremity function. Assessments were conducted at baseline and post-intervention. The study hypothesized that children receiving core stabilization exercises in addition to standard therapy would show greater improvements in balance and upper extremity function compared to those receiving standard therapy alone.