Efficacy of Physical Therapy in Improving Postural Control in Cerebral Palsy

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Abstract
The purpose of this paper was to review the research on the efficacy of physical therapy in preventing the manifestations of CNS dysfunction, improving postural tone, inhibiting primitive reflexes, and improving postural alignment and control in children with cerebral palsy. No conclusive evidence was found to support the efficacy of physical therapy in preventing CNS dysfunction or reducing the effects of primitive reflexes. A small amount of evidence suggests the possible effectiveness of biofeedback, NDT-based therapeutic horseback riding, and inhibitive casting in reducing hypertonicity and promoting functional improvement. Improvements in postural control, alignment, and stability have been reported in many research studies and most likely are true outcomes of several types of physical therapy in children with cerebral palsy. More definitive research is needed to support the hypotheses generated by this review of the research literature.

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