关键词: 核心稳定训练, 痉挛型脑瘫, 运动功能, Meta分析

Abstract: Objective To systematically evaluate the effect of core stability training on improving the motor ability of children with spastic cerebral palsy, in order to provide evidence for guiding the motor function rehabilitation training of children with spastic cerebral palsy. Methods Literature published from establishment to October 23rd, 2021 was retrieved from eight databases using boolean logical link keywords and free words, then was selected according to inclusion and exclusion criteria. Results A total of 17 articles with a sample of 1 085 children were included, of whom 542 were in the control group and 543 were in the experimental group. The walking ability (MD=4.58, 95%CI:3.73 - 5.43), fine motor ability (MD=1.96, 95%CI:0.47 - 3.45), balance ability (MD=6.03, 95%CI:3.87 - 8.20), functional independence (MD=6.35, 95%CI:5.49 - 7.25) and gross motor function (MD=3.37, 95%CI:1.40 - 5.34) of children in experimental group were significantly higher than those in control group. Conclusions Core stability training can effectively improve the motor abilities of children with spastic cerebral palsy and promote the development of movement and posture. However, due to the lack of homogenous literature and low quality of literature, it is still necessary to include a large sample, randomized double-blind trial to further evaluate the therapeutic effect of core stability training.

Key words: core stability training, spastic cerebral palsy, motor function, Meta-analysis