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KMID : 1206220210280010033
Journal of Korean Academy of Physical Therapy Science
2021 Volume.28 No. 1 p.33 ~ p.45
The effect of motor learning in children with cerebral palsy: A systemic revie
Kim Jung-Hyun

Abstract
Background: Children with cerebral palsy have difficulty acquiring motor skills through motor learning due to lack of motor planning of the central nervous system and musculoskeletal dysfunction. Motor learning is the acquisition or modification of movements with the aim of developing skilled movements and behaviors. Cerebral palsy improve motor function through motor learning, and effective motor learning mainly depends on practice parameters such as learning feedback. Therefore, we investigate the effect of motor learning in children with cerebral palsy and try to present the possibility of clinical application.

Design: A systemic review.

Methods: Research papers were published from Jan, 2010 to Dec, 2020 and were searched using PubMed and Medline. The search terms are ¡®task specific training¡¯ OR ¡®motor learning¡¯ OR ¡®feedback(Mesh term)¡¯ OR ¡®goal activity¡¯ AND ¡®cerebral palsy(Mesh term)¡¯. A total of eight papers were analyzed in this study. The paper presented the quality level based on the research evidence, and also presented PEDro (Physiotherapy Evidence Database) scores to evaluate the quality of design studies in randomized clinical trials.

Results: The results showed that motor learning coaching in children with cerebral palsy improved motor function in post and follow up tests. Also, self-control feedback of motor learning is more effective than external control feedback. 100% external control feedback of motor learning is effective in the acquisition phase and 50% external feedback of motor learning is effective in the retain phase.

Conclusion: These results suggest that it will be an important data for establishing evidence on the effect of motor learning arbitration methods in children with cerebral palsy to develop clinical applicability and protocols.
KEYWORD
Cerebral Palsy, Feedback, Motor Learning, Review
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