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Rigorous research on intensive gross motor training is needed.
If so, this finding might suggest that the gross motor training was not sufficiently intensive and not incorporated into the child's natural context.
This review identified two studies [ 40, 55] with a high risk of bias that showed effects on gross motor function, while other systematic reviews showed inconclusive results of intensive gross motor training [ 4, 6, 7].
The remaining eleven studies that targeted gross motor training were performed 3 7 sessions per week within a task-oriented approach [ 40], hippotherapy and NDT [ 41], sensory integration therapy [ 42], intensive and other types of PT [ 43, 44, 46, 47] or CE [ 51, 55- 57].
Similar(56)
To ensure each participant receives a similar training programme, all sequences will comprise approximately 60% cognitive-UL and 40% gross-motor training tasks individualised to the child's abilities.
Conflicting evidence was found on the effectiveness of strength training on gross motor function measured by GMFM compared to no training [ 44, 46, 48].
The combination of UL and lower-limb gross motor, cognitive and visual perceptual training is designed to have a multimodal effect by training multiple networks which then enhances performance in each area.
Five of these studies reported gross motor function targeted with Vojta training [ 45], home programs to facilitate motor development [ 48], goal-directed functional training [ 50] intensive PT [ 49], and intensive NDT [ 39], all performed over 2 7 sessions per week with additional home training.
Conflicting evidence was found for strength training on gross motor function.
Rehabilitation that involves a combination of UL, gross motor, cognitive and visual perceptual training is likely to improve performance of ADL.
All studies with significant results in favour of intensive training that targeted gross motor function had a high risk of bias (Table 2 and Figure 2).
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