Dual Task Training Interventions and Mobility-Based Outcomes in Children with Cerebral Palsy: A Scoping Review.
Meaghan Rubsam, Gay L Girolami, Tanvi Bhatt
PMID 40130285WHAT IT FOUND
Dual task training may improve balance, walking, gross motor function and functional mobility in children with cerebral palsy.
Six studies cannot show which dose works, and no study measured performance change when tasks are done together.
Key findings
01Six studies of 117 children with cerebral palsy, all GMFCS levels I to III, examined dual task training.
02The included studies reported significant improvements favouring dual task training in balance or stability, walking speed, gross motor function, endurance, functional mobility and quality of life.
03No included study measured dual task cost, and five of six studies excluded children with cognitive impairment.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only six studies were included, so this maps a small evidence base rather than proving an effect. The studies differed in design, dosage, CP subtype and outcomes, so results could not be statistically pooled. All children were GMFCS levels I to III, so the review says little about children with higher support needs. Five of six studies excluded children with cognitive impairment, even though nearly 50% of children with cerebral palsy have a co-occurring intellectual disability. No study measured motor or cognitive dual task cost, so the evidence does not show whether dual task performance itself improved. Two studies were rated fair on the PEDro scale, and the review excluded studies whose primary motor task was upper extremity focused. The search was limited to English, and control group training details were not reported in enough detail to compare fully.
The easy way to misread this
Do not read this as proof that dual task training improves children's multitasking. No included study measured performance change when tasks are done together, and five of six studies excluded children with cognitive impairment.