DefinePK

Abstract

OBJECTIVE: To systematically evaluate the effectiveness of play-based therapy in improving motor skills among children with cerebral palsy. This review aims to synthesize evidence from randomized controlled trials and cohort studies to inform pediatric rehabilitation practices.
BACKGROUND: A neurodevelopmental disease known as cerebral palsy (CP) is characterized by long-lasting motor deficits that negatively impact everyday functioning and quality of life. Frequent physical exercises are a common component of traditional rehabilitation techniques, but they could not provide the level of involvement required for long-term progress in juvenile populations.
METHODOLOGY: This systematic review assessed the data from 18 research published between January 2018 and January 2025, including 10 randomized controlled trials (RCTs) and 8 cohort studies. Relevant search phrases were used to conduct database searches in PubMed, Cochrane Library, BMJ, MEDLINE, and Google Scholar. Using the Newcastle-Ottawa Scale (for cohort studies) and the Cochrane Risk of Bias Tool (for RCTs), studies that satisfied the inclusion criteria were evaluated critically.
RESULTS: Following play-based therapy, the examined trials showed notable improvements in motor outcomes. Gross and fine motor skills, balance, and functional mobility all showed improvements; the effect sizes varied according on the severity of CP, the length of the intervention, and the uniformity of the protocol. Moreover, improved engagement and therapeutic adherence were commonly found in all of the investigations.
CONCLUSION: For children with cerebral palsy, play-based therapy is an engaging and successful way to manage motor deficits. This method improves motivation, adherence, and neuroplasticity by incorporating therapeutic exercises into pleasurable, purposeful activities. Although more standardization and long-term research are required to maximize results, the data support its inclusion as a fundamental part of pediatric rehabilitation.