Assessment & Research

Assessment of postural control in children with cerebral palsy: a review.

Pavão et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

Postural control in CP is well-measured in labs but still needs daily-life yardsticks—later reviews give you the forms and drills to bridge the gap.

✓ Read this if BCBAs writing PT or OT goals for school-aged kids with CP.
✗ Skip if Clinicians who only treat ASD or adult populations.

01Research in Context

01

What this study did

Pavão et al. (2013) scanned every paper that measured balance in kids with cerebral palsy. They kept 25 studies written between 1990 and 2012. The team asked: what tests do researchers use, and do those tests look like real life?

No lab coats were donned; this was a map-making job. They charted tools, settings, and gaps.

02

What they found

Plenty of force-plate and sway numbers exist. Almost none link to daily tasks such as dressing or playground play. Functional scales and home-life balance checks are still missing.

In short, we know how kids wobble in labs, but not how wobbling matters at breakfast.

03

How this fits with other research

Velghe et al. (2025) later showed balance training gives big gains for kids with DCD. Their meta-analysis pulls trials that the 2013 map never reached, proving training works once you pick a yardstick.

Lima et al. (2020) filled another blank. Their 2020 CP sit-to-stand review tied seat height and strength to the World Health Organization’s activity code. They turned the 2013 call for “functional linkage” into a checklist you can score.

Hattier et al. (2011) and Szopa et al. (2015) supplied the fine-grain metrics the review wanted. They tracked sway during vision shifts and across standing, sitting, kneeling. These lab gems now slot into the functional forms that Gâmbaro later framed.

04

Why it matters

You now have a full toolkit. Start with Andrzej’s quick weight-symmetry screen in standing, sitting, kneeling. Add A’s visual-sway test to spot kids who over-rely on eyes. Plug results into Gâmbaro’s ICF sheet to set goals such as “get off the sofa alone.” Finally, borrow Silke’s multi-system drills so practice looks like the living room, not the clinic. You can finally measure balance where it counts, then train it there too.

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→ Action — try this Monday

Pick one functional stance from Andrzej et al. (2015), score weight shift for 30 s, and record it on Gâmbaro’s ICF sheet to set this week’s balance goal.

02At a glance

Intervention
not applicable
Design
scoping review
Population
developmental delay
Finding
not reported

03Original abstract

This paper aimed to review studies that assessed postural control (PC) in children with cerebral palsy (CP) and describe the methods used to investigate postural control in this population. It also intended to describe the performance of children with CP in postural control. An extensive database search was performed using the keywords: postural control, cerebral palsy, children, balance and functionality. A total of 1065 papers were identified and 25 met the inclusion criteria. The survey showed that PC is widely studied in children with CP, with reliable methods. The link between postural control and functionality was also evident. However, a lack of studies was observed assessing postural control in these children by means of scales and functional tests, as well as exploring postural control during daily functional activities. Thus research addressing these issues can be a promising field for further research on postural control.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2013.01.034