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Effects of a therapeutic suit based on myofascial meridians on postural control and balance in children with cerebral palsy: a multiple-baseline, single-subject study

Cruz et al. (2025) · Frontiers in Pediatrics 2025
★ The Verdict

Wearing the TREINI Exoflex suit during everyday activities improved balance and postural control in all four children with cerebral palsy.

✓ Read this if BCBAs serving school-age kids with CP who need better balance for classroom or playground participation.
✗ Skip if Practitioners working with adults or children whose main challenge is reactive balance or cardio fitness.

01Research in Context

01

What this study did

Cruz et al. (2025) tested a tight therapeutic suit on four kids with cerebral palsy. The suit, TREINI Exoflex, pulls on the body along myofascial lines. Kids wore it three hours a day, five days a week, for three months while doing normal tasks.

The team used a multiple-baseline design. Each child started the suit at a different week. Balance and postural control were filmed and scored every few days.

02

What they found

All four children stood and balanced better with the suit on. Postural control scores went up for every kid. Gains in walking and daily-living skills were smaller and varied across the group.

Improvements showed up after two to four weeks and stayed through the end of the study.

03

How this fits with other research

Pavão et al. (2014) and dos Santos et al. (2013) already showed that kids with CP have weak sit-to-stand balance and low knee strength. Cruz adds a practical tool that seems to fix part of that problem.

Rallis et al. (2025) gave adults with ID ten weeks of proprioceptive training. Both studies found better static balance, but the suit works while kids simply play or attend school, saving therapy time.

Capio et al. (2013) ran a three-month Taekwondo program for kids with DCD. Like Cruz, they saw gains in static balance but not in reactive balance. The pattern hints that daily, low-load input helps postural steadiness more than quick recovery moves.

04

Why it matters

You now have a wearable option that can slide into any daily routine. No extra clinic visits, no special gear beyond the suit. Start with one child who has clear balance goals, track sit-to-stand time or single-leg stance each week, and let the data tell you if the suit earns its place in your plan.

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Pick one balance goal, time five sit-to-stands, then have the child wear the suit during morning routines and re-time next week.

02At a glance

Intervention
other
Design
multiple baseline across participants
Sample size
4
Population
other
Finding
positive

03Original abstract

To investigate the effects of an intervention programme based on the TREINI Exoflex therapeutic suit on balance, postural control, activity, and participation outcomes in children with cerebral palsy (CP). A multiple-baseline, single-subject A/B research design was used. Balance, postural control, mobility, activities of daily living (ADLs), and goal attainment measures were collected for four children with CP. The intervention was a programme designed for the use of a therapeutic suit, that is, the TREINI Exoflex. The 2-SD band and percentage of non-overlapping data methods were used to compare outcomes between the baseline and intervention phases. The intervention improved balance and postural control in all four children. The scope of the intervention on activity and participation outcomes varied between children. All children showed improvements in at least one stipulated goal and two in mobility and ADLs. Improvements in goal achievement occurred mainly for balance-related goals, whereas behavioural goals were not achieved. The results of this study support the use of the TREINI Exoflex suit during functional activities by children with CP. Future research should examine the effects of this approach in children of different ages and at different functional levels.

Frontiers in Pediatrics, 2025 · doi:10.3389/fped.2025.1459839