Game-Based Dual-Task Exercise Program for Children with Cerebral Palsy: Blending Balance, Visuomotor and Cognitive Training: Feasibility Randomized Control Trial.
Featured on Physle Daily · Tuesday, 20 October 2026
Children with cerebral palsy often need balance training that also challenges thinking and movement planning together, since everyday tasks rarely involve standing still with nothing else going on. This feasibility trial compared a novel game-based dual-task balance program, which combined visuomotor and cognitive challenges, against conventional balance training in twenty children, each receiving therapy three times a week for twelve weeks. The game-based group showed greater improvements in balance scores, gross motor function, and dual-task balance performance compared to the conventional group, and compliance was complete across all participants. Parents and children also described mostly positive experiences with the technology in interviews.
Because this was a small pilot study designed mainly to test feasibility rather than prove effectiveness, and the abstract does not report whether the between-group differences were statistically significant, these results should be read as encouraging groundwork for a larger trial rather than confirmed clinical benefit.
If your child has cerebral palsy, balance training is often part of therapy, but researchers are exploring whether adding a game-based element that also challenges thinking and visual tracking might help more than standard balance exercises alone. This small trial tested that idea in twenty children, split between a game-based dual-task program and conventional balance training, each done three times a week for twelve weeks. Every child who started the trial completed it, and interviews suggested that children and parents generally had positive experiences with the game-based technology.
Children in the game-based group showed greater improvements in balance, gross motor skills, and balance during multitasking than those in the conventional group. However, this was a small, early-stage study designed mainly to check whether the program was practical and acceptable, not to definitively prove it works better. The paper does not state whether the differences between the two groups reached statistical significance, so these findings should be seen as promising but preliminary rather than confirmed.
This is a summary of research, not medical advice. Talk to your own healthcare provider about anything affecting your care.
This pilot randomised controlled trial addresses whether a game-based dual-task balance exercise program, combining visuomotor and cognitive demands with standing balance work, is feasible and acceptable for children with cerebral palsy, compared with conventional balance training. Both groups received their respective interventions for twelve weeks, three sessions weekly, with the experimental group doing the dual-task version. The headline finding is feasibility: all twenty enrolled participants completed the trial with full compliance, and qualitative interviews with parents and children described generally positive engagement with the technology, alongside some noted likes and dislikes.
On clinical measures, the experimental group showed greater improvements than the conventional group on the Pediatric Balance Scale, the Gross Motor Function Measure, and computerised dual-task balance performance, but the abstract does not report whether these between-group differences were statistically significant, so they should be treated as exploratory trends rather than evidence of superiority. This study does not establish clinical effectiveness of the dual-task program; its value lies in demonstrating feasible trial procedures, high adherence, and acceptability, supporting progression to a fully powered trial before any conclusions about comparative efficacy can be drawn. The abstract does not mention adverse events.
This pilot trial found the game-based dual-task balance program was feasible, with 100% compliance among all 20 children with cerebral palsy who were enrolled.
Children in the game-based dual-task group showed greater improvements than the conventional balance training group on balance, gross motor function, and dual-task balance measures.
The trial is small and exploratory, so these group differences are preliminary and the abstract does not report whether they were statistically significant between groups.
Source
Sensors (Basel, Switzerland)
Szturm T, Parmar ST, Mehta K et al. · 2022
doi: 10.3390/s22030761