Differences in the effectiveness of adding Bobath Exercise with (task-oriented training) on the balance of children with Cerebral Palsy


  • Suharto Anwar Health Polytechnic of Makassar
  • Sri Saadiyah Leksonowati Politeknik Kesehatan Makassar
  • Suriani Suriani Politeknik Kesehatan Makassar
  • Dwi Rustianto Education Foundation for Children with Disabilities Makassar




Bobath Exercises, sitting, standing, Cerebral Palsy, Task-Oriented Training


This research aims to analyze the addition of bobath exercise with (task-oriented training) on the balance of Cerebral Palsy children. Research use method Quasi experiment with pre test – post test two group design involving 44 (66.67%) boys and 22 (33.33%) girls aged 1-7 years. The research subjects were 66 people divided into two groups randomly. Group I, 33 children with cerebral palsy, were given Pilates exercises and group II, 33 children with cerebral palsy, were given bobath exercises. Treat each child with a dose of 1 time/day, 3 times a week with a treatment time of 45 minutes for each child for 16 weeks. Held from January to May 2024 at the Disabled Children's Education Foundation in Makassar City and the Children's Growth and Development Clinic in Daya Makassar City. Result, in the Bobath group's paired t-test statistical test for balance, the value was obtained at p=0.002 and for standing balance, the value was obtained at p=0.083. The bobath exercises group for sitting balance obtained a value of p = 0.001 and for standing balance obtained a value of p = 0.023. The Independent t-test statistical test obtained a value of p = 0.039 for sitting balance and standing balance obtained a value of p = 0.034. Conclusion, Bobath exercises which add task-oriented training to the sitting balance of children with cerebral palsy are effective in improving the sitting balance of children with cerebral palsy.


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Abd-Elfattah, H. M., Galal, D. O. S. M., Aly, M. I. E., Aly, S. M., & Elnegamy, T. E. (2022). Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy. Annals of Rehabilitation Medicine, 46(1), 45–52. https://doi.org/10.5535/arm.21148

Belizón-Bravo, N., Romero-Galisteo, R. P., Cano-Bravo, F., Gonzalez-Medina, G., Pinero-Pinto, E., & Luque-Moreno, C. (2021). Effects of dynamic suit orthoses on the spatio-temporal gait parameters in children with cerebral palsy: A systematic review. Children, 8(11). https://doi.org/10.3390/children8111016

Besios, T., Nikolaos, A., Vassilios, G., Giorgos, M., Tzioumakis, Y., & Comoutos, N. (2018). Effects of the Neurodevelopmental Treatment (NDT) on the Mobility of Children with Cerebral Palsy. Open Journal of Therapy and Rehabilitation, 06(04), 95–103. https://doi.org/10.4236/ojtr.2018.64009

dos Santos, A. N., Serikawa, S. S., & Rocha, N. A. C. F. (2016). Pilates improves lower limbs strength and postural control during quite standing in a child with hemiparetic cerebral palsy: A case report study. Developmental Neurorehabilitation, 19(4), 226–230. https://doi.org/10.3109/17518423.2014.947040

Farjoun, N., Mayston, M., Florencio, L. L., Fernández-De-Las-Peñas, C., & Palacios-Ceña, D. (2022). Essence of the Bobath concept in the treatment of children with cerebral palsy. A qualitative study of the experience of Spanish therapists. Physiotherapy Theory and Practice, 38(1), 151–163. https://doi.org/10.1080/09593985.2020.1725943

Fatih Tekin, Erdogan Kavlak∗, U. C. and F. A. (2018). Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on postural control and balance in Cerebral Palsied children. Journal of Back and Musculoskeletal Rehabilitation, 31(2), 397–403. https://doi.org/10.3233/BMR-170813

Franjoine, M. R., Darr, N., Young, B., McCoy, S. W., & LaForme Fiss, A. (2022). Examination of the effects of age, sex, and motor ability level on balance capabilities in children with cerebral palsy GMFCS levels I, II, III and typical development using the Pediatric Balance Scale. Developmental Neurorehabilitation, 25(2), 115–124. https://doi.org/10.1080/17518423.2021.1943033

Güçhan Topcu, Z., & Tomaç, H. (2020). The Effectiveness of Massage for Children With Cerebral Palsy: A Systematic Review. Advances in Mind-Body Medicine, 34(2), 4–13.

Horber, V., Fares, A., Platt, M. J., Arnaud, C., Krägeloh-Mann, I., & Sellier, E. (2020). Severity of Cerebral Palsy-The Impact of Associated Impairments. Neuropediatrics, 51(2), 120–128. https://doi.org/10.1055/s-0040-1701669

KAVLAK, E., UNAL, A., TEKIN, F., & ALTUG, F. (2018). Bobath terapisinin serebral palside denge üzerindeki etkisi. Cukurova Medical Journal, 43(4), 975–981. https://doi.org/10.17826/cumj.375565

Kim, M. R., Lee, B. H., & Park, D. S. (2016). Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II. Hong Kong Physiotherapy Journal, 34, 10–18. https://doi.org/10.1016/j.hkpj.2015.09.036

Monica, S., Nayak, A., Joshua, A. M., Mithra, P., Amaravadi, S. K., Misri, Z., & Unnikrishnan, B. (2021). Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study. Rehabilitation Research and Practice, 2021. https://doi.org/10.1155/2021/9758640

Moura, R., Andrade, P. M. O., Fontes, P. L. B., Ferreira, F. O., Salvador, L. de S., Carvalho, M. R. S., & Haase, V. G. (2017). Mini-mental state exam for children (MMC) in children with hemiplegic cerebral palsy. Dementia e Neuropsychologia, 11(3), 287–296. https://doi.org/10.1590/1980-57642016dn11-030011

Numanoğlu Akbaş, A., & Kerem Günel, M. (2019). Effects of Trunk Training on Trunk, Upper and Lower Limb Motor Functions in Children with Spastic Cerebral Palsy: A Stratified Randomized Controlled Trial. Konuralp Tıp Dergisi, 11, 253–259. https://doi.org/10.18521/ktd.453532

Panhan, A. C., Gonçalves, M., Eltz, G. D., Villalba, M. M., Cardozo, A. C., & Bérzin, F. (2018). Neuromuscular efficiency of the multifidus muscle in pilates practitioners and non-practitioners. Complementary Therapies in Medicine, 40, 61–63. https://doi.org/10.1016/j.ctim.2018.07.014

Sari, I. M., Meidian, A. C., & Samekto, M. (2016). Perbedaan Neuro Development Treatment ( Ndt ) Dan Pilates Terhadap Kesiembangan Duduk Pada Cerebral. Jurnal Fisioterapi, 1–13.

Senturk, Y., Kirmizigil, B., & Tuzun, E. H. (2021). Effects of clinical Pilates exercises on cardiovascular endurance and psychosomatic parameters on primary caregivers of special needs children: A randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 34(5), 853–864. https://doi.org/10.3233/BMR-191649

Sharma, R., Sharma, J., & Bharadwaj, V. (2018). Evidence Based Review of Physiotherapy Management of Cerebral Palsy Patients. International Journal of Physiotherapy and Research, 6(5), 2864–2881. https://doi.org/10.16965/ijpr.2018.166

Shin, J. W., Song, G. Bin, & Ko, J. (2017). The effects of neck and trunk stabilization exercises on cerebral palsy children’s static and dynamic trunk balance: Case series. Journal of Physical Therapy Science, 29(4), 771–774. https://doi.org/10.1589/jpts.29.771

Soysal Tomruk, M., Uz, M. Z., Kara, B., & Idiman, E. (2016). Effects of Pilates exercises on sensory interaction, postural control and fatigue in patients with multiple sclerosis. Multiple Sclerosis and Related Disorders, 7, 70–73. https://doi.org/10.1016/j.msard.2016.03.008

Tekin, F., Kavlak, E., Cavlak, U., & Altug, F. (2018). Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on postural control and balance in Cerebral Palsied children. Journal of Back and Musculoskeletal Rehabilitation, 31(2), 397–403. https://doi.org/10.3233/BMR-170813

Triandari, L., Tirtayasa, K., Irfan, M., Wihandani, D. M., Satriyasa, B. K., & Sugijanto. (2018). Kombinasi Perceptual Motor Program Dan Neurodevelopmental Treatment Lebih Baik Daripada Treatment Dalam Meningkatkan Kemampuan Duduk the Combination of Perceptual Motor Program and Neurodevelopmental Treatment Was Better Than the Combination of Kinesiotap. Sport and Fitness Journal, 6(2), 31–37.

Trisnowiyanto, B., & Syatibi, M. M. (2020). Differences Influence of Aquatic Therapy and Neuro Developmental Treatment on the Motor Functional Development Ability of Children With Cerebral Palsy. Jurnal Keperawatan Dan Fisioterapi (Jkf), 2(2), 165–171. https://doi.org/10.35451/jkf.v2i2.413

Tunde Gbonjubola, Y., Garba Muhammad, D., & Tobi Elisha, A. (2021). Physiotherapy management of children with cerebral palsy. Adesh University Journal of Medical Sciences & Research, 3(2), 64–68. https://doi.org/10.25259/aujmsr_29_2021

Vinolo-Gil, M. J., Casado-Fernández, E., Perez-Cabezas, V., Gonzalez-Medina, G., Martín-Vega, F. J., & Martín-Valero, R. (2021). Effects of the combination of music therapy and physiotherapy in the improvement of motor function in cerebral palsy: A challenge for research. Children, 8(10). https://doi.org/10.3390/children8100868




How to Cite

Anwar, S., Leksonowati, S. S., Suriani, S., & Rustianto, D. (2024). Differences in the effectiveness of adding Bobath Exercise with (task-oriented training) on the balance of children with Cerebral Palsy. International Journal of Multidisciplinary Approach Research and Science, 2(02), 667–676. https://doi.org/10.59653/ijmars.v2i02.684