{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T22:30:53Z","timestamp":1788820253687,"version":"build-2803163510"},"reference-count":48,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/objective<\/jats:title><jats:p>In children, medulloblastoma (MB) is the most prevalent posterior fossa tumor. The first line of treatment is maximal safe resection. Therefore, symptoms of ataxia are commonly seen. Training the brain on balance and cognitive tasks makes balance more automatic than without cognitive tasks. The goal was to assess the effectiveness of dual\u2010task practice on balance after MB excision in children with ataxia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty children with ataxia after MB resection at Children Cancer Hospital Egypt were randomized into two equal groups. Exercises for mobility, balance, and gait training were given to both groups. The research group underwent a specific dual\u2010task program (balance and cognitive). The program ran 3\u00a0days per week for 8\u00a0weeks. Children were evaluated before and after the treatment regimen using the Scale of Assessment and Rating of Ataxia (SARA), the HUMAC Balance System, Pediatric Balance Scale, and Functional Independent Measurement. All children's legal guardians signed an ethical agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A notable improvement in balance was found in the dual group in Pediatric Balance Scale (PBS) (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.028) and stability test (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.0001) in favor of the study group. No discernible difference was observed in the Functional Independent Measurement score among the two groups (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.158), although there was a statistically significant increase in both groups after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Dual\u2010task program is more effective than traditional physical therapy alone in improving balance in children with ataxia after MB resection.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.30613","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T15:00:58Z","timestamp":1691679658000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Efficacy of dual\u2010task training on stability and function in children with ataxia after medulloblastoma resection: A randomized controlled trial"],"prefix":"10.1002","volume":"70","author":[{"given":"Fatma M.","family":"Selim","sequence":"first","affiliation":[{"name":"Department of Physical Therapy for Pediatrics Faculty of Physical Therapy Cairo University Dokki Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.","family":"Elshafey","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Pediatrics Faculty of Physical Therapy Cairo University Dokki Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moatasem M.","family":"El\u2010Ayadi","sequence":"additional","affiliation":[{"name":"Pediatric Oncology Department National Cancer Institute Cairo University and Children Cancer Hospital Egypt (CCHE\u201057357) Dokki Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doaa M.","family":"Albeltagi","sequence":"additional","affiliation":[{"name":"Clinical Research Center Children Cancer Hospital Egypt (CCHE\u201057357) Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1812-651X","authenticated-orcid":false,"given":"Mostafa S.","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Pediatrics Faculty of Physical Therapy Cairo University Dokki Egypt"},{"name":"Department of Physical Therapy for Pediatrics Faculty of Physical Therapy 6th of October University, 6th of October City Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.76783"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.12095"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381\u2010010\u20101328\u20102"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/nop\/npx011"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0303\u20108467(01)00125\u20101"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381\u2010010\u20101166\u20102"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuchi.2021.01.003"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl077"},{"issue":"1","key":"e_1_2_10_10_1","first-page":"1","article-title":"The effect of dual task on clinical balance performance in ataxia patients","volume":"27","author":"Demirci CS","year":"2016","journal-title":"Fiz Rehabil"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25558"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2014.01.002"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/8967138"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415\u2010013\u20106910\u20106"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S125201"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/713756012"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874609807666140328095544"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2015.39.1.81"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11556\u2010013\u20100122\u2010z"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/09515089.2017.1325457"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40673\u2010015\u20100025\u2010z"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.36876\/smggr.1015"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.06.762"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2014.12.016"},{"key":"e_1_2_10_25_1","volume-title":"Cancer Facts & Figures 2014","author":"American Cancer Society","year":"2014"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000219042.60538.92"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/08880018.2020.1785600"},{"issue":"2","key":"e_1_2_10_28_1","first-page":"172","article-title":"Effects of a core stability exercise program on balance and coordination in children with cerebellar ataxic cerebral palsy","volume":"22","author":"Elshafey MA","year":"2022","journal-title":"J Musculoskelet Neuronal Interact"},{"issue":"1","key":"e_1_2_10_29_1","article-title":"Assessment of postural balance in community\u2010dwelling older adults","volume":"61","author":"J\u00f8rgensen MG","year":"2014","journal-title":"Dan Med J"},{"key":"e_1_2_10_30_1","first-page":"3","article-title":"Assessment of postural stability in children with posterior fossa tumor","volume":"32","author":"Usama M","year":"2020","journal-title":"Turk J Physiother Rehabil"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012074"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PEP.0000068117.48023.18"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2012.11.006"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20070134"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.braindev.2014.08.005"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/nop\/npy033"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215507081578"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/583507"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/08880018.2022.2045409"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuonc\/not1"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215514536412"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2018.06.001"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/03004430.2019.1590349"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.12965\/jer.1836142.071"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182749e67"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010010\u20109696\u20103"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2019.10.025"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2019.03.001"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2014.12.012"}],"container-title":["Pediatric Blood &amp; Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pbc.30613","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T13:04:01Z","timestamp":1695647041000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pbc.30613"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,10]]},"references-count":48,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/pbc.30613"],"URL":"https:\/\/doi.org\/10.1002\/pbc.30613","archive":["Portico"],"relation":{},"ISSN":["1545-5009","1545-5017"],"issn-type":[{"value":"1545-5009","type":"print"},{"value":"1545-5017","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,10]]},"assertion":[{"value":"2023-04-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e30613"}}