Purpose: To conduct a systematic review and meta-analysis on the effect of motor intervention on motor function of infants and toddlers with cerebral palsy (CP). Methods: Four databases were searched for randomized controlled trials (RCTs) of motor interventions for children with or at high risk of CP younger than 36 months. Studies were excluded if less than 50% of children developed CP. Results: Eleven RCTs included 363 children; 85% diagnosed with CP. Very low-quality evidence supports that: (1) task-specific motor training was more effective than standard care for improving motor function (small effect), (2) constraint-induced movement therapy (CIMT) may be more effective than bimanual play or massage for improving function of the more affected hand (moderate effect), and high-intensity treadmill training is no more effective than low-intensity for improving walking. Conclusions: Very low-quality evidence supports that task-specific motor training and CIMT may improve motor function of infants and toddlers with CP.

Part of the job of healthcare providers is to manage patient information. Most is routine, but some is sensitive. For these reasons physicians' offices provide a rich environment for understanding complex, sensitive information management issues as they pertain to privacy and security. In this paper we present findings from interviews and observations of 15 offices in rural-serving southwest Virginia. Our work demonstrates how the current socio-technical system fails to meet the security needs of the patient. In particular, we found that the tensions between work practice and security, and between electronic and paper records resulted in insecure management of files.

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