Current Rehabilitation Practices for Children with Cerebral Palsy: Focus and Gaps

Anaby, Dana; Korner‐Bitensky, Nicol; Steven, E. M.; Tremblay, Stéphanie; Snider, Laurie; Avery, Lisa; Law, Mary

doi:10.3109/01942638.2015.1126880

Cited by 70 publications

(65 citation statements)

References 24 publications

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“…The large age-range of participants, the range of settings that participants worked in, and the wide range of regions of the UK that participants worked in, however, suggests that the sample is representative of the population of physiotherapists who work with adolescents with CP in the UK. The number of respondents is also similar to that in previous studies that assessed current rehabilitation practices for children with CP using a survey (Anaby et al, 2016;Saleh et al, 2008).…”

Section: Discussionsupporting

confidence: 56%

Interventions to Improve or Maintain Lower-Limb Function Among Ambulatory Adolescents with Cerebral Palsy: A Cross-Sectional Survey of Current Practice in the UK

Taflampas

Kilbride

Levin

et al. 2017

Physical & Occupational Therapy In Pediatrics

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Section: Discussionsupporting

confidence: 56%

Interventions to Improve or Maintain Lower-Limb Function Among Ambulatory Adolescents with Cerebral Palsy: A Cross-Sectional Survey of Current Practice in the UK

Taflampas

Kilbride

Levin

et al. 2017

Physical & Occupational Therapy In Pediatrics

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“…In summary, these initial findings may encourage clinicians to re‐think the focus of practice, recognizing that body‐functions may be improved through engaging in activities of choice. This is important given the existing knowledge‐to‐practice gaps where attention is mostly directed towards body functions and task‐oriented activities (mobility, dressing) rather than to community participation . Thus, findings can support an initial shift in practice towards interventions that can potentially achieve both outcomes simultaneously: participation and body functions.…”

Section: Discussionmentioning

confidence: 92%

“…This is important given the existing knowledge-to-practice gaps where attention is mostly directed towards body functions and task-oriented activities (mobility, dressing) rather than to community participation. 39 Thus, findings can support an initial shift in practice towards interventions that can potentially achieve both outcomes simultaneously: participation and body functions. Such interventions are likely to be successful, as they are socially engaging and motivating, and thus can increase adherence to treatment and sustainability after their completion.…”

Section: Not Applicable Uumentioning

confidence: 99%

Improving body functions through participation in community activities among young people with physical disabilities

Anaby

Avery²,

Gorter

et al. 2019

Develop Med Child Neuro

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Aim To examine the impact of engagement in a self‐chosen community‐based activity on three relevant body functions (motor, cognitive, and affective) as well as on the performance of the selected activity. Method An individual‐based interrupted time series design with multiple baselines was used. Seven young people (four males, three females) aged 15 to 25 years (median 18y; interquartile range 17–20y) with physical disabilities participated in an 8‐week community activity of choice (e.g. swimming, playing piano). Change in three relevant body functions, underpinning the specific chosen activity, including motor (e.g. Functional Reach Test, Trunk Impairment Scale, dynamometers), cognitive and affective (Behavior Assessment System for Children), as well as activity performance (Canadian Occupational Performance Measure) were measured repeatedly, providing individual outcome trajectories. Linear and mixed‐effects models were used. Results Significant improvements in at least one aspect of motor function (6 out of 6), cognition (3 out of 3), affect (5 out of 7), and performance (7 out of 7) were observed. Specifically, the intervention had a moderate to large effect on hyperactivity (1.45, 95% confidence interval [CI] 1.0–1.9) with a smaller effect on anxiety (0.21, 95% CI 0.10–0.32) and inadequacy (0.21, 95% CI 0.02–0.39). Concurrently, a notable effect size for activity performance (4.61, 95% CI 0.76–8.46) was observed. Average change across motor outcomes was substantial (3.7 SDs from baseline), yet non‐significant. Interpertation Findings provide initial evidence of the benefits resulting from participation‐based interventions, emphasizing the merit of meaningful ‘real‐life’ young people‐engaging therapy. What this paper adds Participation‐based interventions can impact body‐function level outcomes. Significant improvements in the performance of chosen activities were observed. Significant improvements were also seen in cognitive and affective body functions. Improvements in motor‐related outcomes were substantial but not statistically significant.

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“…Authors of the studies identified for this scoping review were predominantly physiotherapists; a survey of Canadian HCPs working with children with CP found that physiotherapists choose interventions focused on BSF domains. 81 Physiotherapists tend to use therapeutic exercises to promote maximum movement and functional ability, 82 while occupational therapists tend to have a greater focus on modifying the environment or the task to help a client succeed. 83 Occupational therapy is taught at only 14 colleges in India 84 whereas more than 200 physiotherapy colleges exist.…”

Section: Discussionmentioning

confidence: 99%

Treatment and re/habilitation of children with cerebral palsy in India: a scoping review

Jindal

MacDermid

Rosenbaum

et al. 2019

Develop Med Child Neuro

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Aim To describe the nature and extent of the literature addressing the medical and its re/habilitative management of cerebral palsy (CP) in India. Method Online worldwide scholarly databases, research hosting directories, Indian publishing houses, and grey literature were used to identify papers published between 2005 and 2016. We retrieved 144 English language papers that described the medical and rehabilitative management of Indian children with CP. Results Quantitative, qualitative, and mixed research designs are published by a variety of health care professionals in India. Intervention (45%) and observational studies (30%) predominate. Outcomes were categorized using the World Health Organization's International Classification of Functioning, Disability and Health framework, with body structure and function most reported and activity/participation least reported; 57% described its re/habilitation interventions and 43% were medical interventions. Interpretation There is a substantial body of CP research in India that focuses on interventions to reduce impairments, with minimal attention given to activities and participation, environmental, and personal factors. Twenty‐six per cent of studies are published in what appear to be ‘predatory journals’. This paper serves as an alert about the presence of ‘predatory journals’ in medicine that may introduce publication bias, which can distort results reported in those studies individually, or from conclusions drawn in reviews that contain those studies. What this paper adds Cerebral palsy research in India focuses on interventions to reduce impairment. Activities, participation, and environmental factors are minimally addressed. Quantitative studies are more common than qualitative studies. Many Indian studies are published in journals that are not indexed in worldwide databases of scholarly journals.

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Current Rehabilitation Practices for Children with Cerebral Palsy: Focus and Gaps

Cited by 70 publications

References 24 publications

Interventions to Improve or Maintain Lower-Limb Function Among Ambulatory Adolescents with Cerebral Palsy: A Cross-Sectional Survey of Current Practice in the UK

Interventions to Improve or Maintain Lower-Limb Function Among Ambulatory Adolescents with Cerebral Palsy: A Cross-Sectional Survey of Current Practice in the UK

Improving body functions through participation in community activities among young people with physical disabilities

Treatment and re/habilitation of children with cerebral palsy in India: a scoping review

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