Effects of Modified Adeli Suit Therapy on Improvement of Gross Motor Function in Children with Cerebral Palsy

Mahani, Mohammad Khayatzadeh; Karimloo, Masoud; Amirsalari, Susan

doi:10.1016/j.hkjot.2011.05.001

Cited by 15 publications

(45 citation statements)

References 22 publications

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“…Mahani et al 41 studied 36 children with a diagnosis of spastic CP (diplegia and quadriplegia) and dystonic CP (quadriplegia) with severity (GMFCS levels I, II, III, and IV). There were three training groups: the Modified Adeli suit therapy (MAST), the AST, and the NDT groups.…”

Section: 57mentioning

confidence: 99%

“…The severity level of children with CP was not specified according to the GMFCS. The results showed a statistically significant difference between groups (p=0.030), which indicated that modified suit therapy was effective in improving the gross motor function in children with spastic diplegia CP (Table I).Mahani et al 41 studied 36 children with a diagnosis of spastic CP (diplegia and quadriplegia) and dystonic CP (quadriplegia) with severity (GMFCS levels I, II, III, and IV). There were three training groups: the Modified Adeli suit therapy (MAST), the AST, and the NDT groups.…”

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confidence: 99%

“…Two analyses were conducted, one for each measurement point (baseline vs post-treatment, and baseline vs follow-up). For the study by Mahani et al, 41 composite effect sizes were computed as more than one intervention arm (vs one control group) was included in the meta-analyses.Analyses were inspected for heterogeneity using Cochran's Q statistic 42 for which a significant p-value (p<0.05) demonstrates that studies do not share a common effect size, and I 2 statistic 43 which assesses the proportion of observed dispersion that is caused by real differences in the true effect sizes. The I 2 ranges from 0% to 100% (values of 25%, 50%, and 75% correspond to low, moderate, and high heterogeneity).…”

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confidence: 99%

“…Only one study 48 used the PEDI, which assesses self-care, mobility, and social function. This scale includes 197 skills from all the nine domains of the activity and participation classification of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-YC).All studies included in this review 41,45,47,48 have in common the use of the GMFM (66 or 88 items). Determining the changes in motor function of CP children is of great clinical relevance because it allows quantification of the intervention results and standardization of information.…”

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confidence: 99%

“…Determining the changes in motor function of CP children is of great clinical relevance because it allows quantification of the intervention results and standardization of information. Three studies 41,47,48 used the GMFM-66 and the remaining study 45 used GMFM-88. Another widely used standardized classification system reported in three studies 41,47,48 is the GMFCS, which is based on the concepts of abilities and limitations in gross motor function.…”

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Efficacy of suit therapy on functioning in children and adolescents with cerebral palsy: a systematic review and meta‐analysis

Martins

Cordovil

Oliveira

et al. 2015

Develop Med Child Neuro

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ASTAdeli AIM This systematic review and meta-analysis presents an overview of the efficacy of suit therapy on functioning in children and adolescents with cerebral palsy (CP).METHOD A systematic review with meta-analysis was conducted. A comprehensive search of peer-reviewed articles was performed on electronic databases, from their inception to May 2014. Studies included were rated for methodological quality using the Physiotherapy Evidence Database scale. Effects of suit therapy on functioning were assessed using metaanalytic techniques.RESULTS From the 46 identified studies, four met the inclusion criteria and were included in the meta-analysis. Small, pooled effect sizes were found for gross motor function at posttreatment (g=0.46, 95% confidence interval [CI] 0.10-0.82) and follow-up (g=0.47, 95% CI 0.03-0.90). INTERPRETATIONThe small number of studies, the variability between them, and the low sample sizes are limitations of this review. Findings suggest that to weigh and balance benefits against harms, clinicians, patients, and families need better evidence to examine and prove the effects of short intensive treatment such as suit therapy on gross motor function in children and adolescents with CP. Therefore, more research based on high-quality studies focusing on functioning in all dimensions of the International Classification of Functioning, Disability and Health perspective is necessary to clarify the impact of suit therapy.Cerebral palsy (CP) designates a group of permanent disorders of the development of movement and posture, which causes activity limitations. These disorders are attributed to non-progressive disturbances that occur in the developing fetal or infant brain, and are often accompanied by other conditions such as: (1) disturbances of sensation, perception, cognition, communication, and behaviour; (2) epilepsy; and (3) secondary musculoskeletal problems. 1 In the general population, the estimated prevalence is two in every 1000 live births. 2,3 From an International Classification of Functioning, Disability and Health perspective (ICF), CP affects a person's 'functioning', inclusive of body structures and functions, activities, and participation, which may in turn cause 'disabilities' such as impairments, activity limitations, and participation restrictions. 4 The limitations in activity require individual rehabilitation throughout the lifespan. 5 Rehabilitation in children with CP aims to minimize the effect of physical impairments, promote independence, and improve the quality of life of children and their families who play a major role in the process. 6,7 The process of rehabilitation is influenced by the clinical type and severity of the CP, the existence of additional disabilities (e.g. visual, auditory, or cognitive), emotional problems, the physiological age of the child, and the family's socioeconomic status. 8 The management of motor disability in CP includes physical therapy and a wide spectrum of other therapeutic interventions. 9 Physical therapy focuses on function, movement...

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Efficacy of suit therapy on functioning in children and adolescents with cerebral palsy: a systematic review and meta‐analysis

Martins

Cordovil

Oliveira

et al. 2015

Develop Med Child Neuro

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Effects of interventions with therapeutic suits (clothing) on impairments and functional limitations of children with cerebral palsy: a systematic review

Almeida¹,

Fonseca²,

Figueiredo³

et al. 2017

Brazilian Journal of Physical Therapy

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HighlightsFour models of therapeutic suits have had their effects tested empirically in pediatric rehabilitation.The Dynamic Elastomeric Fabric Orthoses and TheraTogs improve postural alignment and gait in children with diplegic CP.The isolated effects of TheraSuit and AdeliSuit were not tested. Both suits were investigated within the context of intensive training programs.No additional benefits could be attributed to TheraSuit wearing during intensive training programs.Low quality of evidence suggests caution in recommending therapeutic suits.

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Garment Therapy does not Improve Function in Children with Cerebral Palsy: A Systematic Review

Wells

Marquez

Wakely

2017

Physical & Occupational Therapy In Pediatrics

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Effects of Modified Adeli Suit Therapy on Improvement of Gross Motor Function in Children with Cerebral Palsy

Cited by 15 publications

References 22 publications

Efficacy of suit therapy on functioning in children and adolescents with cerebral palsy: a systematic review and meta‐analysis

Efficacy of suit therapy on functioning in children and adolescents with cerebral palsy: a systematic review and meta‐analysis

Effects of interventions with therapeutic suits (clothing) on impairments and functional limitations of children with cerebral palsy: a systematic review

Garment Therapy does not Improve Function in Children with Cerebral Palsy: A Systematic Review

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