Evaluating Intense Rehabilitative Therapies With and Without Acupuncture for Children With Cerebral Palsy: A Randomized Controlled Trial

Duncan, Burris; Shen, Kun Ling; Zou, Li Ping; Tong, Haizhou; Lu, Zhegh Li; Zheng, Hua; Walsh, Michele E.; Venker, Claire; Su, Yani; Schnyer, Rosa N.; Caspi, Opher

doi:10.1016/j.apmr.2011.12.009

Cited by 30 publications

(43 citation statements)

References 18 publications

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“…workshops) was reported in 17 studies (28%), however, no study reported adequate details about the content or structure of training, whether there were training materials or where these could be accessed. A further 10 studies (17%) reported having procedure manuals, generic or standardized task specific therapy protocols Duncan, Shen, Zou, Han, Lu, Zheng et al, 2012;Fehlings, Rang, Glazier, & Steele, 2000;Gordon et al, 2011;Kawamura, Campbell, LamDamji, & Fehlings, 2007;Klingels et al, 2013;Olesch, Greaves, Imms, Reid, & Graham, 2010;Rameckers, Speth, Duysens, Vles, & Smits-Engelsman, 2009;Speth, Leffers, JanssenPotten, & Vles, 2005) to guide clinicians in the provision of therapy, however only three provided details that the protocols could be accessed on request (Duncan et al, 2012;Olesch et al, 2010;Sakzewski et al, 2015).…”

Section: Research Interventionsmentioning

confidence: 99%

Do we really know what they were testing? Incomplete reporting of interventions in randomised trials of upper limb therapies in unilateral cerebral palsy

Sakzewski

Reedman

Hoffmann

2016

Research in Developmental Disabilities

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Background: Incomplete reporting of components of interventions limits uptake of evidence into clinical practice. Aims:To evaluate the completeness of reporting of research and control interventions in randomised trials of upper limb therapies for children with unilateral cerebral palsy. Methods and procedures:Sixty randomized trials were included, encompassing 60 research and 68 control interventions. Using the 12-item Template for Intervention Description and Replication (TIDieR) checklist, two reviewers independently rated intervention and control descriptions.Outcomes and results: When using 50% of studies as the benchmark, five of the 12 TIDieR items for the research intervention, eight of the 12 items for the control intervention and 11 of 12 items for "usual care" interventions were inadequately reported. Procedures used to deliver the research intervention were adequately reported for 63% of studies. Materials were used in 94% of research interventions, yet only 27% provided details to access/replicate materials. Training materials for interventionists were used in 38% of trials, 10 (17%) had procedure manuals, yet only 3 reported details to access materials. The location where the research intervention was provided was detailed in 65% of studies. Reporting of all items was poorer for the control intervention. Conclusions:No study adequately reported all elements on the TIDieR checklist. Details crucial for replication of interventions and interpretation of results were missing. Authors, reviewers, and editors all have a responsibility to improve the quality of intervention reporting in published trials. The TIDieR guide is a potential solution, helping to structure accounts of interventions. What this study adds:This is the first study 3  This is the first study to evaluate the completeness of reporting of intervention components in complex cerebral palsy interventions  This is the first study to rate completeness of reporting of control interventions  This study provides information to increase awareness of editors, reviewers and authors of the importance of complete reporting of intervention components in cerebral palsy rehabilitation.

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Section: Research Interventionsmentioning

confidence: 99%

Do we really know what they were testing? Incomplete reporting of interventions in randomised trials of upper limb therapies in unilateral cerebral palsy

Sakzewski

Reedman

Hoffmann

2016

Research in Developmental Disabilities

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“…One study reported outcomes for infants ,1 year of age, 6 and 10 studies reported on children ,2 years of age. 12,13,20,29,30,37,40,47,53,55 Most studies targeted children with unilateral CP, and 13 included children with other subtypes of CP (eg, quadriplegia).…”

Section: Description Of Studiesmentioning

confidence: 99%

“…One study reported median scores, 15 6 did not present summary statistics of central tendency and variability, 21,22,25,28,38,56 and 2 reported change scores with or without SDs. 41,55 For quantitative comparison of outcomes, data were available to pool across trials and 2 main comparisons were performed: (1) BoNT-A and OT versus OTalone and (2) cCIMT or mCIMT versus (a) a control group or therapy group receiving a lesser dosage of therapy or (b) a comparison group receiving an equivalent dosage of an alternative intervention.…”

Section: Qualitative Assessmentmentioning

confidence: 99%

Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis

2014

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BACKGROUND AND OBJECTIVE: Children with unilateral cerebral palsy present with impaired upper limb (UL) function affecting independence, participation, and quality of life and require effective rehabilitation. This study aims to systematically review the efficacy of nonsurgical upper limb therapies for children with unilateral cerebral palsy. METHODS: Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase, the Cochrane Central Register of Controlled Trials, and PubMed were searched to December 2012. Randomized controlled or comparison trials were included. RESULTS: Forty-two studies evaluating 113 UL therapy approaches (N = 1454 subjects) met the inclusion criteria. Moderate to strong effects favoring intramuscular injections of botulinum toxin A and occupational therapy (OT) to improve UL and individualized outcomes compared with OT alone were identified. Constraint-induced movement therapy achieved modest to strong treatment effects on improving movement quality and efficiency of the impaired UL compared with usual care. There were weak treatment effects for most outcomes when constraint therapy was compared with an equal dose (amount) of bimanual OT; both yielded similar improved outcomes. Newer interventions such as action observation training and mirror therapy should be viewed as experimental. CONCLUSIONS: There is modest evidence that intensive activity-based, goal-directed interventions (eg, constraint-induced movement therapy, bimanual training) are more effective than standard care in improving UL and individualized outcomes. There is little evidence to support block therapy alone as the dose of intervention is unlikely to be sufficient to lead to sustained changes in UL outcomes. There is strong evidence that goal-directed OT home programs are effective and could supplement hands-on direct therapy to achieve increased dose of intervention.

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“…[1][2][3] A number of published reports describe adverse effects such as the occurrence of pain at the site of needling, tiredness, bleeding 4 and a feeling of faintness. 5 Pneumothorax can occur during acupuncture if the needle goes through the visceral pleura and allows a sufficient amount of air to enter the thorax.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Tension Pneumothorax Related to Acupuncture

et al. 2013

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We report on a patient with a rare case of bilateral tension pneumothorax that occurred after acupuncture. A 69-year-old large-bodied man, who otherwise had no risk factors for spontaneous pneumothorax, presented with chest pressure, cold sweats and shortness of breath. Immediately after bilateral pneumothorax had been identified on a chest radiograph in the emergency room, his blood pressure and percutaneous oxygen saturation suddenly decreased to 78 mm Hg and 86%, respectively.

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Evaluating Intense Rehabilitative Therapies With and Without Acupuncture for Children With Cerebral Palsy: A Randomized Controlled Trial

Cited by 30 publications

References 18 publications

Do we really know what they were testing? Incomplete reporting of interventions in randomised trials of upper limb therapies in unilateral cerebral palsy

Do we really know what they were testing? Incomplete reporting of interventions in randomised trials of upper limb therapies in unilateral cerebral palsy

Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis

Bilateral Tension Pneumothorax Related to Acupuncture

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