Feasibility and effectiveness of home-based therapy programmes for children with cerebral palsy: a systematic review.
Laura Beckers,Mellanie Geijen,Jos Kleijnen,Eugene Rameckers,Marlous L A P Schnackers,Rob J. E. M. Smeets,Yvonne J M Janssen-Potten +6 more
TL;DR: Based on the results of the included studies, home-based training programmes seem to be feasible, however, conclusions about the effectiveness of home programmes cannot be made due to the large variability in the study, patient and intervention characteristics, comparators, and outcome measures used in the included Studies.
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Abstract: Objective To assess the feasibility and effectiveness of home-based occupational therapy and physiotherapy programmes in children with cerebral palsy (CP), focusing on the upper extremity and reporting on child-related and/or parent-related outcomes. Design Systematic review. Data sources Electronic searches were performed in MEDLINE, EMBASE, CINAHL, PsycINFO, OTseeker and PEDro, and in ICTRP and CENTRAL trial registers, from inception to 6 June 2019. Eligible criteria The review included all types of original studies concerning feasibility or effectiveness of home-based therapy in children aged Data extraction and synthesis Study and intervention characteristics and the demographics of participating children and their parents were extracted. Feasibility was assessed by outcomes related to acceptability, demand, implementation, practicality, adaptation, expansion or integration. Regarding effectiveness, child-related outcome measures related to any level of the International Classification of Functioning, Disability and Health, or parent-related outcomes were investigated. Two authors independently extracted the data. Risk of bias was assessed using the Downs and Black checklist and the Joanna Briggs Institute Critical Appraisal Checklist. Results The search resulted in a total of 92 records: 61 studies and 31 conference abstracts. Feasibility studies reported mainly on acceptability and implementation. Overall compliance to home-based training programmes (implementation) was moderate to high, ranging from 56% to 99%. In the effectiveness studies, >40 different child-related outcome measures were found. Overall, an improvement in arm-hand performance within group across time was shown. Only two studies reported on a parent-related outcome measure. No increase in parental stress was found during the intervention. Conclusions Based on the results of the included studies, home-based training programmes seem to be feasible. However, conclusions about the effectiveness of home programmes cannot be made due to the large variability in the study, patient and intervention characteristics, comparators, and outcome measures used in the included studies. PROSPERO registration number CRD42016043743.
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Citations
Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study.
Tasneem Karim,Tasneem Karim,Mohammad Muhit,Israt Jahan,Israt Jahan,Claire Galea,Catherine Morgan,Catherine Morgan,Hayley Smithers-Sheedy,Hayley Smithers-Sheedy,Nadia Badawi,Nadia Badawi,Gulam Khandaker,Gulam Khandaker,Gulam Khandaker +14 more
TL;DR: In this article, the outcome of a community-based early intervention and habilitation for children with cerebral palsy (CP) in Bangladesh was evaluated, and the intervention showed promising outcomes particularly for children under five years of age.
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Evidence-based management and motor rehabilitation of cerebral palsy children and adolescents: a systematic review
S. Faccioli,Emanuela Pagliano,Adriano Ferrari,Cristina Maghini,M.F. Siani,Giada Sgherri,Giulia Borelli,Giuseppina M. Farella,Maria Foscan,Marta Vigano,Silvia Sghedoni,Silvia Perazza,Silvia Sassi +12 more
TL;DR: In this paper , the authors provided an overview of the state of knowledge regarding the management and motor rehabilitation of children and young people with cerebral palsy, as the framework to develop evidence-based recommendations on this topic.
Effects of Telerehabilitation-Based Structured Home Program on Activity, Participation and Goal Achievement in Preschool Children with Cerebral Palsy: A Triple-Blinded Randomized Controlled Trial
TL;DR: In this article , the Telerehabilitation-Based Structured Home Program (TBSHP) was used for preschool children with cerebral palsy (CP) compared to usual care.
The Impact of a Family-Centred Intervention for Parents of Children with Developmental Disabilities: A Model Project in Rural Ireland
TL;DR: In this paper , a family-centred support service was designed and evaluated in a rural county of Ireland, which included setting developmental goals for the child that were agreed with parents, alongside actions to address the personal needs of parents and siblings.
Performance Variability During Motor Learning of a New Balance Task in a Non-immersive Virtual Environment in Children With Hemiplegic Cerebral Palsy and Typically Developing Peers.
TL;DR: The relationship between the amount of within-child variability in performance and performance outcome at acquisition, retention and transfer sessions was task-specific, with a positive correlation for 1 study and a negative correlation in the other.
References
A pilot single-blind multicentre randomized controlled trial to evaluate the potential benefits of computer-assisted arm rehabilitation gaming technology on the arm function of children with spastic cerebral palsy
Nick Preston,Andrew Weightman,Justin Gallagher,Martin Levesley,Mark Mon-Williams,Michael Clarke,Rory J O’Connor +6 more
TL;DR: This study suggests that computer-assisted arm rehabilitation gaming does not benefit arm function, but a Type II error cannot be ruled out.
Modified Constraint-Induced Movement Therapy as a Home-Based Intervention for Children With Cerebral Palsy.
TL;DR: A nonintensive form of home-based constraint-induced movement therapy was found to be effective and Improvements were larger after the second month of intervention.
Using motion interactive games to promote physical activity and enhance motor performance in children with cerebral palsy
TL;DR: It is highly feasible to use motion interactive games in home rehabilitation for children with CP, and specific motor effects need to be further explored.
Modified constraint-induced therapy for children with hemiplegic cerebral palsy
Margaret Wallen
- 01 Nov 2010
TL;DR: In this article, the effects of a modified form of constraint-induced therapy was explored for children with cerebral palsy. But, there was insufficient evidence to justify adopting this intervention in clinical practice without further evaluation.
Home Program Intervention Effectiveness Evidence
Iona Novak,Jane Berry +1 more
TL;DR: Intense physical and occupational therapy intervention for children with disabilities has recently become very topical with growing neuroscience knowledge about the promise of promoting neuroplasti...