Effect of Active Motor Learning Interventions on Gross Motor Function and Mobility in Children Aged 2 to 6 Years With Bilateral Cerebral Palsy: A Systematic Review and Meta-analysis.

Autor: McLeod KL; Faculty of Medicine (Ms McLeod, Drs Reedman and Sakzewski, and Mr Chatfield), Queensland Cerebral Palsy and Rehabilitation Research Centre, Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia; Queensland Paediatric Rehabilitation Service (Ms McLeod and Dr Thorley), Queensland Children's Hospital, Brisbane, Queensland, Australia., Thorley M, Reedman SE, Chatfield MD, Sakzewski L
Jazyk: angličtina
Zdroj: Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association [Pediatr Phys Ther] 2023 Oct 01; Vol. 35 (4), pp. 412-428. Date of Electronic Publication: 2023 Sep 02.
DOI: 10.1097/PEP.0000000000001041
Abstrakt: Purpose: The purpose of this systematic review is to identify evidence-based interventions to promote active motor learning in children aged 2 to 6 years with bilateral cerebral palsy.
Summary of Key Points: Seven randomized clinical trials of active motor learning interventions targeting gross motor function and mobility were included. Two studies compared context-focused therapy to child-focused therapy. Five studies compared active motor therapy to usual care. Context-focused therapy, child-focused therapy, and active motor therapy were comparable to usual care to improve functional mobility and gross motor function.
Conclusions and Recommendations for Clinical Practice: There are limited active intervention studies targeting gross motor function for young children with bilateral cerebral palsy. The authors recommend consideration of the clinical good practice guidelines, dosage parameters, and improved reporting methods when implementing active motor learning interventions targeting gross motor function and mobility for children with cerebral palsy.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2023 Academy of Pediatric Physical Therapy of the American Physical Therapy Association.)
Databáze: MEDLINE