Interventions to improve physical function for children and young people with cerebral palsy: international clinical practice guideline
| Autor: | Michelle Jackman, Rachel Toovey, Leanne Sakzewski, Iona Novak, Katherine Langdon, Sue E. Brennan, Catherine Morgan, Roslyn N. Boyd, Susan Greaves, Megan Thorley |
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| Rok vydání: | 2021 |
| Předmět: |
Rehabilitation
Adolescent Cerebral Palsy medicine.medical_treatment Psychological intervention Walking Caregiver burden Guideline medicine.disease law.invention Cerebral palsy Upper Extremity Systematic review Developmental Neuroscience Nursing Randomized controlled trial law Intervention (counseling) Pediatrics Perinatology and Child Health medicine Humans Neurology (clinical) Child Psychology Physical Therapy Modalities |
| Zdroj: | Developmental Medicine & Child Neurology. 64:536-549 |
| ISSN: | 1469-8749 0012-1622 |
| DOI: | 10.1111/dmcn.15055 |
| Popis: | AIM: To provide recommendations for interventions to improve physical function for children and young people with cerebral palsy. METHOD: An expert panel prioritized questions and patient-important outcomes. Using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methods, the panel assessed the certainty of evidence and made recommendations, with international expert and consumer consultation. RESULTS: The guideline comprises 13 recommendations (informed by three systematic reviews, 30 randomized trials, and five before-after studies). To achieve functional goals, it is recommended that intervention includes client-chosen goals, whole-task practice within real-life settings, support to empower families, and a team approach. Age, ability, and child/family preferences need to be considered. To improve walking ability, overground walking is recommended and can be supplemented with treadmill training. Various approaches can facilitate hand use goals: bimanual therapy, constraint-induced movement therapy, goal-directed training, and cognitive approaches. For self-care, whole-task practice combined with assistive devices can increase independence and reduce caregiver burden. Participation in leisure goals can combine whole-task practice with strategies to address environmental, personal, and social barriers. INTERPRETATION: Intervention to improve function for children and young people with cerebral palsy needs to include client-chosen goals and whole-task practice of goals. Clinicians should consider child/family preferences, age, and ability when selecting specific interventions. |
| Databáze: | OpenAIRE |
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