Efficacy of intensive versus nonintensive physiotherapy in children with cerebral palsy: a meta-analysis

@article{Arpino2010EfficacyOI,
  title={Efficacy of intensive versus nonintensive physiotherapy in children with cerebral palsy: a meta-analysis},
  author={Carla Arpino and Maria Fenicia Vescio and Angela De Luca and Paolo Curatolo},
  journal={International Journal of Rehabilitation Research},
  year={2010},
  volume={33},
  pages={165-171}
}
UNLABELLED A commonly used treatment for cerebral palsy in children is so-called 'conventional therapy', which includes physiotherapy or the neurodevelopmental approach. [] Key Method A meta-analysis of the studies published between January 1996 and July 2007 was performed. INCLUSION CRITERIA infants/children/adolescents (1-18 years old); randomized controlled trials using, as outcome measure, the Gross Motor Function Measure score.
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TLDR
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TLDR
The duration of therapeutic intervention improved CP outcomes among the children who received the therapeutic intervention, while an increase in the number of daily training hours improved in CP outcomes in the childrenWho received standard therapy.
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TLDR
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TLDR
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ABSTRACT Purposes To identify and synthesize RCTs on the isolated effect of dosage parameters of upper limb Intensive Motor Rehabilitation Treatments (IMRT) of children with Unilateral Spastic
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TLDR
The research literature supports constraint-induced movement therapy as an effective intervention to improve arm function in children with cerebral palsy.
Factors Influencing the Gross Motor Outcome of Intensive Therapy in Children with Cerebral Palsy and Developmental Delay
TLDR
Gross Motor Function Classification System level is the most important prognostic factor for the effect of intensive therapy on gross motor function and age ≥ 36 months, is associated with a poor outcome.
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TLDR
The younger CP children had better PT efficacy, and the GMFM-66 score continued improving until 8.4 years old in the older group, and PT was most efficient in younger children and GMFCS level II.
Feasibility of an intensive outpatient Perception-Action Approach intervention for children with cerebral palsy: a pilot study
TLDR
An intensive protocol of outpatient therapies utilizing Perception-Action Approach was feasible for most families of young children with spastic CP to attend at the outpatient clinic location and participants showed notable, statistically significant improvement across all activity-related measures.
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References

SHOWING 1-10 OF 25 REFERENCES
Additional therapy for young children with spastic cerebral palsy: a randomised controlled trial.
TLDR
There was no evidence that additional physical therapy for 1 hour per week for 6 months by a physiotherapy assistant improved any child outcome measure in the short or medium term, and there was no quantitative evidence that providing extra family support helped levels of parental stress and family needs.
Randomized controlled trial of physiotherapy in 56 children with cerebral palsy followed for 18 months
TLDR
Inclusion of additional covariates of age and severity levels showed a trend towards a statistically significant difference in children receiving intensive therapy during the treatment period, but this advantage declined over the subsequent six months during which therapy had reverted to its usual amount.
THE EFFECT OF PHYSICAL THERAPY FOR CHILDREN WITH MOTOR DELAY AND CEREBRAL PALSY: A Randomized Clinical Trial
  • N. Mayo
  • Psychology, Medicine
    American journal of physical medicine & rehabilitation
  • 1991
TLDR
The average proportional change in aggregate motor development for the 17 infants on the weekly (intensive) regimen was substantially better than that for the 12 on the monthly (basic) regimen, after adjusting for the child's age, whether the child was born at term or not, and mother's education.
A RANDOMISED CONTROLLED:TRIAL OF DIFFERENT INTENSITIES OF PHYSIOTHERAPY AND DIFFERENT GOAL‐SETTING PROCEDURES IN 44 CHILDREN WITH CEREBRAL PALSY
TLDR
Over the two‐week period, intensive physiotherapy produced a slightly greater effect than conventional physiotherapy but the factor more strongly associated with increased motor skill acquisition was the use of specific measurable goals.
Effect of intensive neurodevelopmental treatment in gross motor function of children with cerebral palsy.
TLDR
The paired-sample t-test revealed that gross motor function of children from both groups improved significantly after intervention and underline the need for intensive application of the treatment.
Comorbidities and clinical determinants of outcome in children with spastic quadriplegic cerebral palsy
TLDR
There is a high frequency of comorbidity in the setting of SQ CP which can impact on quality of life and burdens of care, thus necessitating systematic programmatic follow-up of these children to facilitate early identification and intervention.
Prevalence, type, distribution, and severity of cerebral palsy in relation to gestational age: a meta‐analytic review
TLDR
There is a strong need for an international, well‐described, and generally accepted classification system for subtypes and severity of CP.
Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity.
TLDR
The GMFM-66 has good psychometric properties and can provide a better understanding of motor development for children with CP than the 88 item GMFM and can improve the scoring and interpretation of data obtained with the GMFM.
Neuropsychologic impairment in bilateral cerebral palsy.
Cerebral palsy in Norway: prevalence, subtypes and severity.
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