Advanced search
1 file | 596.83 KB

The evidence-base for basic physical therapy techniques targeting lower limb function in children with cerebral palsy : a systematic review using the International Classification of Functioning, Disability and Health as a conceptual framework

Author
Organization
Abstract
Objective: This systematic review provides an overview of the effectiveness of basic techniques used in lower limb physical therapy a children with cerebral palsy. It aims to support the development of clinical guidelines for evidence-based physical therapy planning for these children. Data sources and study selection: A literature search in 5 electronic databases extracted literature published between January 1995 and December 2009. Studies were evaluated using the framework recommended by the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM), which classifies outcomes according to the International Classification of Functioning, Disability and Health. Data extraction: Three independent evaluators rated the strength of evidence of the effects according to the AACPDM levels of evidence classification, and the quality of the studies according to the AACPDM conduct score system. Data synthesis: A total of 83 studies was selected and divided into categories (stretching, massage, strengthening, electrical stimulation, weight-bearing, balance-, treadmill- and endurance training). Interventions targeting problems at body function and structure level generally influenced this level without significant overflow to activity level and vice versa. Conclusion: The more recent studies evaluating strength training mainly demonstrated level II evidence for improved gait and gross motor function. There was limited evidence for specific information on intensity, duration and frequency of training.
Keywords
cerebral palsy, basic techniques, physiotherapy, GROSS MOTOR FUNCTION, RANDOMIZED CONTROLLED-TRIAL, BODY-WEIGHT SUPPORT, ELECTRICAL-STIMULATION, SPASTIC DIPLEGIA, BOTULINUM-TOXIN, RESISTANCE EXERCISE, ANKLE DORSIFLEXION, AMBULANT CHILDREN, MUSCLE STRENGTH

Downloads

  • Franki 2012 JRM 44 5 385.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 596.83 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Franki, Inge, Kaat Desloovere, Josse De Cat, Hilde Feys, Guy Molenaers, Patrick Calders, Guy Vanderstraeten, Eveline Himpens, and Christine Van den Broeck. 2012. “The Evidence-base for Basic Physical Therapy Techniques Targeting Lower Limb Function in Children with Cerebral Palsy : a Systematic Review Using the International Classification of Functioning, Disability and Health as a Conceptual Framework.” Journal of Rehabilitation Medicine 44 (5): 385–395.
APA
Franki, I., Desloovere, K., De Cat, J., Feys, H., Molenaers, G., Calders, P., Vanderstraeten, G., et al. (2012). The evidence-base for basic physical therapy techniques targeting lower limb function in children with cerebral palsy : a systematic review using the International Classification of Functioning, Disability and Health as a conceptual framework. JOURNAL OF REHABILITATION MEDICINE, 44(5), 385–395.
Vancouver
1.
Franki I, Desloovere K, De Cat J, Feys H, Molenaers G, Calders P, et al. The evidence-base for basic physical therapy techniques targeting lower limb function in children with cerebral palsy : a systematic review using the International Classification of Functioning, Disability and Health as a conceptual framework. JOURNAL OF REHABILITATION MEDICINE. 2012;44(5):385–95.
MLA
Franki, Inge, Kaat Desloovere, Josse De Cat, et al. “The Evidence-base for Basic Physical Therapy Techniques Targeting Lower Limb Function in Children with Cerebral Palsy : a Systematic Review Using the International Classification of Functioning, Disability and Health as a Conceptual Framework.” JOURNAL OF REHABILITATION MEDICINE 44.5 (2012): 385–395. Print.
@article{2027694,
  abstract     = {Objective: This systematic review provides an overview of the effectiveness of basic techniques used in lower limb physical therapy a children with cerebral palsy. It aims to support the development of clinical guidelines for evidence-based physical therapy planning for these children. 
Data sources and study selection: A literature search in 5 electronic databases extracted literature published between January 1995 and December 2009. Studies were evaluated using the framework recommended by the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM), which classifies outcomes according to the International Classification of Functioning, Disability and Health. 
Data extraction: Three independent evaluators rated the strength of evidence of the effects according to the AACPDM levels of evidence classification, and the quality of the studies according to the AACPDM conduct score system. 
Data synthesis: A total of 83 studies was selected and divided into categories (stretching, massage, strengthening, electrical stimulation, weight-bearing, balance-, treadmill- and endurance training). Interventions targeting problems at body function and structure level generally influenced this level without significant overflow to activity level and vice versa. 
Conclusion: The more recent studies evaluating strength training mainly demonstrated level II evidence for improved gait and gross motor function. There was limited evidence for specific information on intensity, duration and frequency of training.},
  author       = {Franki, Inge and Desloovere, Kaat and De Cat, Josse and Feys, Hilde and Molenaers, Guy and Calders, Patrick and Vanderstraeten, Guy and Himpens, Eveline and Van den Broeck, Christine},
  issn         = {1650-1977},
  journal      = {JOURNAL OF REHABILITATION MEDICINE},
  keyword      = {cerebral palsy,basic techniques,physiotherapy,GROSS MOTOR FUNCTION,RANDOMIZED CONTROLLED-TRIAL,BODY-WEIGHT SUPPORT,ELECTRICAL-STIMULATION,SPASTIC DIPLEGIA,BOTULINUM-TOXIN,RESISTANCE EXERCISE,ANKLE DORSIFLEXION,AMBULANT CHILDREN,MUSCLE STRENGTH},
  language     = {eng},
  number       = {5},
  pages        = {385--395},
  title        = {The evidence-base for basic physical therapy techniques targeting lower limb function in children with cerebral palsy : a systematic review using the International Classification of Functioning, Disability and Health as a conceptual framework},
  url          = {http://dx.doi.org/10.2340/16501977-0983},
  volume       = {44},
  year         = {2012},
}

Altmetric
View in Altmetric
Web of Science
Times cited: