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

Inge Franki, Kaat Desloovere, Josse De Cat, Hilde Feys, Guy Molenaers, Patrick Calders UGent, Guy Vanderstraeten UGent, Eveline Himpens and Christine Van den Broeck UGent (2012) JOURNAL OF REHABILITATION MEDICINE. 44(5). p.396-405
abstract
Objective: This systematic review provides an overview of the effectiveness of conceptual approaches and additional therapies used in lower limb physical therapy of children with cerebral palsy and supports the development of clinical guidelines. Data sources and study selection: A literature search in 5 electronic databases was performed, extracting literature published between 1995 and 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 (ICF). Data extraction: Three 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 37 studies used conceptual approaches (neurodevelopmental treatment (NDT), conductive education, Vojta therapy, sensory integration, functional training and goal-oriented therapy) and 21 studies focused on additional therapies (aquatic therapy and therapeutic horse-riding). Conclusion: Level II evidence was found for the effectiveness of therapeutic horse-riding on posture and for NDT and functional training on gross motor function. Goal-oriented therapy and functional training were effective on the attainment of functional goals and participation. With level IV evidence, NDT was effective on all levels of the ICF.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
DIFFERENT INTENSITIES, YOUTH REHABILITATION, SWIMMING PROGRAM, PHYSIOTHERAPY, rehabilitation, cerebral palsy, physiotherapy, ICF, GROSS MOTOR FUNCTION, RANDOMIZED CONTROLLED-TRIAL, WATER ORIENTATION SKILLS, AACPDM EVIDENCE REPORT, NEURODEVELOPMENTAL TREATMENT, CONDUCTIVE EDUCATION
journal title
JOURNAL OF REHABILITATION MEDICINE
J. Rehabil. Med.
volume
44
issue
5
pages
396 - 405
Web of Science type
Review
Web of Science id
000305112300002
JCR category
REHABILITATION
JCR impact factor
2.134 (2012)
JCR rank
14/63 (2012)
JCR quartile
1 (2012)
ISSN
1650-1977
DOI
10.2340/16501977-0984
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2027728
handle
http://hdl.handle.net/1854/LU-2027728
date created
2012-02-13 10:40:25
date last changed
2018-06-21 08:49:41
@article{2027728,
  abstract     = {Objective: This systematic review provides an overview of the effectiveness of conceptual approaches and additional therapies used in lower limb physical therapy of children with cerebral palsy and supports the development of clinical guidelines. 
Data sources and study selection: A literature search in 5 electronic databases was performed, extracting literature published between 1995 and 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 (ICF). 
Data extraction: Three 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 37 studies used conceptual approaches (neurodevelopmental treatment (NDT), conductive education, Vojta therapy, sensory integration, functional training and goal-oriented therapy) and 21 studies focused on additional therapies (aquatic therapy and therapeutic horse-riding). 
Conclusion: Level II evidence was found for the effectiveness of therapeutic horse-riding on posture and for NDT and functional training on gross motor function. Goal-oriented therapy and functional training were effective on the attainment of functional goals and participation. With level IV evidence, NDT was effective on all levels of the ICF.},
  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      = {DIFFERENT INTENSITIES,YOUTH REHABILITATION,SWIMMING PROGRAM,PHYSIOTHERAPY,rehabilitation,cerebral palsy,physiotherapy,ICF,GROSS MOTOR FUNCTION,RANDOMIZED CONTROLLED-TRIAL,WATER ORIENTATION SKILLS,AACPDM EVIDENCE REPORT,NEURODEVELOPMENTAL TREATMENT,CONDUCTIVE EDUCATION},
  language     = {eng},
  number       = {5},
  pages        = {396--405},
  title        = {The evidence-base for conceptual approaches and additional therapies targeting lower limb function in children with cerebral palsy : a systematic review using the International Classification of Functioning, Disability and Health as a framework},
  url          = {http://dx.doi.org/10.2340/16501977-0984},
  volume       = {44},
  year         = {2012},
}

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 Conceptual Approaches and Additional Therapies Targeting Lower Limb Function in Children with Cerebral Palsy : a Systematic Review Using the International Classification of Functioning, Disability and Health as a Framework.” Journal of Rehabilitation Medicine 44 (5): 396–405.
APA
Franki, I., Desloovere, K., De Cat, J., Feys, H., Molenaers, G., Calders, P., Vanderstraeten, G., et al. (2012). The evidence-base for conceptual approaches and additional therapies targeting lower limb function in children with cerebral palsy : a systematic review using the International Classification of Functioning, Disability and Health as a framework. JOURNAL OF REHABILITATION MEDICINE, 44(5), 396–405.
Vancouver
1.
Franki I, Desloovere K, De Cat J, Feys H, Molenaers G, Calders P, et al. The evidence-base for conceptual approaches and additional therapies targeting lower limb function in children with cerebral palsy : a systematic review using the International Classification of Functioning, Disability and Health as a framework. JOURNAL OF REHABILITATION MEDICINE. 2012;44(5):396–405.
MLA
Franki, Inge, Kaat Desloovere, Josse De Cat, et al. “The Evidence-base for Conceptual Approaches and Additional Therapies Targeting Lower Limb Function in Children with Cerebral Palsy : a Systematic Review Using the International Classification of Functioning, Disability and Health as a Framework.” JOURNAL OF REHABILITATION MEDICINE 44.5 (2012): 396–405. Print.