Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy

The purpose of this article was to conduct a systematic review of studies that examined the efficacy and effectiveness of postural control intervention strategies for children with CP. Only physical therapy interventions were included, e.g. adaptive seating devices, ankle foot orthoses, neurodevelop...

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Main Authors: Susan R. Harris, Lori Roxborough
Format: Article
Language:English
Published: Wiley 2005-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/NP.2005.229
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author Susan R. Harris
Lori Roxborough
author_facet Susan R. Harris
Lori Roxborough
author_sort Susan R. Harris
collection DOAJ
description The purpose of this article was to conduct a systematic review of studies that examined the efficacy and effectiveness of postural control intervention strategies for children with CP. Only physical therapy interventions were included, e.g. adaptive seating devices, ankle foot orthoses, neurodevelopmental treatment. A multifaceted search strategy was employed to identify all potential studies published between 1990 and 2004. The search strategy included electronic databases, reference list scanning, author and citation tracking of relevant studies, and hand searching of pediatric physical therapy journals and conference proceedings. Twelve studies (1991–2004), comprising ten group design studies and two single subject studies, met our inclusion criteria. A variety of age ranges and severity of children with cerebral palsy (n = 132) participated in the studies. The study quality scores ranged from 2 to 7 (total possible range of 0 to 7) with a median score of 5.5 and a mode of 6. As was true in an earlier systematic review on adaptive seating, most of the 12 ‘experimental’ studies published since 1990 that were aimed at evaluating the effectiveness of postural control strategies provided lower levels of evidence, i.e. Sackett Levels III to V. Additional studies with stronger designs are needed to establish that postural control interventions for children with CP are effective.
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spelling doaj-art-63b6bd6972fc4c0b8b669a5517feb6662025-02-03T06:07:35ZengWileyNeural Plasticity2090-59041687-54432005-01-01122-322924310.1155/NP.2005.229Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral PalsySusan R. Harris0Lori Roxborough1School of Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, T-325 Wesbrook Mall, B.C., Vancouver V6T 2B5, CanadaSunny Hill Health Centre for Children, B.C., Vancouver V5M 3E8, CanadaThe purpose of this article was to conduct a systematic review of studies that examined the efficacy and effectiveness of postural control intervention strategies for children with CP. Only physical therapy interventions were included, e.g. adaptive seating devices, ankle foot orthoses, neurodevelopmental treatment. A multifaceted search strategy was employed to identify all potential studies published between 1990 and 2004. The search strategy included electronic databases, reference list scanning, author and citation tracking of relevant studies, and hand searching of pediatric physical therapy journals and conference proceedings. Twelve studies (1991–2004), comprising ten group design studies and two single subject studies, met our inclusion criteria. A variety of age ranges and severity of children with cerebral palsy (n = 132) participated in the studies. The study quality scores ranged from 2 to 7 (total possible range of 0 to 7) with a median score of 5.5 and a mode of 6. As was true in an earlier systematic review on adaptive seating, most of the 12 ‘experimental’ studies published since 1990 that were aimed at evaluating the effectiveness of postural control strategies provided lower levels of evidence, i.e. Sackett Levels III to V. Additional studies with stronger designs are needed to establish that postural control interventions for children with CP are effective.http://dx.doi.org/10.1155/NP.2005.229
spellingShingle Susan R. Harris
Lori Roxborough
Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy
Neural Plasticity
title Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy
title_full Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy
title_fullStr Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy
title_full_unstemmed Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy
title_short Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy
title_sort efficacy and effectiveness of physical therapy in enhancing postural control in children with cerebral palsy
url http://dx.doi.org/10.1155/NP.2005.229
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