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Occupational therapy for children with cerebral palsy.
Steultjens, E.M.J., Dekker, J., Bouter, L.M., Nes, J.C.M. van de, Lambregts, B.L.M., Ende, C.H.M. van den. Occupational therapy for children with cerebral palsy. Cochrane Database of Systematic Reviews: 2003(4)
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Objectives: The object of our systematic review, therefore, was to determine whether OT interventions improve functional abilities and social participation in children with cerebral palsy. Criteria for considering Studies for this Review: Types of studies: Studies with one of the following designs will be entered in the review. 1) Randomised controlled clinical trial (RCT): An experiment in which investigators randomly allocate eligible people into treatment and control groups. Cross-over trials will be considered as RCTs according to the Cochrane Collaboration Guidelines (Clarke 2000). 2) Controlled clinical trial (CCT): an experiment in which eligible people are in a non-randomized way allocated to the treatment and the control groups 3) Other than controlled designs (OD): patient series and pre-post studies. Such ODs can only contribute in a limited way to the best evidence synthesis. Types of participants: Studies with children/ adolescents aged <20 years with a clinical diagnosis of cerebral palsy will be included. Types of intervention: Occupational therapy interventions will be regarded as "comprehensive OT" (when all five intervention categories are part of the evaluated OT treatment) or will be classified into five specific intervention categories: 1) training of sensory-motor functions; 2) training of skills; 3) parental counselling; 4) advice or instruction regarding the use of assistive devices; and 5) provision of splints. All studies with above specified interventions according to a group of four experienced occupational therapists and reviewer CHME (see Methods of the review) are eligible for inclusion in this review. Types of outcome measures: Primary outcome measures: Functional ability and/or social participation. Secondary outcome measures: Motor-function (either balance or arm-hand function) and/or muscle tone.
Objectives: The object of our systematic review, therefore, was to determine whether OT interventions improve functional abilities and social participation in children with cerebral palsy. Criteria for considering Studies for this Review: Types of studies: Studies with one of the following designs will be entered in the review. 1) Randomised controlled clinical trial (RCT): An experiment in which investigators randomly allocate eligible people into treatment and control groups. Cross-over trials will be considered as RCTs according to the Cochrane Collaboration Guidelines (Clarke 2000). 2) Controlled clinical trial (CCT): an experiment in which eligible people are in a non-randomized way allocated to the treatment and the control groups 3) Other than controlled designs (OD): patient series and pre-post studies. Such ODs can only contribute in a limited way to the best evidence synthesis. Types of participants: Studies with children/ adolescents aged <20 years with a clinical diagnosis of cerebral palsy will be included. Types of intervention: Occupational therapy interventions will be regarded as "comprehensive OT" (when all five intervention categories are part of the evaluated OT treatment) or will be classified into five specific intervention categories: 1) training of sensory-motor functions; 2) training of skills; 3) parental counselling; 4) advice or instruction regarding the use of assistive devices; and 5) provision of splints. All studies with above specified interventions according to a group of four experienced occupational therapists and reviewer CHME (see Methods of the review) are eligible for inclusion in this review. Types of outcome measures: Primary outcome measures: Functional ability and/or social participation. Secondary outcome measures: Motor-function (either balance or arm-hand function) and/or muscle tone.