Defining Functional Therapy in Research Involving Children with Cerebral Palsy: A Systematic Review

Mellanie Geijen*, Marjolijn Ketelaar, Leanne Sakzewski, Robert Palisano, Eugene Rameckers

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

7 Citations (Web of Science)

Abstract

Aim: To review definitions and elements of interventions in studies, which used the word "functional" to describe their intervention for children with cerebral palsy (CP), and to determine whether definitions and elements are similar to criteria of functional therapy described in the Dutch Guidelines. Methods: Systematic review of intervention studies, which used the word "functional" to describe interventions for children with CP. We described criteria of functional therapy that were used to describe the intervention, and whether criteria were described similarly to the descriptions used in the Dutch Guidelines. Results: Of the 27 included studies, criteria "based on the activities/participation level of the ICF-CY", "goal-directed" and "context-specific" were referred to the most (40-59.3%). Descriptions of these criteria were less comparable to the suggested definition (43.8-69.2%). The remaining three criteria ("active involvement", "task-specific", and "focused on functionality instead of normality") were referred to less frequently (18.5-33.3%). The descriptions reported for these criteria were, however, the most comparable with the suggested definitions (80-100%). Conclusions: The included studies, in general have not used criteria of functional therapy. Future studies have to describe the elements of interventions in detail. Moreover, it is important to reach consensus on the definition and elements of functional therapy.

Original languageEnglish
Pages (from-to)231-246
Number of pages15
JournalPhysical & Occupational Therapy in Pediatrics
Volume40
Issue number2
Early online date25 Sep 2019
DOIs
Publication statusPublished - 3 Mar 2020

Keywords

  • Active involvement
  • activity
  • cerebral palsy
  • context-specific
  • functional therapy
  • functionality
  • goal-directed
  • ICF-CY
  • participation
  • task-specific
  • CONSTRAINT-INDUCED THERAPY
  • BOTULINUM-TOXIN-A
  • YOUNG-CHILDREN
  • RESISTANCE EXERCISE
  • SPASTIC DIPLEGIA
  • WALKING ABILITY
  • MOTOR FUNCTION
  • REHABILITATION
  • HOME
  • INTERVENTIONS

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