Physical therapy treatment in children with cerebral palsy after single-event multilevel surgery: a qualitative systematic review. A first step towards a clinical guideline for physical therapy after single-event multilevel surgery

Esther E. H. van Bommel*, Marieke M. E. Arts, Peter H. Jongerius, Julia Ratter, Eugene A. A. Rameckers

*Corresponding author for this work

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


Background: The aim of this study was to review available evidence for physical therapy treatment (PTT) after single-event multilevel surgery (SEMLS), and to realize a first step towards an accurate and clinical guideline for developing effective PTT for children with cerebral palsy (CP) after SEMLS. Methods: A qualitative systematic review (PubMed, Medline, Embase, CINAHL, and the Cochrane Library) investigating a program of PTT after SEMLS in children aged 4-18 years with CP classified by Gross Motor Function Classification System level I-III. Results: Six articles meeting the inclusion criteria were selected. The selected studies provide only incomplete descriptions of interventions, and show no consensus regarding PTT after SEMLS. Neither do they show any consensus on the outcome measures or measuring instruments. Conclusions: Based on the results of this literature review in combination with our best practice, we propose a preliminary protocol of PTT after SEMLS.

Original languageEnglish
Article number2040622319854241
Pages (from-to)1-14
Number of pages14
JournalTherapeutic Advances in Chronic Disease
Publication statusPublished - Jun 2019


  • cerebral palsy
  • children
  • multilevel surgery
  • physical therapy treatment
  • qualitative systematic review
  • GAIT

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