Effects of a conductive education course in young children with cerebral palsy:A randomized controlled trial

Myrhaug, Hilde Tinderholt; Odgaard‐Jensen, Jan; Østensjø, Sigrid; Vøllestad, Nina Køpke; Jahnsen, Reidun

doi:10.1080/17518423.2017.1360961

Cited by 11 publications

(27 citation statements)

References 24 publications

(21 reference statements)

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“…Compared with interventions, control therapies were less well‐described. Several comparison groups were described as having ‘conventional therapy’, ‘gait training’, or ‘traditional rehabilitation’, with little additional information provided. Four studies provided brief details on exercises or activities involved in the control therapy .…”

Section: Resultsmentioning

confidence: 99%

“…43,44 Seven papers did not adequately blind outcome assessors, 36,[40][41][42][45][46][47] three papers had inadequate follow-up, 42,47,48 between-group differences were found in three articles at baseline, 38,39,41 and only five studies fulfilled intention-to-treat criteria. 36,38,43,44,46 Key concerns for risk of bias included high risk of bias for randomization (four articles), 39,40,42,46 and high 39,40,42,46,49 or unclear [34][35][36]41,45,47,48 allocation concealment for most studies. Two studies had high risk of detection bias, 45,46 attrition bias was high 41,48 or unclear 42,47 in four studies, while two studies did not report results for all outcomes.…”

Section: Quality Assessment and Risk Of Biasmentioning

confidence: 99%

“…Motor skills groups were the most common intervention (six studies), [39][40][41]45,46,48 followed by constraint-induced movement therapy (CIMT). 34,35,37,38,43 The remaining studies explored treadmill training, 49 arm cycling, 42 conductive education (movement-based therapy for children with CP assuming that CP is a learning problem), 44 myofeedback, 47 and balance, strength, and aerobic training using a Nintendo Wii. 50 Seven studies delivered interventions in a group format, [34][35][36][39][40][41][44][45][46]48 with most implementing a standardized protocol.…”

Section: Interventionsmentioning

confidence: 99%

“…34,35,37,38,43 The remaining studies explored treadmill training, 49 arm cycling, 42 conductive education (movement-based therapy for children with CP assuming that CP is a learning problem), 44 myofeedback, 47 and balance, strength, and aerobic training using a Nintendo Wii. 50 Seven studies delivered interventions in a group format, [34][35][36][39][40][41][44][45][46]48 with most implementing a standardized protocol. 39,40,46,48 Two studies exploring motor skills groups indicated that children were encouraged to choose what activity they practised, and for how long, emphasizing the benefits of child-initiated therapy.…”

Section: Interventionsmentioning

confidence: 99%

“…running, throwing a ball). [39][40][41]45,46,48 Studies considering conductive education 44 and arm cycling 42 were described in less detail; both provided equipment lists, but limited information on what the intervention involved. A study evaluating individualized, facilitated gait training provided no information on amount of bodyweight support or treadmill speed, limiting reproducibility of the study.…”

Section: Interventionsmentioning

confidence: 99%

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Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Cameron

Albesher

McGinley

et al. 2019

Develop Med Child Neuro

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Aim To explore the efficacy of movement‐based interventions to improve motor skills in preschool‐age children with, or at risk of, motor impairment, including those with a diagnosis of cerebral palsy, autism spectrum disorder, and developmental coordination disorder. Method Relevant electronic databases were searched for randomized or quasi‐randomized controlled trials. Outcomes were classified using domains of the International Classification of Functioning, Disability and Health: Children & Youth version. Quality was assessed using the Physiotherapy Evidence Database scale. Risk of bias was assessed using the Cochrane Risk of Bias tool. Effect sizes were calculated using Cohen’s d. Results Seventeen articles exploring a heterogeneity of intervention types, population groups, and outcome measures met the inclusion criteria. Movement‐based interventions did not significantly improve outcomes in either the body structure and function or activity domains in most studies. No studies used a participation outcome measure. Interpretation There is a paucity of evidence exploring movement‐based interventions in the preschool‐age group. Although movement‐based interventions showed potential for improving body structure and function and activity outcomes for children with motor impairment, results were mostly not significant. Small sample sizes, variable study quality, and risk of bias limit confidence in the results. What this paper adds The evidence is inconclusive to support movement‐based interventions in this group. No studies used outcome measures assessing participation. Variability in intervention type and study quality limit confidence in results.

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Section: Resultsmentioning

confidence: 99%

Section: Quality Assessment and Risk Of Biasmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

See 3 more Smart Citations

Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Cameron

Albesher

McGinley

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

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Effects of Cognitive Orientation to Daily Occupational Performance and Conductive Education Treatment Approaches on Fine Motor Skills, Activity and Participation Limitations in Children with Down Syndrome: A Randomised Controlled Trial

Özbeşer

Tüzün

Dericioğlu

et al. 2022

J Autism Dev Disord

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State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

Novak

Morgan

Fahey

et al. 2020

Curr Neurol Neurosci Rep

522

457

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Purpose of Review Cerebral palsy is the most common physical disability of childhood, but the rate is falling, and severity is lessening. We conducted a systematic overview of best available evidence (2012-2019), appraising evidence using GRADE and the Evidence Alert Traffic Light System and then aggregated the new findings with our previous 2013 findings. This article summarizes the best available evidence interventions for preventing and managing cerebral palsy in 2019. Recent Findings Effective prevention strategies include antenatal corticosteroids, magnesium sulfate, caffeine, and neonatal hypothermia. Effective allied health interventions include acceptance and commitment therapy, action observations, bimanual training, casting, constraint-induced movement therapy, environmental enrichment, fitness training, goal-directed training, hippotherapy, home programs, literacy interventions, mobility training, oral sensorimotor, oral sensorimotor plus electrical stimulation, pressure care, stepping stones triple P, strength training, task-specific training, treadmill training, partial body weight support treadmill training, and weight-bearing. Effective medical and surgical interventions include anti-convulsants, bisphosphonates, botulinum toxin, botulinum toxin plus occupational therapy, botulinum toxin plus casting, diazepam, dentistry, hip surveillance, intrathecal baclofen, scoliosis correction, selective dorsal rhizotomy, and umbilical cord blood cell therapy. Summary We have provided guidance about what works and what does not to inform decision-making, and highlighted areas for more research.

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Effects of a conductive education course in young children with cerebral palsy:A randomized controlled trial

Cited by 11 publications

References 24 publications

Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Movement‐based interventions for preschool‐age children with, or at risk of, motor impairment: a systematic review

Effects of Cognitive Orientation to Daily Occupational Performance and Conductive Education Treatment Approaches on Fine Motor Skills, Activity and Participation Limitations in Children with Down Syndrome: A Randomised Controlled Trial

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

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