Article

There has been inconclusive evidence to support the effectiveness of neurodevelopment
treatment for long-term functional outcomes for children with cerebral palsy, which has led many current
therapists to investigate other ways to approach therapy for this population.
Objective: To review the literature to identify the effect of family-centered therapy (FCT) on family
satisfaction and functional outcomes in children with congenital or acquired disorders when used with physical or occupational therapy.
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were
followed for this review. Electronic and hand searches were conducted in PubMed, CINAHL, Academic
Search Complete, Academic Search Premier, SPORTDiscus, and Psychology and Behavioral Sciences Collection. To be considered for review, the study required: (1) participants between the ages of 18 months
through 12 years receiving physical or occupational therapy; (2) use of outcome assessment tools; and (3)
children with congenital or acquired disorders. Quality assessment was performed using a variation of the
GRADE scale and Cohen's Kappa (K) of agreement was utilized as a measure of author agreement for
study selection and quality scoring.
Results: The online search strategy resulted in 81 articles. These were narrowed down to a total of five
articles that met the criteria for this review (K50.79). Assessment using the GRADE scale was performed
and two of the five studies consisted of strong evidence (K50.88). All five studies showed improvement in
outcome assessment scores, pre- to post-intervention, for participants using some form of family-centered
therapy. This improvement was noted in both functional and satisfaction scores.
Conclusion: Available evidence suggests pediatric patients' success in therapy was significantly improved
by incorporating family training

Langue : ANGLAIS