Article

This systematic review provides an overview of the effectiveness of
conceptual approaches and additional therapies used in lower limb physical
therapy of children with cerebral palsy and supports the development of clinical
guidelines. A literature search in 5 electronic
databases was performed, extracting literature published between 1995 and 2009.
Studies were evaluated using the framework recommended by the American Academy
for Cerebral Palsy and Developmental Medicine (AACPDM), which classifies outcomes
according to the International Classification of Functioning, Disability and
Health (ICF). DATA EXTRACTION: Three evaluators rated the strength of evidence of
the effects according to the AACPDM levels of evidence classification, and the
quality of the studies according to the AACPDM conduct score system. DATA
SYNTHESIS: A total of 37 studies used conceptual approaches (neurodevelopmental
treatment (NDT), conductive education, Vojta therapy, sensory integration,
functional training and goal-oriented therapy) and 21 studies focused on
additional therapies (aquatic therapy and therapeutic horse-riding). CONCLUSION:
Level II evidence was found for the effectiveness of therapeutic horse-riding on
posture and for NDT and functional training on gross motor function.
Goal-oriented therapy and functional training were effective on the attainment of
functional goals and participation. With level IV evidence, NDT was effective on
all levels of the ICF.

Langue : ANGLAIS