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Defining Functional Therapy in Research Involving Children with Cerebral Palsy: A Systematic Review
Journal article   Open access   Peer reviewed

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

Mellanie Geijen, Marjolijn Ketelaar, Leanne Sakzewski, Robert Palisano and Eugene Rameckers
Physical & occupational therapy in pediatrics, v 40(2), pp 231-246
03 Mar 2020
PMID: 31554456
url
https://doi.org/10.1080/01942638.2019.1664703View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open

Abstract

Active involvement activity cerebral palsy context-specific functional therapy functionality goal-directed ICF-CY participation task-specific
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.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Pediatrics
Rehabilitation
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