Interventions to improve physical function for children and young people with cerebral palsy: interpretation by Chinese experts
10.3760/cma.j.cn101070-20211113-01353
- VernacularTitle:《改善脑性瘫痪儿童和青少年身体功能的干预措施国际临床实践指南》中国专家解读
- Author:
Jin GUO
1
;
Xiaojie LI
;
Jianguo CAO
;
Wei PANG
;
Zhimei JIANG
;
Pei ZENG
;
Xinping HUANG
;
Yanping FAN
Author Information
1. 佳木斯大学康复医学院，佳木斯 154002
- Keywords:
Cerebral palsy;
Physical function;
Intervention
- From:
Chinese Journal of Applied Clinical Pediatrics
2022;37(7):502-509
- CountryChina
- Language:Chinese
-
Abstract:
This review aims to interpret the interventions to improve physical function for children and young people with cerebral palsy, thus providing relevant suggestions.Relevant literatures published before November 2018 were systematically searched in Cochrane library, CINAHL, and Embase MEDLINE using the Grading of Recommendations Assessment, Development and Evaluation method.Consult with international experts and patients to assess evidence and recommend it.Based on 3 systematic reviews, 30 randomized clinical trials, and 5 pre-and post-treatment studies, a total of 13 recommendations were given.The guidelines recommend that, in order to achieve functional stan-dards, intervention measures should include, patient-selected goals, full-task practice in real-life settings, support for family empowerment, and a team approach.The age, ability, and child/family preferences were all needed to be considered.In order to improve walking ability, ground walking and treadmill training can be carried out.Various methods can promote the realization of hand use goals hand use, including the two-hand exercise training, constraint-induced moverment therapy, goal-oriented training and cognitive therapy.In terms of patient self-care, the guideline proposed that, the combination of full-task practice and auxiliary equipment can improve the independence of self-care and reduce the burden of care givers.Leisure goals could be achieved by the combination of the practice of the entire task with strategies to address environmental, personal, and social barriers.The intervention of children and adolescents with cerebral palsy should take into consideration of patient selection and the goal of full-task practice.The child/family preference, age and ability should be considered when clinical workers selecting specific interventions.
