Effects of a Functional Therapy Program on Motor Abilities of Children With Cerebral Palsy
Background and Purpose. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of chil...
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| Published in | Physical therapy Vol. 81; no. 9; pp. 1534 - 1545 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
American Physical Therapy Association
01.09.2001
Oxford University Press |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0031-9023 1538-6724 |
| DOI | 10.1093/ptj/81.9.1534 |
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| Abstract | Background and Purpose. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. Subjects. The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months). Methods. A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. Results. Both groups had improved GMFM and PEDI scores after treatment. No time × group interactions were found on the GMFM. For the PEDI, time × group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains. Discussion and Conclusion. The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group. |
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| AbstractList | Ketelaar et al determined whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months). A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. Both groups had improved GMFM and PEDI scores after treatment. No time x group interactions were found on the GMFM. For the PEDI, time x group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains. The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group. BACKGROUND AND PURPOSE: The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. SUBJECTS: The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median = 55 months). METHODS: A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. RESULTS: Both groups had improved GMFM and PEDI scores after treatment. No time x group interactions were found on the GMFM. For the PEDI, time x group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains. DISCUSSION AND CONCLUSION: The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement.BACKGROUND AND PURPOSEThe purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement.The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months).SUBJECTSThe subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months).A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively.METHODSA randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively.Both groups had improved GMFM and PEDI scores after treatment. No time x group interactions were found on the GMFM. For the PEDI, time x group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains.RESULTSBoth groups had improved GMFM and PEDI scores after treatment. No time x group interactions were found on the GMFM. For the PEDI, time x group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains.The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group.DISCUSSION AND CONCLUSIONThe groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months). A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. Both groups had improved GMFM and PEDI scores after treatment. No time x group interactions were found on the GMFM. For the PEDI, time x group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains. The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group. Background and Purpose. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. Subjects. The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months). Methods. A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. Results. Both groups had improved GMFM and PEDI scores after treatment. No time × group interactions were found on the GMFM. For the PEDI, time × group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains. Discussion and Conclusion. The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group. Background and Purpose. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. Subjects. The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months). Methods. A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. Results. Both groups had improved GMFM and PEDI scores after treatment. No time x group interactions were found on the GMFM. For the PEDI, time x group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains. Discussion and Conclusion. The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group. [Ketelaar M, Vermeer A, 't Hart H, et al. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther. 2001:81:1534-1545.] Key Words: Cerebral palsy, Children, Function, Motor abilities, Physical therapy. |
| Audience | Professional |
| Author | Harm't Hart Els van Petegem-van Beek Paul JM Helders Adri Vermeer Marjolijn Ketelaar |
| Author_xml | – sequence: 1 givenname: Marjolijn surname: Ketelaar fullname: Ketelaar, Marjolijn organization: M Ketelaar, PhD, is Research Coordinator, Rehabilitation Center De Hoogstraat, Rembrandtkade 10, 3583 TM Utrecht, the Netherlands – sequence: 2 givenname: Adri surname: Vermeer fullname: Vermeer, Adri organization: A Vermeer, PhD, is Professor, Department of Educational Sciences, Faculty of Social Sciences, Utrecht University, Utrecht, the Netherlands – sequence: 3 givenname: Harm't surname: Hart fullname: Hart, Harm't organization: H't Hart, PhD, is Professor, Department of Methodology and Statistics, Faculty of Social Sciences, Utrecht University – sequence: 4 givenname: Els surname: van Petegem-van Beek fullname: van Petegem-van Beek, Els organization: E van Petegem-van Beek, PT, MSc, is Research Assistant, Department of Educational Sciences, Faculty of Social Sciences, Utrecht University – sequence: 5 givenname: Paul JM surname: Helders fullname: Helders, Paul JM organization: PJM Helders, PhD, is Professor, Department of Pediatrics, Faculty of Medicine, University Medical Center Utrecht, and University Children's Hospital, Wilhelmina Kinderziekenhuis, Utrecht, the Netherlands |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/11688590$$D View this record in MEDLINE/PubMed |
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| References | Meijer (2019123103374862000_R21) 1988 Shepherd (2019123103374862000_R23) 1995 Kelso (2019123103374862000_R19) 1995 Latash (2019123103374862000_R26) 1996; 19 Tirosh (2019123103374862000_R15) 1989; 143 Kuban (2019123103374862000_R4) 1994; 330 Stevens (2019123103374862000_R40) 1996 Fetters (2019123103374862000_R22) 1991; 71 Gibson (2019123103374862000_R17) 1979 Ingram (2019123103374862000_R28) 1984 Ketelaar (2019123103374862000_R32) 1995 Boschen (2019123103374862000_R38) 1995; 32 Scrutton (2019123103374862000_R5) 1984 Piper (2019123103374862000_R8) 1994 Russell (2019123103374862000_R29) 1993 Wimmers (2019123103374862000_R25) 1992; 102 Haley (2019123103374862000_R30) 1992 Heriza (2019123103374862000_R9) 1991 Cohen (2019123103374862000_R41) 1988 Wagenaar (2019123103374862000_R24) 1996 Feldman (2019123103374862000_R37) 1990; 70 Veenhof (2019123103374862000_R34) Nichols (2019123103374862000_R35) 1996; 8 Royeen (2019123103374862000_R14) 1992; 75 Bower (2019123103374862000_R3) 1993 Bower (2019123103374862000_R6) 1997 Ketelaar (2019123103374862000_R27) 1999 Shumway-Cook (2019123103374862000_R7) 1995 Gordon (2019123103374862000_R2) 1987 Darrah (2019123103374862000_R10) 1997 Horak (2019123103374862000_R11) 1992 Thelen (2019123103374862000_R18) 1994 Mutch (2019123103374862000_R1) 1992; 34 Thelen (2019123103374862000_R12) 1995; 50 van Petegem-van Beek (2019123103374862000_R33) 1998; 15 Abernethy (2019123103374862000_R20) 1992 Haley (2019123103374862000_R36) 1991; 3 Bly (2019123103374862000_R16) 1991; 3 van Riet (2019123103374862000_R39) 2000; 17 Russell (2019123103374862000_R31) 1989; 31 Hur (2019123103374862000_R13) 1995; 91 12147013 - Phys Ther. 2002 Aug;82(8):828-9; author reply 829-30 |
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| Snippet | Background and Purpose. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving... The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy... Ketelaar et al determined whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy improved more than... BACKGROUND AND PURPOSE: The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving... |
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| StartPage | 1534 |
| SubjectTerms | Analysis of Variance Care and treatment Cerebral palsied children Cerebral palsy Cerebral Palsy - physiopathology Cerebral Palsy - rehabilitation Chi-Square Distribution Child Child, Preschool Children & youth Disability Evaluation Female Humans Male Motor ability Motor Activity Motor skills Physical therapy Physical Therapy Modalities Recovery of Function Treatment Outcome |
| Title | Effects of a Functional Therapy Program on Motor Abilities of Children With Cerebral Palsy |
| URI | http://ptjournal.apta.org/content/81/9/1534.abstract https://www.ncbi.nlm.nih.gov/pubmed/11688590 https://www.proquest.com/docview/223121488 https://www.proquest.com/docview/18306201 https://www.proquest.com/docview/72245289 https://www.proquest.com/docview/771503927 |
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