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Title: Defining Functional Therapy in Research Involving Children with Cerebral Palsy: A Systematic Review
Authors: Geijen, Mellanie
Ketelaar, Marjolijn
Sakzewski, Leanne
Palisano, Robert
Issue Date: 2019
Status: Early View
Abstract: 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.
Notes: We would like to thank the members of the consensus group that worked on the chapter on functional therapy in the Dutch Guideline for diagnosis and treatment of children with spastic CP (L. van Wely, R. Wong Chung, and N. van den Dikkenberg) for their role and input in the process of defining the criteria for functional therapy.
Keywords: Active involvement; activity; cerebral palsy; contextspecific; functional therapy; functionality; goal-directed; ICF-CY; participation; task-specific;Active involvement; activity; cerebral palsy; context-specific; functional therapy; functionality; goal-directed; ICF-CY; participation; task-specific
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ISSN: 0194-2638
e-ISSN: 1541-3144
DOI: 10.1080/01942638.2019.1664703
ISI #: 000488090000001
Rights: 2019 The Author(s). Published with license by Taylor & Francis Group, LLC This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Category: A1
Type: Journal Contribution
Validations: ecoom 2020
Appears in Collections:Research publications

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