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Title: | Effectiveness of functional intensive therapy on mobility and self-care activities in children and adolescents with cerebral palsy - a prospective clinical study | Authors: | Janssen-Potten, Yvonne J. M. Roks, Lars Roijen, Ruud Vermeulen, R. Jeroen RAMECKERS, Eugene |
Issue Date: | 2023 | Publisher: | TAYLOR & FRANCIS LTD | Source: | DISABILITY AND REHABILITATION, 45 (21), p. 3529-3538 | Abstract: | Purpose Cerebral palsy (CP) is a major cause of childhood disability. Children with CP often lack motor skills to effectively perform activities of daily living. The aim is to assess the effectiveness of a functional intensive therapy program focused on improving individual goals in the domain of mobility and self-care in children and adolescents with CP. Material and methods Thirty-five CP patients, aged 11-19 years, GMFCS I-IV, received daily 6-7 h of functional therapy for 15 days. Outcomes were assessed at baseline, immediately after the program and at three months follow-up. Results Significant post-intervention improvement was seen on all primary and secondary outcome measures; personal goals (GAS score; COPM performance and COPM satisfaction), daily activities (ACTIVLIM), hand function (ABILHAND-Kids), mobility (ABILOCO-Kids; GMFM-66-IS score). There was no loss to follow up during the program and after three months. At follow-up, improvements were retained except for ABILOCO and GMFM-66-IS. Conclusions Functional intensive therapy appears feasible and seems to be effective in improving treatment goals focused on mobility and self-care, even in older and more severely affected children and adolescents with CP. After three months, these possible effects were still present. | Notes: | Janssen-Potten, YJM (corresponding author), Adelante Ctr Expertise Rehabil & Audiol, Zandbergsweg 111, NL-6432 CC Hoensbroek, Netherlands. y.janssen@adelante-zorggroep.nl |
Keywords: | Functional intensive therapy;mobility and self-care;gross motor function;cerebral palsy;adolescents;ICF-CY | Document URI: | http://hdl.handle.net/1942/38835 | ISSN: | 0963-8288 | e-ISSN: | 1464-5165 | DOI: | 10.1080/09638288.2022.2130445 | ISI #: | 000867598300001 | Rights: | 2022 Informa UK Limited, trading as Taylor & Francis Group | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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