Effectiveness of intensive training for children with cerebral palsy--a comparison between child and youth rehabilitation and conductive education

J Rehabil Med. 2005 Jul;37(4):263-70. doi: 10.1080/16501970510032622.

Abstract

Objectives: To compare the short-term effectiveness of 1 intensive training period in child and youth rehabilitation with Move&Walk conductive education and describe the effects of 1 intensive training period in terms of changes at 1 year. The amount and influence of additional consumption of training during the 1-year follow-up was also analysed.

Design: Quasi-experimental with 2 groups: Lemo (n=23) and Move&Walk (n=29).

Patients: A total of 52 children with cerebral palsy, age range 3-16 years.

Methods: Data included repeated measures with Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory-Functional Skills (PEDI-FS). Data on additional consumption of training was collected at the 1-year follow-up.

Results: There was no difference in proportion of change on the clinical measures between the training programmes, except for a higher proportion of improvement on the GMFM total score in Lemo. At the group level, small improvements were shown on GMFM and PEDI FS in the short-term and on PEDI FS only at 1 year. A higher proportion of children who participated in repeated intensive training periods showed improved social functioning.

Conclusion: No major differences were shown between the 2 training programmes. One intensive training period facilitated small improvements in gross motor function. The majority of children had a high consumption of training during the 1-year follow-up and the added value of repeated intensive training periods was limited.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Cerebral Palsy / physiopathology
  • Cerebral Palsy / rehabilitation*
  • Child
  • Child, Preschool
  • Early Intervention, Educational* / methods
  • Exercise Therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Motor Skills
  • Prospective Studies
  • Surveys and Questionnaires
  • Treatment Outcome