Summary of the Systematic Review

Article Citation

A Systematic Review of Interventions for Children With Cerebral Palsy: State of the Evidence

Novak, I., McIntyre, S., et al. (2013).
Developmental Medicine & Child Neurology, 55(10), 885-910.
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Article Quality Ratings

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Indicators of Review Quality

  • Yes The review states a clearly focused question/aim.
  • Yes Criteria for inclusion of studies are provided.
  • Yes Search strategy described in sufficient detail for replication.
  • Yes Included studies are assessed for study quality.
  • Yes Quality assessments are reproducible.
  • No Characteristics of the included studies are provided.

Article Details

Description

This is a systematic review of various study designs, primarily systematic reviews (74%), investigating cerebral palsy (CP) interventions in children with CP.

Questions/Aims Addressed

The aim of this paper was to systematically describe the best available evidence for CP interventions across multiple disciplines, to compare similar interventions, and to provide a comprehensive resource to promote evidence implementation. 

Population

Children with cerebral palsy

Intervention/Assessment

Any medical or allied health intervention

Number of Studies Included

166

Years Included

Through December 2012

Evidence Ratings for This Document

Evidence was classified into three categories based on strength and quality of supporting evidence:
  • Green: Findings were reported from strong, high quality evidence and the intervention was determined to be effective. Green interventions were classified as "do it."
  • Yellow: Findings were reported from moderate to low quality evidence requiring further research. Yellow interventions with moderate evidence were classified as "probably do it," but yellow interventions with low quality evidence were classified as "probably do not do it."
  • Red: Findings were reported from little to no evidence or the intervention was determined to be ineffective. Red interventions were classified as "do not do it."

Conclusions from This Systematic Review

What are Conclusions?

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Treatment

The following interventions were classified as "probably do it" for communication in children with Cerebral Palsy:

  • Communication training (i.e., communication partner training);
  • Augmentative and alternative communication; and
  • Social Stories (Yellow Evidence).

Keywords: Children, Diagnosis/Condition, Augmentative and Alternative Communication (AAC), Conversational Partners, Speech and Language, Cerebral Palsy, Partner Instruction, Parent/Peer-Mediated, Social Stories

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Treatment

Social Stories and play therapy were classified as "probably do it" interventions for improved social skills (Yellow Evidence).

Keywords: Children, Social Communication, Cerebral Palsy, Social Stories, Social Stories

Oral motor treatment was classified as a "probably do not do it" intervention for communication and dysphagia (Yellow Evidence).

Keywords: Children, Oral Motor Treatments, Oral Motor Exercises, Cerebral Palsy, Cerebral Palsy, Speech and Language, Swallowing and Feeding, Oral-Motor Treatment

 Dysphagia management (e.g., diet modification, positioning) and gastrostomy were classified as "probably do it" interventions (Yellow Evidence).

Keywords: Children, Diet Modification, Positioning Techniques, Tube Feeding, Cerebral Palsy, Diet Modification, Swallowing and Feeding, Positioning, Tube Feeding

The following interventions were classified as "probably do it" for communication in children with Cerebral Palsy:

  • Communication training (i.e., communication partner training);
  • Augmentative and alternative communication; and
  • Social Stories (Yellow Evidence).

Keywords: Children, Diagnosis/Condition, Augmentative and Alternative Communication (AAC), Conversational Partners, Speech and Language, Cerebral Palsy, Partner Instruction, Parent/Peer-Mediated, Social Stories

Go to Map

Treatment

Oral motor treatment was classified as a "probably do not do it" intervention for communication and dysphagia (Yellow Evidence).

Keywords: Children, Oral Motor Treatments, Oral Motor Exercises, Cerebral Palsy, Cerebral Palsy, Speech and Language, Swallowing and Feeding, Oral-Motor Treatment

 Dysphagia management (e.g., diet modification, positioning) and gastrostomy were classified as "probably do it" interventions (Yellow Evidence).

Keywords: Children, Diet Modification, Positioning Techniques, Tube Feeding, Cerebral Palsy, Diet Modification, Swallowing and Feeding, Positioning, Tube Feeding

Go to Map

Treatment

Social Stories and play therapy were classified as "probably do it" interventions for improved social skills (Yellow Evidence).

Keywords: Children, Social Communication, Cerebral Palsy, Social Stories, Social Stories

Go to Map

Treatment

Oral motor treatment was classified as a "probably do not do it" intervention for communication and dysphagia (Yellow Evidence).

Keywords: Children, Oral Motor Treatments, Oral Motor Exercises, Cerebral Palsy, Cerebral Palsy, Speech and Language, Swallowing and Feeding, Oral-Motor Treatment

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