Thursday, 14 August 2014

Evidence for your Practice

An interesting article for your review:

Sakzewski L, Ziviani J, Boyd RN. Efficacy of upper limb therapies for unilateral cerebral palsy: a meta-analysis. Pediatrics. 2014 Jan;133(1):e175-204. doi: 10.1542/peds.2013-0675. Epub 2013 Dec 23.

Conclusion: There is modest evidence that intensive activity-based, goal-directed interventions (e.g. constraint-induced movement therapy, bimanual training) are more effective than standard care in improving UL and individualized outcomes. There is little evidence to support block therapy alone as the dose of intervention is unlikely to be sufficient to lead to sustained changes in UL outcomes. There is strong evidence that goal-directed OT programs are effective and could supplement hands-on direct therapy to achieve increased dose of intervention.

Access the abstract here

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