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Current Rehabilitation Practices for Children with Cerebral Palsy: Focus and Gaps.

Abstract：

AIMS:To describe the focus of therapy practices in occupational and physical therapy for school-aged children with cerebral palsy, and better understand whether it is congruent with recommended practices. METHODS:A Canada-wide Web-based survey was completed by 62 occupational and 61 physical therapists to identify problems, assessments, and treatment interventions for two case-based scenarios. Data were coded using the International Classification of Functioning, Disability and Health (ICF) definitions for "body functions and structure," "activity and participation," and "environment." RESULTS:Physical therapists, in comparison to occupational therapists, were more likely to select interventions classed in the "body functions and structure" category (34-42% and 18-20%, respectively). Both professions focused on "activity and participation" (34-61%) when identifying problems, assessing, and intervening; attention, however, was mainly directed towards task-oriented activities such as activities of daily living and mobility. Participation in leisure or community-based activities received less attention (2-15%). The environment received limited attention for problems and assessments (4-25%), though it was an important focus of intervention (19-37%). CONCLUSIONS:While body functions and structure are well-addressed, other ICF elements, specifically participation, are poorly integrated into practice. The emerging focus on the environment in therapy intervention, by modifying the context rather than changing aspects of the child, is consistent with current approaches and evidence. Knowledge translation implementation initiatives are recommended to bridge identified gaps.

journal_name

Phys Occup Ther Pediatr

journal_title

Physical & occupational therapy in pediatrics

authors

Anaby D,Korner-Bitensky N,Steven E,Tremblay S,Snider L,Avery L,Law M

doi

10.3109/01942638.2015.1126880

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

1-15

issue

1

eissn

0194-2638

issn

1541-3144

journal_volume

37

pub_type

杂志文章

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