Nathália Nídia da Silva, Wivianne Abreu Cavalcante, Albert Lucas Olinto Tertuliano, Alana Amicilene Azevedo de Sousa, Debora Chayeny Alves de Oliveira, Ariane Brito Diniz Santos, Anderson Henry Pereira Feitoza, Lorena Moraes Dantas, Marisete Peralta Safons, Maria Teresa Cattuzzo
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引用次数: 0
Abstract
Aim
To investigate Conductive Education (CE) interventions in children with cerebral palsy (CP), examining how practice time, assessment methods, and CP characteristics influence treatment outcomes.
Method
A systematic review (PROSPERO-CRD42024578760) searched seven databases using ‘Conductive Education’. Inclusion criteria: interventional studies in young people with CP receiving CE treatment. The PRISMA strategy guided study selection, aided by Rayyan software. Study quality was assessed using ROBINS-I.
Results
Eighteen studies were included. Seven studies showed low risk of bias; considering low and moderate risk studies, 67% demonstrated positive CE effects. Practice duration appeared crucial: Studies reporting positive outcomes averaged 25.2 h/week compared to 17.7 h/week in studies showing no effect. The Gross Motor Function Measure was the most used assessment tool, followed by the Paediatric Evaluation of Disability Inventory. CE showed better outcomes in spastic CP, particularly in cases with diplegic presentation, compared to athetoid or ataxic types.
Interpretation
CE demonstrates promise for improving motor performance in children with CP, particularly with adequate practice time (≈25 h/week). Treatment success appears influenced by CP type and assessment methods. Future research should prioritize standardized protocols and consistent outcome measures to strengthen evidence quality.
期刊介绍：
Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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