Feasibility and effectiveness of home-based therapy programmes for children with cerebral palsy: a systematic review

ObjectiveTo assess the feasibility and effectiveness of home-based occupational therapy and physiotherapy programmes in children with cerebral palsy (CP), focusing on the upper extremity and reporting on child-related and/or parent-related outcomes.DesignSystematic review.Data sourcesElectronic sear...

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Bibliographic Details
Published in:BMJ open 2020-10, Vol.10 (10), p.e035454-e035454
Main Authors: Beckers, Laura W M E, Geijen, Mellanie M E, Kleijnen, Jos, A A Rameckers, Eugene, L A P Schnackers, Marlous, J E M Smeets, Rob, Janssen-Potten, Yvonne J M
Format: Article
Language:English
Subjects:
Adolescent
Cerebral palsy
Cerebral Palsy - therapy
Child
Children & youth
Feasibility Studies
Home environment
Humans
Intervention
Occupational Therapy
paediatrics
Parents
Parents & parenting
Pediatrics
Performance evaluation
Physical therapy
Physical Therapy Modalities
Rehabilitation Medicine
Systematic review
therapeutics
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Summary:ObjectiveTo assess the feasibility and effectiveness of home-based occupational therapy and physiotherapy programmes in children with cerebral palsy (CP), focusing on the upper extremity and reporting on child-related and/or parent-related outcomes.DesignSystematic review.Data sourcesElectronic searches were performed in MEDLINE, EMBASE, CINAHL, PsycINFO, OTseeker and PEDro, and in ICTRP and CENTRAL trial registers, from inception to 6 June 2019.Eligible criteriaThe review included all types of original studies concerning feasibility or effectiveness of home-based therapy in children aged 40 different child-related outcome measures were found. Overall, an improvement in arm-hand performance within group across time was shown. Only two studies reported on a parent-related outcome measure. No increase in parental stress was found during the intervention.ConclusionsBased on the results of the included studies, home-based training programmes seem to be feasible. However, conclusions about the effectiveness of home programmes cannot be made due to the large variability in the study, patient and intervention characteristics, comparators, and outcome measures used in the included studies.PROSPERO registration numberCRD42016043743.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2019-035454