A comparison of intensive neurodevelopmental therapy plus casting and a regular occupational therapy program for children with cerebral palsy.
The purpose of this research was to evaluate the combined effect of intensive neurodevelopmental therapy (NDT) and casting in improving hand function, quality of upper-extremity movement and range of motion in children aged between 18 months and 4 years with cerebral palsy (CP). A randomized crossover design was used to evaluate the difference between intensive NDT plus casting and a less intensive regular occupational therapy (OT) program. Blinded assessments of hand function, quality of upper-extremity movement, and parents' perception of hand-function performance were carried out at baseline, 4 months (end of first intervention period), 6 months (after a 2-month 'washout' period), and 10 months (end of second intervention period). Analysis of the outcomes revealed no significant differences in hand function, quality of upper-extremity movement, or parents' perception of hand-function performance between the two treatment groups-intensive NDT plus casting or regular OT programs. There does not appear to be any beneficial effect of an increased amount of therapy for the children in this study.
Law
M
M
Neurodevelopmental Clinical Research Unit, McMaster University, Hamilton, Ontario, Canada.
Russell
D
D
Pollock
N
N
Rosenbaum
P
P
Walter
S
S
King
G
G
D000203:Activities of Daily Living; D000704:Analysis of Variance; D002370:Casts, Surgical; D002547:Cerebral Palsy / Q000534:rehabilitation*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009068:Movement; D009788:Occupational Therapy / Q000379:methods*; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities / Q000379:methods*; D004856:Postural Balance; D016059:Range of Motion, Articular; D012648:Self Care; D016896:Treatment Outcome; D016474:Weight-Bearing; D014955:Wrist Joint / Q000503:physiopathology