Article

AIM: To systematically review the evidence on the effectiveness of motor
interventions for infants from birth to 2 years with a diagnosis of cerebral
palsy or at high risk of it. METHOD: Relevant literature was identified by
searching journal article databases (PubMed, Embase, CINAHL, Cochrane, Web of
Knowledge, and PEDro). Selection criteria included infants between the ages of
birth and 2 years diagnosed with, or at risk of, cerebral palsy who received
early motor intervention. RESULTS: Thirty-four studies met the inclusion
criteria, including 10 randomized controlled trials. Studies varied in quality,
interventions, and participant inclusion criteria. Neurodevelopmental therapy was
the most common intervention investigated either as the experimental or control
assignment. The two interventions that had a moderate to large effect on motor
outcomes (Cohen's effect size>0.7) had the common themes of child-initiated
movement, environment modification/enrichment, and task-specific training.
INTERPRETATION: The published evidence for early motor intervention is limited by
the lack of high-quality trials. There is some promising evidence that early
intervention incorporating child-initiated movement
(based on motor-learning
principles and task specificity), parental education, and environment modification have a positive effect on motor development. Further research is crucial.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS