Article

Caregiver-provided physical therapy home programs (PTHP) play an
important role in enhancing motor outcomes in pediatric patient populations.
Purpose: This scoping review systematically mapped clinical trials of
caregiver-provided PTHP that were aimed at enhancing motor outcomes in children
who have or who are at risk for motor delay, with the purpose of (1) describing trial characteristics; (2) assessing methodologic quality; and (3) examining the
reporting of caregiver-related components. Data Sources: Physiotherapy Evidence
Database (PEDro), Cochrane CENTRAL, PubMed, Scopus, ScienceDirect, ProQuest
Central, CINAHL, LILACS, and OTseeker were searched up to July 31, 2017. Study
Selection: Two reviewers independently assessed study eligibility. Randomized or
quasi-randomized controlled trials on PTHP administered by parents, other family
members, friends, or informal caregivers to children who had or who were at risk
for motor delay were included. Data Extraction: Two reviewers independently
appraised trial quality on the PEDro scale and extracted data. Data Synthesis:
Twenty-four articles representing 17 individual trials were identified.
Populations and interventions investigated were heterogeneous. Most of the trials
had important research design limitations and methodological issues that could
limit usefulness in ascertaining the effectiveness of caregiver-provided PTHP.
Few (4 of 17) trials indicated involvement of caregivers in the PTHP planning,
assessed how the caregivers learned from the training or instructions provided,
or carried out both. Limitations: Included studies were heterogeneous, and
unpublished data were excluded. Conclusions: Although caregiver-provided PTHP are
important in addressing motor outcomes in this population, there is a lack of
evidence at the level of clinical trials to guide practice.
More research is
urgently needed to determine the effectiveness of care-giver-provided PTHP.
Future studies should address the many important issues identified in this
scoping review to improve the usefulness of the trial results.

Langue : ANGLAIS