Article

Evidence-based treatment approaches for children with unilateral spastic cerebral
palsy are expanding and being modified to fit the constraints of families and the
child receiving treatment. In this review, we first provide an overview of a
theoretical framework that considers the intricate interactions between the
individual child and the environment in which treatment is provided. Next, we
describe intensive interventions that have strong support for their efficacy. We
also highlight the heterogeneity with which children respond to these approaches.
Individual characteristics that might affect responsiveness are summarized. We
propose that a one-size-fits-all approach may not be as efficacious as approaches
based on the specific brain damage and resulting development of the corticospinal
tract. Finally, we review evidence suggesting that the environment can be
structured to promote opportunities for intensive practice and self-generated
movement-two important aspects of efficacious treatments. Emphasis is placed on
intensive home programs delivered by caregivers. WHAT THIS PAPER ADDS:
Considerable variability exists in how children with unilateral spastic cerebral
palsy respond to intensive upper extremity therapies. Individual and
environmental factors interact to shape responsiveness.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS