Article

This study reviewed evidence regarding the effect of motivational rehabilitation
interventions on outcomes in children with cerebral palsy. Six databases were
searched for literature published up to May 2012. Included studies measured the
purported motivating effects of motor-based rehabilitation interventions and the
measured impact on outcomes. The American Academy for Cerebral Palsy and
Developmental Medicine (AACPDM) systematic review methodology was used as a
framework. Eight studies evaluated outcomes of studies using virtual reality
interventions and one in a functional therapy context. Conflicting evidence from
three (level II and level III) studies exists about the impact of these
motivating interventions on motor outcomes measured in body functions. No
statistical evidence regarding activity and participation outcomes exists. A
single level II study found no significant difference in participants' motivation
between motivational and conventional interventions. This review revealed a
paucity of research on the effects of motivational interventions. Weaknesses
include a lack of consistency in the examination of motivational interventions,
limited use of definitions or theories to ground the concept of motivation, and
reliance on non-validated methodological tools. This body of evidence would be
strengthened by the use and development of robust outcome measures of motivation.
CI - (c) 2013 Mac Keith Press.

Langue : ANGLAIS