The effectiveness of physical therapy sessions for children with cerebral palsy

The effectiveness of physical therapy sessions for children with cerebral palsy

Posted by Guest Blogger on Fri 14 Dec. 2018 - 3 minute read

In this guest blog post, researcher Sébastien Vanderlinden from Belgium writes about his study around the effectiveness of physical therapy for children with cerebral palsy.
Cerebral palsy is a developmental disorder and is caused by damage to the motor cortex of the brain. This is the part of the brain that affects muscle control and coordination. Children with cerebral palsy frequently struggle with walking and fine motor skills.

VanderLinden is searching for other physical therapists and Ph.D.'s who are willing to participate in his study.

Validation of an evaluation protocol to describe and quantify the therapeutic content performed during neurodevelopmental physical therapy (NDT) sessions of children with cerebral palsy

In recent years, an intensification of studies that document the effectiveness of physical therapy for children with cerebral palsy (CP) resurfaced. According to a recent systematic review of Novak [1], which focuses on therapeutic interventions, it seems that the recommendation not to practice neurodevelopmental therapy (NDT, of which the terminology is based on the Bobath Concept - http://www.bobath.be/fr/Info/Worldwide and had been used in research for many years) needs to be considered.

Evidence regarding the effectiveness of this therapy is still developing today. This systematic review thoroughly details the limits and motivating arguments of this point of view, and to a certain extent, encourages the content of this pilot study.

Analyzing therapy sessions with The Observer XT 

The main goal of our study is to validate an evaluation protocol including the use of a measurement tool, The Observer XT, that could be used to describe and quantify the therapeutic content performed during a NDT session for a child with CP and its associated procedures. As Novak mentions it, there is a lack of published scientific data that describes which and how long physical therapy skills are performed during NDT sessions.

Neurodevelopmental therapy has been medically prescribed and practiced worldwide for nearly half a century by physical therapists as well as occupational therapists and speech therapists, who have completed its regulated NDT basic 8 weeks course.

Within the clinical settings, if its main indication has always been cerebral palsy, it also remains a therapy of choice for the (re)habilitation and parental guidance of newborns and children under 24 months with developmental neuromotor delay.









FREE TRIAL: Try The Observer XT yourself!

Request a free trial and see for yourself how easy behavioral research can be!

  • Work faster
  • Reduce costs
  • Get better data


A problem-solving approach

In addition to this target population, this therapy seems to provide relevant clinical benchmarks for clinical assessment and rehabilitation of the children who suffer from a multiple handicap, from a progressive disease of the central nervous system, or from other related medical conditions. It is relevant to be reminded that NDT fits within a broader "concept" (sometimes called "approach") facing the child suffering with cerebral palsy.

The NDT concept could be defined as "a problem-solving approach to the assessment and treatment of individuals following a lesion of the central nervous system that offers therapists a framework for their clinical practice" or therapeutic content performed during a neurodevelopmental physical therapy session of a child with cerebral palsy.

Sébastien Vanderlinden
Belgium

Research in PT & Neurorehabilitation
Sebastien.Vanderlinden@ulb.ac.be


Sébastien VandeLinden

References

  • Novak, I.; McIntyre, S.; Morgan, C.; Campbell, L.; Dark, L.; Morton, N.; Stumbles, E.; Wilson, S.A. & Goldsmith, S. (2013). A systematic review of interventions for children with cerebral palsy: state of the evidence. Developmental Medicine & Child Neurology, 55 (10), 885-910.
  • Das, S.P. et al. (2019). Evidence-based Approach to Physical Therapy in Cerebral Palsy. Indian J Orthop. 2019 Jan-Feb; 53(1), 20–34.
  • Marsico, P.;  V Graser, J. & Hedel, van H.J.A. (2018). Based on evidence? Techniques applied in Neuro-Developmental Treatment within the Bobath Concept: an AACPDM report. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=48583 
  • Novak, I.; Morgan, C.; Fahey, M.; Finch-Edmondson, M.; Galea, C.; Hines, A.; Langdon, K.; Mc Namara, M.; Paton, M.C.B.; Popat, H.; Shore, B.; Khamis, A.; Stanton, E.; Finemore, O.P.; Tricks, A.; Velde, A. te; Dark, L.; Morton, N. & Badawi, N. (2020). State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Current Neurology and Neuroscience Reports, 20 (3)https://doi.org/10.1007/s11910-020-1022-z
  • Zanon, M.A.; Pacheco, R.L.; Latorraca, C.O.C.; Martimbianco, A.L.C.; Pachito, D.V. & Riera, R. (2019).  Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy: A Systematic Review. Journal Child Neurology. doi: 10.1177/0883073819852237
Subscribe to the blog
Share this post
Topics
Learn
more
Relevant Blogs
improve-interaction-parent-child-autism

Improve the interaction between parent and child with autism

Children with ASD are three times as likely to exhibit disruptive behavior as their typically developing peers. Can PCIT help coping with behaviors such as defiance, stubbornness, and temper tantrums?
cognition-infants-down-syndrome

Understanding cognitive delays in infants with Down syndrome

Down syndrome is one of the most common chromosomal diseases in humans. Researcher Fidler and her colleagues argue that understanding early cognitive development is important in improving preventative care.
role-parent-child-interaction-child-development

The role of parent-child interaction on child development

When children face cognitive and motor delays, they are often unable to reach developmental milestones at the expected times. Does this influence the interactive behaviors of parents and children?