Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/s12887-016-0731-6 http://hdl.handle.net/11449/173851 |
Resumo: | Background: Gross motor skills are fundamental to childhood development. The effectiveness of current physical therapy options for children with mild to moderate gross motor disorders is unknown. The aim of this study was to systematically review the literature to investigate the effectiveness of conservative interventions to improve gross motor performance in children with a range of neurodevelopmental disorders. Methods: A systematic review with meta-analysis was conducted. MEDLINE, EMBASE, AMED, CINAHL, PsycINFO, PEDro, Cochrane Collaboration, Google Scholar databases and clinical trial registries were searched. Published randomised controlled trials including children 3 to ≤18 years with (i) Developmental Coordination Disorder (DCD) or Cerebral Palsy (CP) (Gross Motor Function Classification System Level 1) or Developmental Delay or Minimal Acquired Brain Injury or Prematurity (<30 weeks gestational age) or Fetal Alcohol Spectrum Disorders; and (ii) receiving non-pharmacological or non-surgical interventions from a health professional and (iii) gross motor outcomes obtained using a standardised assessment tool. Meta-analysis was performed to determine the pooled effect of intervention on gross motor function. Methodological quality and strength of meta-analysis recommendations were evaluated using PEDro and the GRADE approach respectively. Results: Of 2513 papers, 9 met inclusion criteria including children with CP (n = 2) or DCD (n = 7) receiving 11 different interventions. Only two of 9 trials showed an effect for treatment. Using the least conservative trial outcomes a large beneficial effect of intervention was shown (SMD:-0.8; 95% CI:-1.1 to -0.5) with very low quality GRADE ratings. Using the most conservative trial outcomes there is no treatment effect (SMD:-0.1; 95% CI:-0.3 to 0.2) with low quality GRADE ratings. Study limitations included the small number and poor quality of the available trials. Conclusion: Although we found that some interventions with a task-orientated framework can improve gross motor outcomes in children with DCD or CP, these findings are limited by the very low quality of the available evidence. High quality intervention trials are urgently needed. |
id |
UNSP_2ade334a87960db7a15b0d6a282234c5 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/173851 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysisCerebral palsyChild developmentDevelopmental Coordination DisorderMotor skillsMotor skills disordersNeurodevelopmental disordersPhysiotherapyBackground: Gross motor skills are fundamental to childhood development. The effectiveness of current physical therapy options for children with mild to moderate gross motor disorders is unknown. The aim of this study was to systematically review the literature to investigate the effectiveness of conservative interventions to improve gross motor performance in children with a range of neurodevelopmental disorders. Methods: A systematic review with meta-analysis was conducted. MEDLINE, EMBASE, AMED, CINAHL, PsycINFO, PEDro, Cochrane Collaboration, Google Scholar databases and clinical trial registries were searched. Published randomised controlled trials including children 3 to ≤18 years with (i) Developmental Coordination Disorder (DCD) or Cerebral Palsy (CP) (Gross Motor Function Classification System Level 1) or Developmental Delay or Minimal Acquired Brain Injury or Prematurity (<30 weeks gestational age) or Fetal Alcohol Spectrum Disorders; and (ii) receiving non-pharmacological or non-surgical interventions from a health professional and (iii) gross motor outcomes obtained using a standardised assessment tool. Meta-analysis was performed to determine the pooled effect of intervention on gross motor function. Methodological quality and strength of meta-analysis recommendations were evaluated using PEDro and the GRADE approach respectively. Results: Of 2513 papers, 9 met inclusion criteria including children with CP (n = 2) or DCD (n = 7) receiving 11 different interventions. Only two of 9 trials showed an effect for treatment. Using the least conservative trial outcomes a large beneficial effect of intervention was shown (SMD:-0.8; 95% CI:-1.1 to -0.5) with very low quality GRADE ratings. Using the most conservative trial outcomes there is no treatment effect (SMD:-0.1; 95% CI:-0.3 to 0.2) with low quality GRADE ratings. Study limitations included the small number and poor quality of the available trials. Conclusion: Although we found that some interventions with a task-orientated framework can improve gross motor outcomes in children with DCD or CP, these findings are limited by the very low quality of the available evidence. High quality intervention trials are urgently needed.National Institute on Alcohol Abuse and AlcoholismDiscipline of Paediatrics and Child Health The University of Sydney The Children's Hospital at Westmead Clinical School, Locked Bag 4001The George Institute for Global Health Sydney Medical School University of Sydney, Missenden Rd, PO Box M201,Poche Centre for Indigenous Health Sydney School of Public Health The University of SydneyRoyal North Shore Hospital Physiotherapy Department, St LeonardsThe Sydney Children's Hospital Networks (Westmead), Locked Bag 4001School of Public Health Curtin University, GPO Box U1987Pain Management Research Institute University of Sydney at Royal North Shore Hospital, St LeonardsFaculdade de Ciências e Tecnologia UNESP-Univ Estadual Paulista Departamento de FisioterapiaUniversity of Washington Division of Occupational Therapy Department of Rehabilitation MedicineUniversity of Washington Division of Physical Therapy Department of Rehabilitation MedicineFaculdade de Ciências e Tecnologia UNESP-Univ Estadual Paulista Departamento de FisioterapiaNational Institute on Alcohol Abuse and Alcoholism: R21AA019579National Institute on Alcohol Abuse and Alcoholism: R33AA019579-03Clinical SchoolUniversity of SydneyThe University of SydneyPhysiotherapy DepartmentThe Sydney Children's Hospital Networks (Westmead)Curtin UniversityUniversity of Sydney at Royal North Shore HospitalUniversidade Estadual Paulista (Unesp)Division of Occupational TherapyDivision of Physical TherapyLucas, Barbara R.Elliott, Elizabeth J.Coggan, SarahPinto, Rafael Z. [UNESP]Jirikowic, TracyMcCoy, Sarah WestcottLatimer, Jane2018-12-11T17:08:02Z2018-12-11T17:08:02Z2016-11-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1186/s12887-016-0731-6BMC Pediatrics, v. 16, n. 1, 2016.1471-2431http://hdl.handle.net/11449/17385110.1186/s12887-016-0731-62-s2.0-849991881102-s2.0-84999188110.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMC Pediatrics1,278info:eu-repo/semantics/openAccess2023-12-03T06:11:17Zoai:repositorio.unesp.br:11449/173851Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-03T06:11:17Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis |
title |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis |
spellingShingle |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis Lucas, Barbara R. Cerebral palsy Child development Developmental Coordination Disorder Motor skills Motor skills disorders Neurodevelopmental disorders Physiotherapy |
title_short |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis |
title_full |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis |
title_fullStr |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis |
title_full_unstemmed |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis |
title_sort |
Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis |
author |
Lucas, Barbara R. |
author_facet |
Lucas, Barbara R. Elliott, Elizabeth J. Coggan, Sarah Pinto, Rafael Z. [UNESP] Jirikowic, Tracy McCoy, Sarah Westcott Latimer, Jane |
author_role |
author |
author2 |
Elliott, Elizabeth J. Coggan, Sarah Pinto, Rafael Z. [UNESP] Jirikowic, Tracy McCoy, Sarah Westcott Latimer, Jane |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Clinical School University of Sydney The University of Sydney Physiotherapy Department The Sydney Children's Hospital Networks (Westmead) Curtin University University of Sydney at Royal North Shore Hospital Universidade Estadual Paulista (Unesp) Division of Occupational Therapy Division of Physical Therapy |
dc.contributor.author.fl_str_mv |
Lucas, Barbara R. Elliott, Elizabeth J. Coggan, Sarah Pinto, Rafael Z. [UNESP] Jirikowic, Tracy McCoy, Sarah Westcott Latimer, Jane |
dc.subject.por.fl_str_mv |
Cerebral palsy Child development Developmental Coordination Disorder Motor skills Motor skills disorders Neurodevelopmental disorders Physiotherapy |
topic |
Cerebral palsy Child development Developmental Coordination Disorder Motor skills Motor skills disorders Neurodevelopmental disorders Physiotherapy |
description |
Background: Gross motor skills are fundamental to childhood development. The effectiveness of current physical therapy options for children with mild to moderate gross motor disorders is unknown. The aim of this study was to systematically review the literature to investigate the effectiveness of conservative interventions to improve gross motor performance in children with a range of neurodevelopmental disorders. Methods: A systematic review with meta-analysis was conducted. MEDLINE, EMBASE, AMED, CINAHL, PsycINFO, PEDro, Cochrane Collaboration, Google Scholar databases and clinical trial registries were searched. Published randomised controlled trials including children 3 to ≤18 years with (i) Developmental Coordination Disorder (DCD) or Cerebral Palsy (CP) (Gross Motor Function Classification System Level 1) or Developmental Delay or Minimal Acquired Brain Injury or Prematurity (<30 weeks gestational age) or Fetal Alcohol Spectrum Disorders; and (ii) receiving non-pharmacological or non-surgical interventions from a health professional and (iii) gross motor outcomes obtained using a standardised assessment tool. Meta-analysis was performed to determine the pooled effect of intervention on gross motor function. Methodological quality and strength of meta-analysis recommendations were evaluated using PEDro and the GRADE approach respectively. Results: Of 2513 papers, 9 met inclusion criteria including children with CP (n = 2) or DCD (n = 7) receiving 11 different interventions. Only two of 9 trials showed an effect for treatment. Using the least conservative trial outcomes a large beneficial effect of intervention was shown (SMD:-0.8; 95% CI:-1.1 to -0.5) with very low quality GRADE ratings. Using the most conservative trial outcomes there is no treatment effect (SMD:-0.1; 95% CI:-0.3 to 0.2) with low quality GRADE ratings. Study limitations included the small number and poor quality of the available trials. Conclusion: Although we found that some interventions with a task-orientated framework can improve gross motor outcomes in children with DCD or CP, these findings are limited by the very low quality of the available evidence. High quality intervention trials are urgently needed. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-11-29 2018-12-11T17:08:02Z 2018-12-11T17:08:02Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/s12887-016-0731-6 BMC Pediatrics, v. 16, n. 1, 2016. 1471-2431 http://hdl.handle.net/11449/173851 10.1186/s12887-016-0731-6 2-s2.0-84999188110 2-s2.0-84999188110.pdf |
url |
http://dx.doi.org/10.1186/s12887-016-0731-6 http://hdl.handle.net/11449/173851 |
identifier_str_mv |
BMC Pediatrics, v. 16, n. 1, 2016. 1471-2431 10.1186/s12887-016-0731-6 2-s2.0-84999188110 2-s2.0-84999188110.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMC Pediatrics 1,278 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1797789888385384448 |