Physiotherapy management of minimal cerebral dysfunction in Australia: current practice and future challenges

The aim of this study was to identify strategies currently used by Australian physiotherapists involved in the management of children with minimal cerebral dysfunction (MCD) as a first step in exploring the role of physiotherapy in this area. A questionnaire was developed containing both closed and open ended questions regarding physiotherapy assessment and intervention in the management of MCD. A total of 464 subjects were reached through Australian Physiotherapy Association resources, of which 76 per cent responded. Of these respondents, 31 per cent (n=105) were involved in the management of children with MCD. Analysis of survey responses revealed a highly eclectic and inconsistent approach toward the assessment and treatment of children with MCD by Australian physiotherapists. These findings present a strong challenge to current physiotherapy practice in this client group. The present diversity of practice suggests an urgent need to establish more consistent assessment procedures and methods of outcome measurement.