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Recent advances in physical and occupational therapy for children with cerebral palsy
Robert J Palisano1, Laurie M Snider, Margo N Orlin
1Programs in Rehabilitation Sciences, Drexel University, Philadelphia, PA 19102-1192, USA.
Insights
Physical and occupational therapy for children with cerebral palsy (CP) advances through family-centered care. This article offers a contemporary view on therapy, covering early identification, prognosis, and fitness for improved child and family outcomes.
Area of Science:
- Pediatric Rehabilitation
- Neurology
- Developmental Pediatrics
Background:
- Family-centered care and community participation are increasingly emphasized in pediatric healthcare.
- Advances in understanding cerebral palsy (CP) have led to evolving therapeutic approaches.
- Physical and occupational therapy play crucial roles in managing CP in children.
Purpose of the Study:
- To provide a contemporary perspective on physical and occupational therapy for children with cerebral palsy (CP).
- To discuss key topics including conceptual frameworks, early identification, and prognosis for gross motor function.
- To explore the implications of motor control and muscle performance impairments, and address physical fitness and secondary prevention strategies.
Main Methods:
- Review of recent research and conceptual frameworks.
- Synthesis of current knowledge on physical and occupational therapy for children with CP.
- Inclusion of case scenarios and practical examples to illustrate application of research findings.
Main Results:
- Current therapeutic approaches integrate family-centered care and community participation.
- Key areas for intervention include early identification, prognosis of gross motor function, and motor control.
- Focus on physical fitness and secondary prevention is essential for long-term well-being.
Conclusions:
- Effective physical and occupational therapy for children with CP requires a holistic, family-centered approach.
- Integrating research into clinical decision-making, considering individual child and family contexts, is vital.
- Continued focus on early intervention, functional outcomes, and preventative health measures can optimize development and quality of life.
Abstract:
Recent research and conceptual frameworks that emphasize family centered care and participation in family, school, and community life have contributed to advances in provision of health care by physical therapists and occupational therapists to children with cerebral palsy (CP) and their families. This article provides a contemporary perspective on physical and occupational therapy for children with CP. Topics include conceptual frameworks, early identification, prognosis for gross motor function, implications of impairment in motor control and muscle performance, and physical fitness and secondary prevention. Case scenarios and examples illustrate how current knowledge and research is applied to decision making within the context of the individual child and family.

