Effectiveness of intensive training for children with cerebral palsy – a comparison between child and youth rehabilitation and conductive education
Pia Ödman A1 and Birgitta Öberg A1
A1 Department of Health and Society, Faculty of Health Sciences, Linköping University, Linköping, Sweden
Objectives: To compare the short-term effectiveness of 1 intensive training period in child and youth rehabilitation with Move&Walk conductive education and describe the effects of 1 intensive training period in terms of changes at 1 year. The amount and influence of additional consumption of training during the 1-year follow-up was also analysed.Design: Quasi-experimental with 2 groups: Lemo (n=23) and Move&Walk (n=29).Patients: A total of 52 children with cerebral palsy, age range 3–16 years.Methods: Data included repeated measures with Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory–Functional Skills (PEDI-FS). Data on additional consumption of training was collected at the 1-year follow-up.Results: There was no difference in proportion of change on the clinical measures between the training programmes, except for a higher proportion of improvement on the GMFM total score in Lemo. At the group level, small improvements were shown on GMFM and PEDI FS in the short-term and on PEDI FS only at 1 year. A higher proportion of children who participated in repeated intensive training periods showed improved social functioning.Conclusion: No major differences were shown between the 2 training programmes. One intensive training period facilitated small improvements in gross motor function. The majority of children had a high consumption of training during the 1-year follow-up and the added value of repeated intensive training periods was limited.