Table 1. Characteristics of the included studies.
Author, year, Country | Sample Size | Participants (Children with CP) Age in years Mean (SD) or median (IQR) Sex in % | Participants (Caregivers) Age in years Mean (SD) or median (IQR) | Intervention group | Control group | |
---|---|---|---|---|---|---|
Weindling
et al., 2007
33
United Kingdom |
N=88
Intervention 1: 31 Intervention 2: 28 Control: 29 |
Children with spastic CP < 4 years
FSWG: 21.2 ± 9.2 months, 59% male PAG: 19.3 ± 8.7 months, 57% males Control: 18.9 ± 8.7 months, 68% males |
Caregivers of children with CP
Maternal age: 30.9 ± 0.2 years Paternal age 34.4 ± 6.6 years |
Intervention 1: Family support worker group (FSWG):
Standard physiotherapy + Family support worker to discuss family needs and provide support |
Intervention 2: Physiotherapy assistant group (PAG): Extra Physiotherapy along with standard physiotherapy to increase dose of intervention | Standard Physiotherapy (mainly NDT) |
Mlinda
et al., 2018
26
Tanzania |
N= 118
Intervention: 69 Control: 49 |
Children < 5 years with moderate-to-severe CP
Intervention: 28.5 (12.3) months, 46.0% males Control: 28.9 (13.0) months, 48.9% males |
Caregivers of children with CP
Intervention: 30.3 ± 5.2 years Control: 31.5 ± 5.34 years |
Nutrition education and training on feeding and positioning skills | Usual Care | |
Whittingham
et al., 2014
32
Secondary study: Whittingham et al., 2016 39 Australia |
N= 67
Intervention 1: 22 Intervention 2: 23 Control: 22 |
Children with CP, 2– 12 years of age, GMFCS level I-V
SSTP: 5.45 ± 3.16 years, 59.1 % boys SSTP + ACT: 5.52 ± 3.17 years, 73.9 % boys Waitlist: 4.96 ± 2.95 years, 59.1% boys |
Parents of children with CP who self-identified the need for a parenting intervention
SSTP: 38.67 (5.55) years SSTP + ACT: 37.88 (9.39) years Waitlist: 39.65 (6.09) years |
Intervention 1: Stepping Stones Triple P (SSTP)
Parenting Interventions for targeting behavioural and emotional problems in childhood |
Intervention 2: Stepping Stones Triple P and Acceptance and Commitment Therapy (SSTP + ACT)
ACT: Cognitive behavioural therapy for improving psychological flexibility to handle behavioural problems |
Waitlist
After postintervention assessment, SSTP was offered. |
Whittingham
et al., 2022
29
Australia |
N= 67
Intervention: 37 Control: 30 |
Child with CP, between 2-10 years
Intervention: 5 years 8 months ± 2.36, 59% males Waitlist: 5 years 6 months ± 2.60, 87% males |
Parents of children with CP
Age not reported |
Immediate Parenting Acceptance and Commitment Therapy (PACT) intervention via an online course to improve psychological flexibility to parent this population | Waitlist control | |
Hielkema
et al., 2020
35
Secondary study: Hielkema et al., 2020 37 Netherlands |
N=43
Intervention: 23 Control: 20 |
Infants at very high-risk of CP before 9 months CA
Intervention: 1.4 (0.7–2.8) months, 65% males Control: 2.5 (1.8–4.7) months, 55% males |
Parents of infants at high risk of CP
Intervention: 29 (27–35) years Control: 31 (29–35) years |
Coping with and caring for infants with special needs (COPCA) intervention involving parent coaching and adaptive infant motor training | Typical infant physiotherapy (TIP)
NDT with a functional approach |
|
Saquetto
et al., 2018
28
Brazil |
N=60
Intervention: 29 Control: 31 |
Children with CP between 1–12 years of age.
Intervention: 4.66 ± 2.78 years, 41.4% boys Control: 4.52 ± 2.71, 71% boys |
Full-time caregiver of child with CP
Intervention: 33.38 ± 9.6 years Control: 34.42±10.92 years |
Educational programme for primary caregivers to create opportunities for their infants to practice motor control via everyday activities along with conventional rehabilitation | Conventional rehabilitation | |
Myrhaug
et al., 2018
31
Secondary study: Myrhaug et al., 2019 38 Norway |
N= 21
Intervention: 11 Control: 10 |
Children with CP between 3–6 years. All types and functional levels of CP who are eligible for CE courses
Intervention: 4 (3–4.5) years, 45% male Control: 4 (3–4) years, 70% males |
Parents of children with CP
Age not reported |
Conductive education (CE) followed by conventional practice | Waiting list: Conventional practice (Functional training) | |
Kahjoogh
et al., 2019
6
Iran |
N=30
Intervention: 15 Control: 15 |
Children with CP, aged 5–11 years with learning capacity
GMFCS level I-V Intervention: 6.64 ± 0.97, 46.7% boys Control: Age 7.56 ± 1.59, 66.7% boys |
Mothers between 25 and 50 years
Intervention: 34.69 ± 4.29 years Control: 38.22 ± 5.98 years |
Occupational Performance Coaching (OPC) providing emotional support, information and a structured problem solving process that helped achieve goals along with standard occupational therapy services | Standard occupational therapy services (mainly NDT) | |
Morgan
et al., 2016
34
Australia |
N=30
Intervention: 15 Control: 15 |
Infants aged between 3 and 6 months CA with a diagnosis of CP or at high-risk of CP
Intervention: 15.73 ± 4.76 weeks, 53% boys Control: 20.07 ± 5.08 weeks, 60% boys |
Mothers of children with CP
Intervention: 33.73 (4.73) years Control: 31.07 ± 7.11 years |
Goals, Activity and Motor Enrichment (GAME) intervention involving task practice using motor learning strategies delivered along with parent education and involvement. | Standard care | |
Law
et al., 2011
30
Canada |
N=91
Intervention: 67 Control: 79 |
Children between 12 months and 5 years 11 months of age, diagnosed with CP, and all GMFCS levels.
Intervention: 3.92 ± 1.42 years, 51% males Control: 3.53 ± 1.43 years, 70% males |
Parents of children with CP
Age not reported |
Context-Focused Approach that involved parents to change constraints in task or environment that hinder child’s performance | Child-Focused Approach: contemporary interventions such as ROM, weight-bearing, etc | |
Fonvig
et al., 2020
27
Secondary study: Rasmussen et al., 2019 36 Denmark |
N=60
Intervention: 30 Control: 30 |
Children with spastic CP, between 5-8 years, GMFCS level I-II
Median age: 6 years and 10 months Intervention: Median 6y 6m (2y 8m), 70% boys Control: Median 6y 11m (1y 10 m), 60% boys |
Parents of children with CP
Age not reported |
Individually tailored interdisciplinary intervention based on recommendations from clinical examination as well as an IGA report. Family involvement in planning treatment. | Standard care: Individually tailored interdisciplinary intervention based on clinical examinations without an IGA report. |
Note. ACT: Acceptance and Commitment Therapy; CA: Corrected age; CE: Conductive education; COPCA: Coping with and Caring for infants with special needs; CP: Cerebral Palsy; FSWG: Family support worker; GAME: Goals, Activity and Motor Enrichment; GMFCS: Gross Motor Function Classification System; IQR: Inter-quartile range; NDT: neurodevelopmental therapy; OPC: Occupational Performance Coaching; PACT: Parenting Acceptance and Commitment Therapy; PAG: physiotherapy assistant group; SSTP: Stepping Stones Triple P; TIP: Typical infant physiotherapy;