E. Bower et al., A RANDOMIZED CONTROLLED TRIAL OF DIFFERENT INTENSITIES OF PHYSIOTHERAPY AND DIFFERENT GOAL-SETTING PROCEDURES IN 44 CHILDREN WITH CEREBRAL-PALSY, Developmental Medicine and Child Neurology, 38(3), 1996, pp. 226-237
Forty-four children aged 3 to 11 pears with quadriplegic cerebral pals
y were prospectively stratified and randomised into four treatment gro
ups. The acquisition of motor skills was assessed in a 2 x 2 factorial
design using the Gross Motor Function Measure, The two factors were c
onventional amounts of physiotherapy vs intensive amounts of physiothe
rapy, and the use of broad, generalised aims vs the use of specific me
asurable goals directed at motor skill acquisition. 82% of the childre
n improved. Over the two-week period, intensive physiotherapy produced
a slightly greater effect than conventional physiotherapy but the fac
tor more strongly associated with increased motor skill acquisition wa
s the use of specific measurable goals.