Siebes Renate C, Wijnroks Lex, Vermeer Adri
Utrecht University, Institute for the Study of Education and Human Development, The Netherlands.
Dev Med Child Neurol. 2002 Sep;44(9):593-603. doi: 10.1017/s0012162201002638.
This study presents a comprehensive evaluation of therapeutic motor interventions for children with or at risk for cerebral palsy (CP), examining 50 studies covering the period from 1990 to 2001. The purpose was to review noticeable changes in the scientific quality of the studies and to highlight trends and changes in the nature of the evaluated programmes. Our results were compared with those of Vermeer and Bakx (1990) who reviewed the period from 1980 to 1989. It was concluded that fundamental research with adequate methodology was applied more often in the study period than in the period reviewed by Vermeer and Bakx. However, these developments did not lead to a substantial improvement in the scientific foundation of the interventions under study. Single case studies, combined with efforts to develop measures specifically for children with CP and with high sensitivity, might make more valuable contributions to the scientific justification of therapeutic interventions.
本研究对脑瘫(CP)患儿或有患脑瘫风险的儿童的治疗性运动干预进行了全面评估,审查了1990年至2001年期间的50项研究。目的是审视这些研究在科学质量上的显著变化,并突出所评估项目在性质上的趋势和变化。我们将研究结果与Vermeer和Bakx(1990年)的研究结果进行了比较,后者审查的是1980年至1989年期间。得出的结论是,与Vermeer和Bakx所审查的时期相比,在本研究期间更经常应用方法适当的基础研究。然而,这些进展并未使所研究干预措施的科学基础得到实质性改善。单病例研究,再加上为脑瘫患儿专门开发具有高灵敏度的测量方法的努力,可能会对治疗性干预措施的科学论证做出更有价值的贡献。