Ziviani Jenny, Feeney Rachel, Rodger Sylvia, Watter Pauline
Division of Occupational Therapy, The University of Queensland, Brisbane, Queensland, Australia.
Aust Occup Ther J. 2010 Aug;57(4):210-23. doi: 10.1111/j.1440-1630.2010.00850.x.
To systematically review the literature on the effectiveness of early intervention programmes for children with physical disabilities.
Twelve electronic databases were searched for articles published between 1990 and April 2008. The quality of articles was appraised using an adapted version of the Checklist for the Evaluation of Research Articles and the Physiotherapy Evidence Database (PEDro) scale.
Ten studies were included in the review. Cross-sectional and interrupted time-series studies were of moderate methodological quality, whereas the non-randomised control trial was of moderate-to-high methodological quality. Studies differed considerably with respect to participants, types of intervention and outcomes measured.
Positive outcomes for both children and families have resulted from early intervention. However, methodological limitations hamper a more rigorous analysis of findings across studies.
系统回顾关于针对身体残疾儿童的早期干预项目有效性的文献。
检索了12个电子数据库,以查找1990年至2008年4月期间发表的文章。使用《研究文章评估清单》的改编版和物理治疗证据数据库(PEDro)量表对文章质量进行评估。
该综述纳入了10项研究。横断面研究和中断时间序列研究的方法学质量中等,而非随机对照试验的方法学质量为中到高。各研究在参与者、干预类型和所测量的结果方面存在很大差异。
早期干预已为儿童及其家庭带来了积极成果。然而,方法学上的局限性妨碍了对各项研究结果进行更严格的分析。