Leite Hércules Ribeiro, de Sousa Junior Ricardo Rodrigues, Souto Deisiane Oliveira, Medeiros E Silva Jaíza Marques, de Lima Arthur Felipe Barroso, de Miranda Drumond Carolyne, Policiano Eliane Beatriz Cunha, Marques Ariane Cristina, de Carvalho Chagas Paula Silva, Longo Egmar
Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Graduate Program in Decision Models and Health, Universidade Federal da Paraíba, Paraíba, Brazil.
Dev Med Child Neurol. 2025 Feb;67(2):150-164. doi: 10.1111/dmcn.16074. Epub 2024 Aug 26.
To map the ingredients of non-invasive interventions provided to young ambulant children with cerebral palsy.
Articles were screened and each study's characteristics extracted. The intervention ingredients were described in terms of the Rehabilitation Treatment Specification System and linked to the 'F-words'. Results were interpreted and validated by a patient and public involvement group.
Sixty-one papers were included, of which 55.5% were classified as randomized controlled trial design studies. The selected studies included a total of 2187 children (mean age range 3 months to 5 years 11 months), most from high-income countries. The included studies investigated a total of 27 interventions, which together presented ingredients representing all F-words, in the following order of frequency: 'fitness' (e.g. strength and endurance training), 'functioning' (e.g. active and repetitive practice of a task), 'family' (e.g. context-focused therapy), 'fun' (e.g. inclusion of child-friendly activities), 'friends' (e.g. group activities), and 'future' (e.g. didactic information sharing). Thus, ingredients related to the F-word 'future' were the most infrequently reported.
Therapists and families need to be aware of the most appropriate match between the F-word goals, ingredients, and targets. Finally, 'fun', 'friends', and 'future' should be addressed as potential outcomes in future studies.
梳理为能独立行走的脑瘫幼儿提供的非侵入性干预措施的构成要素。
对文章进行筛选并提取每项研究的特征。干预措施的构成要素按照康复治疗规范体系进行描述，并与“F 类词”相关联。研究结果由患者及公众参与小组进行解读和验证。
共纳入61篇论文，其中55.5%被归类为随机对照试验设计研究。所选研究共涉及2187名儿童（平均年龄范围为3个月至5岁11个月），大多数来自高收入国家。纳入研究共调查了27种干预措施，这些措施共同呈现出代表所有F类词的构成要素，出现频率依次为：“健康”（如力量和耐力训练）、“功能”（如对某项任务进行积极且重复的练习）、“家庭”（如以环境为重点的治疗）、“乐趣”（如纳入适合儿童的活动）、“朋友”（如团体活动）以及“未来”（如传授信息）。因此，与F类词“未来”相关的构成要素报道最少。
治疗师和家长需要意识到F类词目标、构成要素和对象之间最合适的匹配关系。最后，“乐趣”“朋友”和“未来”应作为未来研究的潜在成果加以探讨。
