da Silva Nathália Nídia, Cavalcante Wivianne Abreu, Tertuliano Albert Lucas Olinto, de Sousa Alana Amicilene Azevedo, de Oliveira Debora Chayeny Alves, Santos Ariane Brito Diniz, Feitoza Anderson Henry Pereira, Dantas Lorena Moraes, Safons Marisete Peralta, Cattuzzo Maria Teresa
Higher School of Physical Education, University of Pernambuco, Recife, Pernambuco, Brazil.
Recife City Hall, Recife, Pernambuco, Brazil.
Child Care Health Dev. 2025 Sep;51(5):e70149. doi: 10.1111/cch.70149.
To investigate Conductive Education (CE) interventions in children with cerebral palsy (CP), examining how practice time, assessment methods, and CP characteristics influence treatment outcomes.
A systematic review (PROSPERO-CRD42024578760) searched seven databases using 'Conductive Education'.
interventional studies in young people with CP receiving CE treatment. The PRISMA strategy guided study selection, aided by Rayyan software. Study quality was assessed using ROBINS-I.
Eighteen studies were included. Seven studies showed low risk of bias; considering low and moderate risk studies, 67% demonstrated positive CE effects. Practice duration appeared crucial: Studies reporting positive outcomes averaged 25.2 h/week compared to 17.7 h/week in studies showing no effect. The Gross Motor Function Measure was the most used assessment tool, followed by the Paediatric Evaluation of Disability Inventory. CE showed better outcomes in spastic CP, particularly in cases with diplegic presentation, compared to athetoid or ataxic types.
CE demonstrates promise for improving motor performance in children with CP, particularly with adequate practice time (≈25 h/week). Treatment success appears influenced by CP type and assessment methods. Future research should prioritize standardized protocols and consistent outcome measures to strengthen evidence quality.
研究针对脑瘫（CP）患儿的引导式教育（CE）干预措施，探讨练习时间、评估方法和CP特征如何影响治疗效果。
一项系统评价（PROSPERO-CRD42024578760）使用“引导式教育”检索了七个数据库。
对接受CE治疗的CP患儿进行的干预性研究。采用PRISMA策略并借助Rayyan软件指导研究选择。使用ROBINS-I评估研究质量。
纳入18项研究。7项研究显示偏倚风险较低；综合考虑低风险和中度风险研究，67%的研究表明CE有积极效果。练习时长似乎至关重要：报告有积极结果的研究平均每周练习25.2小时，而无效果的研究平均每周练习17.7小时。粗大运动功能测量是最常用的评估工具，其次是儿童残疾评定量表。与徐动型或共济失调型相比，CE在痉挛型CP患儿中显示出更好的效果，尤其是双瘫表现的患儿。
CE有望改善CP患儿的运动表现，尤其是在有足够练习时间（约每周25小时）的情况下。治疗成功似乎受CP类型和评估方法的影响。未来研究应优先采用标准化方案和一致的结果测量方法，以提高证据质量。
