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SUBJECTS AND METHODS .

RESULTS. PURPOSE. BACKGROUND. SUBJECTS AND METHODS . Effectiveness of Neurodevelopmental Treatment on GMFM scores in Children with CP Tanja Argirovska-Hebert, Rhiannon Bailey, Kelly Coughlan and Alissa Engel. Purpose. Methods of Review. Search Strategy

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SUBJECTS AND METHODS .

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  1. RESULTS PURPOSE BACKGROUND SUBJECTS AND METHODS .

  2. Effectiveness of Neurodevelopmental Treatment on GMFM scores in Children with CP Tanja Argirovska-Hebert, Rhiannon Bailey, Kelly Coughlan and Alissa Engel Purpose Methods of Review • Search Strategy • Four Databases: CINAHL, Medline, Open Door, Pedro • Total number of titles/abstracts identified • Selection Process • Articles reviewed by 4 investigators, rejected if did not meet criteria • 10 full text articles obtained and examined • 5 articles met criteria and critically reviewed • Data Extraction and Validity Assessment • Standardized data extraction form; second reviewer examined for agreement • Standardized validity form • 4 reviewer split in teams of 2. Articles were divided equally between the groups of 2. Each investigator reviewed each article assigned to their groups. Differences were resolved via consensus. • Level of Evidence and Recommendation Grade • Scotland National Health Service Criteria used The purpose of this systematic review is to determine the strength of the evidence of Neuro-Developmental Treatment (NDT) on improvement of motor function in children with cerebral palsy (CP). Outcome measure is the Gross Motor Function Measure (GMFM). Background Summary of Results Conclusion • CP affects 1.5-2 children in every 1,000 live births in the United States. • Bobath approach developed in the 1940s for the treatment of children with CP. This methodology has become the foundation of the NDT approach. • Updated systematic review required to elucidate strength of evidence on NDT for children with CP • Grade of Recommendation: • Application to Practice • Application to Future Research • Increased use of RCTs with double blinding and NDT application • Increased use of NDT with children 4 years and above • Results by Outcome Measures • # with statistically + clinically sign • # with statistical (?) • # with neither • Methodological Quality of Studies • Participants ages 4 mos to 18 years • Cerebral Palsy type • Outcomes: GMFM • Types of studies: RCTs, case studies, grade, low/mod/high EBM Question Does NDT sufficiently improve scores on the Gross Motor Function Measure for children with Cerebral Palsy? Statistically significant Clinically significant Clinically and Statistically Significant Neither Clinically or Statistically Significant

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