Developmental medicine and child neurology
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Dev Med Child Neurol · Jul 2011
Randomized Controlled Trial Comparative StudyFocus on function: a cluster, randomized controlled trial comparing child- versus context-focused intervention for young children with cerebral palsy.
This study evaluated the efficacy of a child-focused versus context-focused intervention in improving performance of functional tasks and mobility in young children with cerebral palsy. ⋯ This study shows that child- or context-focused therapy approaches are equally effective and that frequency of intervention may be a critical component of successful intervention. Further evaluation is required to identify the various 'dose-response' relations of amount of treatment and changes in functional abilities.
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Rett syndrome is a neurodevelopmental disorder starting in early childhood with devastating consequences both on the brain and on systemic neurons. Scoliosis is a common complication in most of these patients. The aim of the study was to describe the prevalence of scoliosis, classify spinal deformity, and evaluate the association between disability and scoliosis in patients with Rett syndrome. ⋯ Function level in females with Rett syndrome measured according to the Barthel Index showed significant correlation to scoliosis curve type. A low score was associated with a C-shaped curve involving all of the spine and pelvis.