Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsy

Background: Occupational therapy outcomes for motor improvement aredifferent among the children with cerebral palsy to determine the effectivefactors related to gross motor achievement in the children with Cerebral palsy(CP), the present project was designed.Methods: In a quasi-experimental study, 5...

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Main Authors: saeedeh Pourahmad, mohadeseh balvardi, Somayeh Kavousipor
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2021-09-01
Series:Journal of Rehabilitation Sciences and Research
Subjects:
Online Access:https://jrsr.sums.ac.ir/article_47720_c58849fa35440f41f3fe3fbe3d7e3476.pdf
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author saeedeh Pourahmad
mohadeseh balvardi
Somayeh Kavousipor
author_facet saeedeh Pourahmad
mohadeseh balvardi
Somayeh Kavousipor
author_sort saeedeh Pourahmad
collection DOAJ
description Background: Occupational therapy outcomes for motor improvement aredifferent among the children with cerebral palsy to determine the effectivefactors related to gross motor achievement in the children with Cerebral palsy(CP), the present project was designed.Methods: In a quasi-experimental study, 59 CP patients with Gross MotorFunction Classification System (GMFCS) 1-4 were evaluated by Gross MotorFunction Measure (GMFM). They were referred to four centers in Shiraz, Iran,in 2015. Results of therapy were monitoring five times during six months foreach participant, according to achievement to stages of GMFM, and marginalmodeling method was utilized.Results: The results revealed the significance of some factors including, age atstarting occupational therapy services, number of sessions per week, type ofspastic, level four of socio economic status (SES), grade two of GMFCS, and timeeffect on the outcome (upgrade to a higher level on each occasion) (p <0.05).Conclusion: Based on the odds ratio (OR) values, the number of occupationaltherapy sessions per week had the most positive effect on gross motor functionupgrade for at least two half times. Age at starting occupational therapy servicewas the second important factor in the outcome. However, spending more timefor therapy and early starting relates to family characteristics and also financialsupport.
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spelling doaj.art-3cf3a05ebbe042daba59dbe2e30a9e9d2022-12-22T02:21:10ZengShiraz University of Medical SciencesJournal of Rehabilitation Sciences and Research2345-61672345-61592021-09-018313914310.30476/jrsr.2021.90084.113947720Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsysaeedeh Pourahmad0mohadeseh balvardi1Somayeh Kavousipor2Biostatistics Department, Shiraz University of Medical Sciences, Shiraz, Iran.Biostatistics Department, Shiraz University of Medical Sciences, Shiraz, Iran/ Instructor of Biostatistics, Sirjan School of Medical Sciences. Sirjan, IranDepartment of Occupational Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranBackground: Occupational therapy outcomes for motor improvement aredifferent among the children with cerebral palsy to determine the effectivefactors related to gross motor achievement in the children with Cerebral palsy(CP), the present project was designed.Methods: In a quasi-experimental study, 59 CP patients with Gross MotorFunction Classification System (GMFCS) 1-4 were evaluated by Gross MotorFunction Measure (GMFM). They were referred to four centers in Shiraz, Iran,in 2015. Results of therapy were monitoring five times during six months foreach participant, according to achievement to stages of GMFM, and marginalmodeling method was utilized.Results: The results revealed the significance of some factors including, age atstarting occupational therapy services, number of sessions per week, type ofspastic, level four of socio economic status (SES), grade two of GMFCS, and timeeffect on the outcome (upgrade to a higher level on each occasion) (p <0.05).Conclusion: Based on the odds ratio (OR) values, the number of occupationaltherapy sessions per week had the most positive effect on gross motor functionupgrade for at least two half times. Age at starting occupational therapy servicewas the second important factor in the outcome. However, spending more timefor therapy and early starting relates to family characteristics and also financialsupport.https://jrsr.sums.ac.ir/article_47720_c58849fa35440f41f3fe3fbe3d7e3476.pdfcerebral palsygross motor functionlongitudinal studiesprognosis
spellingShingle saeedeh Pourahmad
mohadeseh balvardi
Somayeh Kavousipor
Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsy
Journal of Rehabilitation Sciences and Research
cerebral palsy
gross motor function
longitudinal studies
prognosis
title Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsy
title_full Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsy
title_fullStr Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsy
title_full_unstemmed Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsy
title_short Use of Evidence to Reduce the Load of Therapy: Occupational Therapy for Cerebral Palsy
title_sort use of evidence to reduce the load of therapy occupational therapy for cerebral palsy
topic cerebral palsy
gross motor function
longitudinal studies
prognosis
url https://jrsr.sums.ac.ir/article_47720_c58849fa35440f41f3fe3fbe3d7e3476.pdf
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AT mohadesehbalvardi useofevidencetoreducetheloadoftherapyoccupationaltherapyforcerebralpalsy
AT somayehkavousipor useofevidencetoreducetheloadoftherapyoccupationaltherapyforcerebralpalsy