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Studying the Research-Practice Gap in Physical Therapies for Cerebral Palsy: Preliminary Outcomes Based on a Survey of Spanish Clinicians

Título : Studying the Research-Practice Gap in Physical Therapies for Cerebral Palsy: Preliminary Outcomes Based on a Survey of Spanish Clinicians
Autor : Sánchez López de Pablo, Cristina
Lerma-Lara, Sergio
García Carmona, Rodrigo
Urendes, Eloy
Laccourreye, Paula
Raya López, Rafael
Materias: cerebral palsyclinical practicemotor controloccupational therapyphysical therapiesphysiotherapypostural controlrehabilitationscientific evidencesurveytrunk control
Editorial : MPDI
Citación : Sanchez C, Lerma-Lara S, Garcia-Carmona R, Urendes E, Laccourreye P, Raya R. Studying the Research-Practice Gap in Physical Therapies for Cerebral Palsy: Preliminary Outcomes Based on a Survey of Spanish Clinicians. Int J Environ Res Public Health. 2022 Nov 5;19(21):14535. doi: 10.3390/ijerph192114535. PMID: 36361414; PMCID: PMC9657953.
Resumen : The purpose of this work is to study the gap between the research evidence and the clinical practice in the physical rehabilitation of people with cerebral palsy. A review process was performed to (1) identify physical therapies to improve postural control in children with cerebral palsy and (2) determine the scientific evidence supporting the effectiveness of those therapies. A Likert-based survey addressing a total of 43 healthcare professionals involved in pediatric physical therapy departments in Spain was carried out. The discussion was mainly supported by studies of level I or II evidence (according to the Oxford scale). The search process yielded 50 studies reporting 16 therapies. A strong positive correlation between the most used treatments and elevated levels of satisfaction was found. Some well-known but not often used techniques, such as hippotherapy, were identified. The treatment with the highest degree of use and satisfaction-neurodevelopment therapy (Bobath)-and some emerging techniques, such as virtual reality, were also identified. The fact that there is a meaningful gap between clinical practice and the scientific evidence was confirmed. The identified gap brings a certain degree of controversy. While some classic and well-known therapies had poor levels of supporting evidence, other relatively new approaches showed promising results.
URI : http://hdl.handle.net/10637/15039
Derechos: http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
OpenAccess
ISSN : 1660-4601
Fecha de publicación : 2022
Centro : Universidad San Pablo-CEU
Aparece en las colecciones: Escuela de Politécnica Superior





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