Physiotherapy Interventions for School-aged Non-ambulatory Children With Cerebral Palsy Combined With Intellectual Disability – An Integrative Review
Date
Authors
Adams, Karen
Hill, Julia
Adlam, Marni
Blamires, Julie
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Physiotherapy New Zealand
Abstract
Physiotherapists in Aotearoa New Zealand, face challenges implementing evidence-based practice (EBP) for non-ambulatory children with cerebral palsy and intellectual disabilities (NACCPID) working within Hoffman’s model of EBP. Key challenges in the evidence component include limited NACCPID specific research. This project aims to review the literature on physiotherapy interventions for school-aged NACCPID to inform clinical practice and identify areas for future research within the Aotearoa New Zealand context. An integrative review was conducted, following Kutcher and LeBaron’s (2022) method. A systematic search, conducted in 2023, yielded 2,240 articles that were narrowed to 24 after applying inclusion criteria. Coding and thematic analysis were conducted in NVivo 12 following content analysis methods. Final codes were organised within the Te Whare Tapa Whā framework through collaborative review with a cultural advisor. This enabled a holistic view of health, addressing physical, mental, social, and spiritual wellbeing, incorporating Māori perspectives. Ten themes were generated relating to physiotherapy interventions for NACCPID: 1) individual needs; 2) self-esteem and positive emotions; 3) body systems; 4) optimising ability to move the body; 5) using the body to perform a task; 6) collaboration; 7) (in)dependence; 8) participation and inclusion; 9) resourcing; and, 10) accessible environments. Notably, power wheelchair training appears to have significant beneficial effects across all aspects of health, and it is important that the child and families’ individual needs, wants, likes, circumstances, and values are considered when choosing an intervention.Description
Keywords
1103 Clinical Sciences, 4201 Allied health and rehabilitation science, Cerebral Palsy, Children, Cognitive Impairment, Physiotherapy Modalities, Severe Disability
Source
New Zealand Journal of Physiotherapy, ISSN: 0303-7193 (Print); 2230-4886 (Online), Physiotherapy New Zealand, 54(1), 65-94. doi: 10.15619/nzjp.v54i1.460
Publisher's version
Rights statement
The New Zealand Journal of Physiotherapy is registered on Scopus, and since 2012, has offered Open Access publication of all content. Present and future journal articles are freely accessible as well as past journals that have been published from 2012 onwards. There are no author fees for publication.