learn 2 move 2-3 a randomized controlled trial on the efficacy of child-focused intervention and context-focused intervention in preschool children with cerebral palsy学习2 2 - 3一个随机对照试验的疗效最为干预和context-focused干预在学龄前儿童脑瘫.pdfVIP

Ketelaar et al. BMC Pediatrics 2010, 10:80 /1471-2431/10/80 STUDY PROTOCOL Open Access LEARN 2 MOVE 2-3: a randomized controlled trial on the efficacy of child-focused intervention and context-focused intervention in preschool children with cerebral palsy Marjolijn Ketelaar1,2,7*, Anne JA Kruijsen1,2,7, Olaf Verschuren1,2,7, Marian J Jongmans3,4,7, Jan Willem Gorter5,7, 6 8,9 1,2 Johannes Verheijden , Heleen A Reinders-Messelink , Eline Lindeman Abstract Background: Little is known about the efficacy and the working mechanisms of physical and occupational therapy interventions for children with cerebral palsy (CP). In recent years a shift from a child-focused intervention approach to a more context-focused intervention approach can be recognized. Until now the evidence on the efficacy and the working mechanisms of these interventions for children with CP is inconclusive. This study aims to evaluate the efficacy and working mechanisms of two intervention approaches compared to regular care intervention in improving mobility and self-care skills of children (2-3 years) with CP and their families: a child- focused intervention approach and a context-focused intervention approach. Methods/Design: A multi-centre, randomized controlled trial research design will be used. Ninety-four children with CP (Gross Motor Function Classification System (GMFCS) level I-IV; age 2 to 3 years), their parents, and service providers (physical and occupational therapists) will be included. During a period of six months children will receive child-focused, context-focused or regular care intervention. Therapists will be randomly assigned to deliver either a child-focused intervention approach, a context-focused intervention approach or regul