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A randomised controlled trial of different intensities of physiotherapy and different goal-setting procedures in 44 children with cerebral palsy
Bower E, McLellan DL, Arney J, Campbell MJ
Developmental Medicine and Child Neurology 1996 Mar;38(3):226-237
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Forty-four children aged 3 to 11 years with quadriplegic cerebral palsy were prospectively stratified and randomised into four treatment groups. The acquisition of motor skills was assessed in a 2x2 factorial design using the Gross Motor Function Measure. The two factors were conventional amounts of physiotherapy versus intensive amounts of physiotherapy, and the use of broad, generalised aims versus the use of specific measurable goals directed at motor skill acquisition. 82% of the children improved. Over the two-week period, intensive physiotherapy produced a slightly greater effect than conventional physiotherapy but the factor more strongly associated with increased motor skill acquisition was the use of specific measurable goals.

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