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Efficacy of the comprehensive intervention model for children <6 years of age with spastic cerebral palsy

  • Authors:
    • Khanh Chi Hoang
    • Van Minh Pham
  • View Affiliations / Copyright

    Affiliations: Department of Pediatrics, Hanoi Rehabilitation Hospital, Hanoi 100000, Vietnam
    Copyright: © Hoang et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 48
    |
    Published online on: March 19, 2025
       https://doi.org/10.3892/wasj.2025.336
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Abstract

It is estimated that 30-40% of the disabilities in children are attributed to cerebral palsy, resulting in a marked psychological and economic burden for families and society. Early interventions and a comprehensive intervention model are recommended for young children with cerebral palsy; however, the effectiveness of this model in children with spastic cerebral palsy has yet to be studied. Therefore, the present study conducted an uncontrolled prospective study on 50 children aged <6 years with spastic cerebral palsy. A comprehensive, goal-oriented and family-centered rehabilitation model was developed, and participants received the intervention for 6 months from January, 2019 to December, 2022. Following the intervention period, 616/771 Goal Attainment Scaling goals in physical therapy, occupational therapy and speech therapy were achieved. The children exhibited a significant improvement in gross motor functions, mobility, self-care and social skills after 6 months (P<0.05). The Gross Motor Function Classification System level and the type of paralysis were found to be associated with an improvement in the Gross Motor Function Measure (GMFM) 66 score (P<0.05). There was positive correlation between the improvement of the Pediatric Evaluation of Disability Inventory (PEDI) mobility functional skills score and the GMFM 66 score (r=0.75; P<0.001), and the PEDI mobility functional skills score and the PEDI self-care functional skills score (r=0.55; P<0.001). On the whole, the present comprehensive, goal-directed and family-centered rehabilitation model effectively improved gross, mobility, self-care and social skills and perhaps it could be expanded to rehabilitation centers.
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Copy and paste a formatted citation
Spandidos Publications style
Hoang K and Pham V: Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy. World Acad Sci J 7: 48, 2025.
APA
Hoang, K., & Pham, V. (2025). Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy. World Academy of Sciences Journal, 7, 48. https://doi.org/10.3892/wasj.2025.336
MLA
Hoang, K., Pham, V."Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy". World Academy of Sciences Journal 7.3 (2025): 48.
Chicago
Hoang, K., Pham, V."Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy". World Academy of Sciences Journal 7, no. 3 (2025): 48. https://doi.org/10.3892/wasj.2025.336
Copy and paste a formatted citation
x
Spandidos Publications style
Hoang K and Pham V: Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy. World Acad Sci J 7: 48, 2025.
APA
Hoang, K., & Pham, V. (2025). Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy. World Academy of Sciences Journal, 7, 48. https://doi.org/10.3892/wasj.2025.336
MLA
Hoang, K., Pham, V."Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy". World Academy of Sciences Journal 7.3 (2025): 48.
Chicago
Hoang, K., Pham, V."Efficacy of the comprehensive intervention model for children &lt;6 years of age with spastic cerebral palsy". World Academy of Sciences Journal 7, no. 3 (2025): 48. https://doi.org/10.3892/wasj.2025.336
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