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The effect of an intensive five day course of neurodevelopmental therapy on the occupational performance of children with cerebral palsy living in a poor rural area

A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree
of Master of Science in Occupational Therapy.
2012 / This study investigated the effects of a five-day “block” of intensive NDT on
the gross motor function and occupational performance of 34 children with CP
from an under resourced rural area of South Africa, functioning at GMFCS
Levels I-V. The repeated measures research design used two preintervention
(baseline of change) and two post-intervention (immediate and
sustained change) assessments. The GMFM–66 and PEDI–Modified
Functional Skills Scale (MFSS) were used to assess change in motor skills
and occupational performance in self-care, mobility and social function over a
21 week period. The intervention included individual NDT therapy, caregiver
training and provision of adapted equipment.
Participants showed significant positive improvement in scores postintervention
compared with the pre-intervention period, in: GMFM-66 total
score (p=0.050); PEDI-MFSS: self-care skills (p=0.001), mobility (p=0.002)
and social (p=0.000). The greatest gains were made in the self-care domain.
In this sample, positive change was effected by a five-day intensive NDT
programme.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/13674
Date January 2012
CreatorsBroughton, Shelley Ann
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Formatapplication/pdf

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