{"id":2764,"date":"2022-10-01T18:52:50","date_gmt":"2022-10-01T18:52:50","guid":{"rendered":"https:\/\/neuropediatoolbox.org\/?p=2764"},"modified":"2022-10-01T18:52:51","modified_gmt":"2022-10-01T18:52:51","slug":"pci-tratamientos-con-evidencia-cientifica","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/pci-tratamientos-con-evidencia-cientifica\/","title":{"rendered":"PCI: Treatments with scientific evidence."},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"868\" height=\"684\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2022\/10\/image-14.png\" alt=\"\" class=\"wp-image-2765\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-14.png 868w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-14-300x236.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-14-768x605.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-14-15x12.png 15w\" sizes=\"(max-width: 868px) 100vw, 868px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"902\" height=\"676\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2022\/10\/image-15.png\" alt=\"\" class=\"wp-image-2766\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-15.png 902w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-15-300x225.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-15-768x576.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-15-16x12.png 16w\" sizes=\"(max-width: 902px) 100vw, 902px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"895\" height=\"665\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2022\/10\/image-16.png\" alt=\"\" class=\"wp-image-2767\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-16.png 895w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-16-300x223.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-16-768x571.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/10\/image-16-16x12.png 16w\" sizes=\"(max-width: 895px) 100vw, 895px\" \/><\/figure>\n\n\n<div id=\"zotpress-98b8928b37e7c663b4224992caef71d8\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">332710<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{332710:PQSG6LCD}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">2764<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22PQSG6LCD%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Novak%20et%20al.%22%2C%22parsedDate%22%3A%222013-10-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BNovak%20I%2C%20Mcintyre%20S%2C%20Morgan%20C%2C%20Campbell%20L%2C%20Dark%20L%2C%20Morton%20N%2C%20et%20al.%20A%20systematic%20review%20of%20interventions%20for%20children%20with%20cerebral%20palsy%3A%20state%20of%20the%20evidence.%20Dev%20Med%20Child%20Neurol%20%5BInternet%5D.%202013%20Oct%201%20%5Bcited%202017%20Nov%2026%5D%3B55%2810%29%3A885%26%23x2013%3B910.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fonlinelibrary.wiley.com%5C%2Fdoi%5C%2F10.1111%5C%2Fdmcn.12246%5C%2Fabstract%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fonlinelibrary.wiley.com%5C%2Fdoi%5C%2F10.1111%5C%2Fdmcn.12246%5C%2Fabstract%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20systematic%20review%20of%20interventions%20for%20children%20with%20cerebral%20palsy%3A%20state%20of%20the%20evidence%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Iona%22%2C%22lastName%22%3A%22Novak%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%22%2C%22lastName%22%3A%22Mcintyre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Catherine%22%2C%22lastName%22%3A%22Morgan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lanie%22%2C%22lastName%22%3A%22Campbell%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leigha%22%2C%22lastName%22%3A%22Dark%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Natalie%22%2C%22lastName%22%3A%22Morton%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Elise%22%2C%22lastName%22%3A%22Stumbles%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Salli-Ann%22%2C%22lastName%22%3A%22Wilson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shona%22%2C%22lastName%22%3A%22Goldsmith%22%7D%5D%2C%22abstractNote%22%3A%22Aim%5Cn%5CnThe%20aim%20of%20this%20study%20was%20to%20describe%20systematically%20the%20best%20available%20intervention%20evidence%20for%20children%20with%20cerebral%20palsy%20%28CP%29.%5Cn%5Cn%5CnMethod%5Cn%5CnThis%20study%20was%20a%20systematic%20review%20of%20systematic%20reviews.%20The%20following%20databases%20were%20searched%3A%20CINAHL%2C%20Cochrane%20Library%2C%20DARE%2C%20EMBASE%2C%20Google%20Scholar%20MEDLINE%2C%20OTSeeker%2C%20PEDro%2C%20PsycBITE%2C%20PsycINFO%2C%20and%20speechBITE.%20Two%20independent%20reviewers%20determined%20whether%20studies%20met%20the%20inclusion%20criteria.%20These%20were%20that%20%281%29%20the%20study%20was%20a%20systematic%20review%20or%20the%20next%20best%20available%3B%20%282%29%20it%20was%20a%20medical%5C%2Fallied%20health%20intervention%3B%20and%20%283%29%20that%20more%20than%2025%25%20of%20participants%20were%20children%20with%20CP.%20Interventions%20were%20coded%20using%20the%20Oxford%20Levels%20of%20Evidence%3B%20GRADE%3B%20Evidence%20Alert%20Traffic%20Light%3B%20and%20the%20International%20Classification%20of%20Function%2C%20Disability%20and%20Health.%5Cn%5Cn%5CnResults%5Cn%5CnOverall%2C%20166%20articles%20met%20the%20inclusion%20criteria%20%2874%25%20systematic%20reviews%29%20across%2064%20discrete%20interventions%20seeking%20131%20outcomes.%20Of%20the%20outcomes%20assessed%2C%2016%25%20%2821%20out%20of%20131%29%20were%20graded%20%5Cu2018do%20it%5Cu2019%20%28green%20go%29%3B%2058%25%20%2876%20out%20of%20131%29%20%5Cu2018probably%20do%20it%5Cu2019%20%28yellow%20measure%29%3B%2020%25%20%2826%20out%20of%20131%29%20%5Cu2018probably%20do%20not%20do%20it%5Cu2019%20%28yellow%20measure%29%3B%20and%206%25%20%288%20out%20of%20131%29%20%5Cu2018do%20not%20do%20it%5Cu2019%20%28red%20stop%29.%20Green%20interventions%20included%20anticonvulsants%2C%20bimanual%20training%2C%20botulinum%20toxin%2C%20bisphosphonates%2C%20casting%2C%20constraint-induced%20movement%20therapy%2C%20context-focused%20therapy%2C%20diazepam%2C%20fitness%20training%2C%20goal-directed%20training%2C%20hip%20surveillance%2C%20home%20programmes%2C%20occupational%20therapy%20after%20botulinum%20toxin%2C%20pressure%20care%2C%20and%20selective%20dorsal%20rhizotomy.%20Most%20%2870%25%29%20evidence%20for%20intervention%20was%20lower%20level%20%28yellow%29%20while%206%25%20was%20ineffective%20%28red%29.%5Cn%5Cn%5CnInterpretation%5Cn%5CnEvidence%20supports%2015%20green%20light%20interventions.%20All%20yellow%20light%20interventions%20should%20be%20accompanied%20by%20a%20sensitive%20outcome%20measure%20to%20monitor%20progress%20and%20red%20light%20interventions%20should%20be%20discontinued%20since%20alternatives%20exist.%22%2C%22date%22%3A%22October%201%2C%202013%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1111%5C%2Fdmcn.12246%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fonlinelibrary.wiley.com%5C%2Fdoi%5C%2F10.1111%5C%2Fdmcn.12246%5C%2Fabstract%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221469-8749%22%2C%22language%22%3A%22en%22%2C%22collections%22%3A%5B%22DR7XPVGS%22%5D%2C%22dateModified%22%3A%222025-11-10T00%3A05%3A23Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-2764-332710-PQSG6LCD\" data-zp-author-date='Novak-et-al.-2013-10-01' data-zp-date-author='2013-10-01-Novak-et-al.' data-zp-date='2013-10-01' data-zp-year='2013' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Novak I, Mcintyre S, Morgan C, Campbell L, Dark L, Morton N, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol [Internet]. 2013 Oct 1 [cited 2017 Nov 26];55(10):885\u2013910. Available from: <a class='zp-ItemURL' href='http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dmcn.12246\/abstract'>http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dmcn.12246\/abstract<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2765,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-2764","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurorrehabilitacion","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/2764","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=2764"}],"version-history":[{"count":0,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/2764\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/2765"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=2764"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=2764"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=2764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}