Law, M.C., Darrah, J., Pollock, N., Wilson, B., Russell, D.J., Walter, S.D., Rosenbaum, P. & Galuppi, B. (2011) Focus on function: a cluster, randomised controlled trial comparing child-versus context focused intervention for young children with cerebral palsy. Dev Med Child Neurol. 53 (7); 621-629
This article presented by the well known Can Child team, explores the concept of child-focused and context-focused interventions in the management of children with Cerebral Palsy. These interventions are defined and discussed using the ICF. The relevant aims and goals these interventions target are compared and contrasted. The evidence-base for each type of intervention is then compared to determine efficacy of each approach in meeting different therapy goals. There is also some mention of appropriate outcome measures which can be used to measure improvement in clinical practice. The conclusion drawn highlights the importance of using the correct type of intervention for the aims and goals being targeted.
This article is well written and easy to read and presents a good balance of clinical and theoretical information and evidence review. It is sure to give you some great insights to improve your clinical practice.