Friday, 4 September 2015

MORE RESEARCH LIKE THIS IS NEEDED?

Recent PhD in Norway, on 'intensive training'

From its Conclusion –
No added effects of CE were added in the CE group followed by conventional training, compared with the waiting list group, which received conventional training...
The thesis supports further research, including... Controlled trials investigating the effects of CE. Large studies are required...
(pages 52-53)

This is one of those PhDs that binds together previously completed reports with a summative introduction (that at least is how I understand this process to work). All four contributing studies have been published in English, as is the PhD itself.

I am not at all sure what all this hard work over several years adds up to as far as Conductive Education is concerned. If and when this study appears on line, as is increasingly common with PhDs nowadays) then you can look through it and make up your own mind.

Meanwhile, though nowadays there remains little academic interest in CE evaluation according to the model adopted here, presumably the outcomes of this series of studies from Norway will feed into the general view that Conductive Education has yet to demonstrate benefit 'scientifically', sometimes with the ;possibly illogical corollary drawn that it therefore has no relative benefits to demonstrate.


Cri de coeur

Time for a fresh research paradigm. I do as ever find it odd that A. R. Luriya and Oliver Sacks are celebrated as such towering figures in rehabilitation research, yet the potential of their methodological approach remains so steadfastly ignored, not least with respect to Conductive Education.

References

Myrhaug, H. T. (2015) Characteristics and effects of intensive training in young children with cerebral palsy and parents' experience of family-centred services investigated in a survey, a systematic review and a randomised control trial, Oslo, University of Oslo, Faculty of Medicine, (submitted PhD thesis)

Contributing studies:

Myrhaug, H. T., Østensjø, S. (2014) Motor training and physical activity among preschoolers with cerebral palsy: a survey of parents' expectations, Physical and Occupational Therapy in Pediatrics, vol. 32, pp. 153-167 http://www.tandfonline.com/doi/abs/10.3109/01942638.2013.810185#.VelX-hHBzGc (paywall beyond abstract)

Myrhaug, H. T., Jahnsen, R., Østensjø, S. (2014) Family-centred practices in the provision of interventions and services in primary health care: a survey of parents of preschool children with cerebral palsy, Journal of Child Health Care http://www.ncbi.nlm.nih.gov/pubmed/25336236 (paywall beyond abstract)

Myrhaug, H. T., Østensjø, S., Larun, L., Odgaard-Jensen, J., Jahnsen, R. ( 2014) Intensive training of motor function and functional skills among young children with cerebral palsy: a systematic review and meta-analysis, BMC Pediatrics, vol. 14, pp. 292ff. http://www.biomedcentral.com/1471-2431/14/292 (free open access)

Myrhaug, H. T., Odgaard-Jensen, J., Østensjø, S., Vollestad, N. K., Jahnsen, R. (n.d.) The short-term effects of a Conductive Education in young children with cerebral palsy: a pragmatic stepped-wedge randomised trial (previously unpublished)

Sutton, A. (2012) What's 'intensive training' when it's at home? Conductive World, 6 November

Sutton, A. (2015) A philosophy of science and CE: a German tradition of Romantic Science, Conductive World, 29 July

Sutton, A. (2015) Oliver Sacks (1933-2015): neurologist and motorcyclist, Conductive World, 3 September



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