Parental Perceptions of Physical Therapy Use Among Children With Cerebral Palsy: A Meta-Synthesis.
Maggie Dumsile Dlamini, Ying-Ju Chang, Zama Mkhonta
PMID 40622265WHAT IT FOUND
Parents of children with cerebral palsy described physical therapy as valuable for movement, participation, and hope, but also burdensome when travel, coordination, fatigue, and unclear goals disrupted family life.
Key findings
01Parents described physical therapy as valuable for functional movement, participation, and hope.
02Parents said realistic partnerships and clear communication helped them continue home therapy, while inadequate information left them uncertain.
03Families reported physical therapy as burdensome because of travel, poor coordination, fatigue, and changed family roles.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The review synthesizes parental perceptions, not measured physical therapy outcomes, so it cannot show whether therapy works. It excluded occupational, recreational, and speech therapy findings, even though children with cerebral palsy often receive multiple therapies. Only English-language studies were included, so non-English parental perspectives were missed. The included studies came from a limited number of regions and cultures, so findings may not transfer to all settings. Several included studies did not report child cerebral palsy severity, participant age, or education, making it hard to know whose views were represented. Some included studies reported both physical and occupational therapy, but the synthesis used only physical therapy findings.
The easy way to misread this
Do not read parents' positive descriptions as evidence that physical therapy improves motor outcomes. This synthesis reports experiences and themes, not measured effects.