Efficacy of Tele-Rehabilitation for the Management of Physical Impairments of the Children with Cerebral Palsy in the Inclusive Educational Settings:A Protocol for a Systematic Review

Introduction: Cerebral palsy (CP) elucidates a group of permanent disorders of movement and posture disorders caused by non-progressive damage to developing brain with a prevalence rate of about 2-2.5 per 1000 live births in the world. Despite the effectiveness of tele-rehabilitation in various physical ailments, there is a paucity of the literature of tele-rehabilitation for CP in inclusive educational settings. Therefore, the aim of the present review is to identify the efficacy of tele-rehabilitation in limiting down and managing these physical impairments of CP children in educational settings. Method and Analysis: This protocol for a systematic review is based on principles of the preferred reporting items for systematic reviews & meta-analysis protocols (PRISMA-P). Published literature in the English language on the efficacy of tele-rehabilitation in improving physical impairment among CP children between ages 3-18 years will be included in the review. The electronic databases such as PubMed, Scopus, Pedro, EMBASE, and MEDLINE (Ovid) will be used for literature search between 2000 to 2018 years. The Rev Man 5.3 software will be used to extract the data. Down and Black critical appraisal checklist will be employed to evaluate the risk of bias. The guidelines for grading of Recommendations, Assessment, Development, and Evaluation (GRADE) will be used to assess the quality of research evidence. Ethics & dissemination: This review does not inculpate the collection of primary data, so no ethical approval is required for the study. Findings of the review will be disseminated through peer-reviewed publication and conference presentation. Criteria for the review were set a priori and the present protocol got registration from PROSPERO (International Prospective Register of Ongoing Systematic Review) with ID: 42019130555.