Sonja Mensch

149 Furthermore, the necessity to accept and include‘hands-on’support in Movakic’s structure is discussed, as well as the necessity of training of physiotherapists in the application of Movakic, and methodological barriers in the studies are described in this chapter. Also, recommendations for clinical practice are given, specifically for work in multidisciplinary teams. Finally, the author expresses her personal concerns about the lack of scientifically supported diagnostics and therapies for this severely disabled group. This may lead to an underestimation of care needs by e.g. policy makers and the use of ineffective methods. Policy makers and health insurance companies increasingly require evidence- based diagnostics and treatment; lack of such evidence for time-consuming interventions by highly specialised professionals may have negative budgetary consequences. The same applies to the fact that care of this group of children is now primarily the responsibility of municipalities. On the other hand, collecting scientific evidence in this severely disabled group remains difficult due to the complexity that became apparent in the current studies and to the lack of grant opportunities as a result of the limited size of the target group. In clinical practice, Movakic can now be used online and an English version of the instrument is in the process of completion. Summary