Neuromotor Rehabilitation Interventions After Pediatric Stroke: A Focused Review.

Neuromotor Rehabilitation Interventions After Pediatric Stroke: A Focused Review.
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DOI:
10.1016/j.spen.2022.100994
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发表时间:
2022-12
影响因子:
2.7
通讯作者:
Dodds, Cindy
Dodds, Cindy
中科院分区:
医学4区
文献类型:
--
作者:
Hart, Emerson;Humanitzki, Elizabeth;Schroeder, Julia;Woodbury, Michelle;Coker-Bolt, Patty;Dodds, Cindy

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儿童中风是一种经常导致儿童终身运动、认知或感觉缺陷的疾病。这篇集中综述的目的是汇编关于儿童卒中神经运动干预的最新文献,并总结康复提供者和研究人员使用的证据。使用适当的MeSH术语检索包括卒中、儿科和神经运动在内的术语。收集了关于干预措施和用于每篇文章的结果测量的信息。干预措施和结果的测量是根据ICF的组成部分(身体结构和功能,活动,参与和环境因素)。全文筛选后纳入16篇文章。在这16篇文章中,绝大多数都将某种形式的神经调节作为干预的一部分。结果发现,干预措施所涉及的领域与成果衡量的领域之间存在潜在的问题差距,需要在研究中纳入更广泛的成果衡量标准。在儿科卒中文献中有几个潜在的增长领域。在描述纳入的样本时,研究应精确。随着儿科卒中干预措施向神经调节和其他神经系统治疗的转变,需要在临床社区和研究中明确定义人群。还需要美国儿科卒中后康复指南。总体而言,文献中的趋势似乎表明,将某种形式的神经调节技术与现有推荐的康复技术(例如:CIMT)相结合可能会促进卒中后儿童的整体恢复,但还需要进一步的研究。
Pediatric stroke is a condition that often results in life-long motor, cognitive, or sensory deficits for children. The purpose of this focused review is to compile the most recent literature on pediatric stroke neuromotor interventions and summarize evidence for use by rehabilitation providers and researchers. Terms including stroke, pediatric, and neuromotor were searched with appropriate MeSH terms. Information was collected regarding interventions conducted and outcome measures used for each article. Interventions and outcome measures were organized based on ICF components (Body Structure and Function, Activity, Participation, and Environmental Factors). 16 articles were included after full-text screens. From these 16 articles, a large majority of them included some form of neuromodulation as a part of intervention. Results identified a potentially problematic gap between domains addressed by interventions and measured by outcomes, with a need to include more expansive outcome measures in research studies. There are several areas of potential growth in pediatric stroke literature. Research studies should be precise when describing included samples. As interventions for pediatric stroke shift toward neuromodulation and other neurologic treatments, there is a need for well-defined populations, both clinically in the community as well as in research studies. There is also a need for US guidelines for rehabilitation after pediatric stroke. Overall, the trend in the literature seems to suggest that combining some form of neuromodulatory technique with existing recommended rehabilitation technique (ex: CIMT) may promote overall recovery for children after stroke, though further research is needed.
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