Narrative Review of the Theoretical-Methodological Foundations of the TREINI Program.

IF 2 4区 医学 Q2 PEDIATRICS Children-Basel Pub Date : 2024-09-27 DOI:10.3390/children11101181
Renato Guimarães Loffi, Deisiane Oliveira Souto, Thalita Karla Flores Cruz, Arthur Felipe Barroso de Lima, Fabiana Rachel Martins Costa Rocha, Simone Rosa Barreto, Patrícia Aparecida Neves Santana, Amanda Aparecida Alves Cunha Nascimento, Vitor Geraldi Haase
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Abstract

Scientific knowledge has advanced in the implementation of safe and beneficial interventions for children and adolescents with cerebral palsy (CP). Although the importance of interdisciplinary interventions that integrate all components of the International Classification of Functioning, Disability and Health (ICF) into family-centered practices is widely recognized, this approach is not yet widely adopted. Instead, many programs remain focused on isolated domains. This study presents the theoretical and methodological foundation of TREINI, an interdisciplinary and family-centered program developed for children and youth with CP and other neurodevelopmental disorders. TREINI incorporates intervention strategies that address all ICF domains. It is grounded in the biopsychosocial model of health and utilizes principles based on the best evidence in pediatric rehabilitation, including intensive training, task-oriented training, and a naturalistic learning environment. Unlike traditional rehabilitation approaches, the care provided by the TREINI program is delivered through an intensive and interdisciplinary approach, by a team working collaboratively in a single location. In addition to including evidence-based interventions, the TREINI program features two innovative components: the "City of Tomorrow", a naturalistic learning environment, and the "TREINI Exoflex" therapeutic suit, specifically designed to address deficiencies in the body functions and structures of children with CP and other neurodevelopmental disorders. This program has been carefully designed to support the process of neurological re-education and rehabilitation for children and adolescents with neuropsychomotor developmental delays.

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对 TREINI 计划的理论和方法论基础的叙述性回顾。
在对患有脑性瘫痪(CP)的儿童和青少年实施安全有益的干预措施方面,科学知识已经取得了进步。尽管人们普遍认识到将国际功能、残疾和健康分类(ICF)的所有组成部分整合到以家庭为中心的实践中的跨学科干预措施的重要性,但这种方法尚未被广泛采用。相反,许多计划仍然专注于孤立的领域。本研究介绍了 TREINI 的理论和方法论基础,TREINI 是一项跨学科、以家庭为中心的计划,专为患有 CP 和其他神经发育障碍的儿童和青少年而开发。TREINI 融合了针对 ICF 所有领域的干预策略。该计划以生物心理社会健康模式为基础,采用基于儿科康复最佳证据的原则,包括强化训练、任务导向训练和自然学习环境。与传统康复方法不同的是,特雷尼计划提供的护理是由一个团队在同一地点协同工作,通过密集的跨学科方法进行的。除了以证据为基础的干预措施外,特雷尼计划还包括两个创新组成部分:"明日之城"--一个自然主义的学习环境,以及 "特雷尼 Exoflex "治疗服,该治疗服是专门针对患有脊髓灰质炎和其他神经发育障碍的儿童的身体功能和结构缺陷而设计的。这项计划经过精心设计,旨在为神经心理运动发育迟缓的儿童和青少年的神经再教育和康复过程提供支持。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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