Demonstration of functional rehabilitation treatment effects in children and young people after severe acquired brain injury.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY Developmental Neurorehabilitation Pub Date : 2022-05-01 Epub Date: 2021-08-31 DOI:10.1080/17518423.2021.1964631

Rob Forsyth, Colin Hamilton, Matthew Ingram, Gemma Kelly, Tim Grove, Lorna Wales, Mark S Gilthorpe

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引用次数: 3

Abstract

Purpose: To examine relationships between functional outcomes after pediatric acquired brain injury (ABI) and measures of rehabilitation dose.

Methods: An observational study of children receiving residential neurorehabilitation after severe ABI.

Results: Basic total rehabilitation dose shows a paradoxical inverse relationship to global outcome. This is due to confounding by both initial injury severity and length of stay, and variation in treatment content for a given total rehabilitation dose. Content-aware rehabilitation dose measures show robust positive correlations between fractions of rehabilitation treatment received and plausibly related aspects of outcome: specifically, between rates of recovery of gross motor function and the fraction of rehabilitation effort directed to active practice and motor learning. This relationship was robust to adjustment for therapists' expectations of recovery.

Conclusion: Content-aware measures of rehabilitation dose are robustly causally related to pertinent aspects of outcome. These findings are step toward a goal of comparative effectiveness research in pediatric neurorehabilitation.

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儿童及青少年严重后发性脑损伤后功能康复治疗效果的实证研究。

目的:探讨儿童获得性脑损伤(ABI)后功能结局与康复剂量的关系。方法:对重度ABI患儿接受住院神经康复的观察性研究。结果:基本康复总剂量与总体预后呈矛盾的反比关系。这是由于初始损伤严重程度和住院时间长短以及给定总康复剂量下治疗内容的变化造成的混淆。内容感知康复剂量测量显示，接受康复治疗的部分与结果的相关方面之间存在显著正相关:具体而言，大肌肉运动功能的恢复率与针对主动练习和运动学习的康复努力的部分之间存在正相关。这种关系对于治疗师的康复期望的调整是稳健的。结论:康复剂量的内容感知测量与结果的相关方面有很强的因果关系。这些发现是朝着儿童神经康复比较有效性研究的目标迈出的一步。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.