为预防臂丛神经产伤患者肩部挛缩而进行活动幅度训练的频率、促进因素和障碍:一项试点研究。

IF 0.8 Q4 PEDIATRICS Journal of pediatric rehabilitation medicine Pub Date : 2023-01-01 DOI:10.3233/PRM-220090
Jennifer Wingrat, Matthew J Elrick
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引用次数: 0

摘要

目的:本试验性研究调查了臂丛神经先天性损伤(BPBI)患儿出生后第一年内被动活动范围(PROM)对预防肩部挛缩发展的有效性,并确定了护理人员坚持每天进行PROM的促进因素和障碍:五名上躯干 BPBI 患儿的护理人员参加了回顾性访谈,了解他们在患儿出生后第一年内进行 PROM 的频率,包括坚持每天进行 PROM 的促进因素和障碍。我们还查阅了医疗记录,以了解护理人员报告的坚持情况和一岁前肩部挛缩的记录证据:结果:五名儿童中有三名患有有记录的肩部挛缩,这三名儿童在出生后的第一年里都延迟了PROM的启动或PROM不一致。两名没有肩部挛缩的患儿在出生后的第一年里一直接受了PROM。将PROM作为日常生活的一部分是坚持PROM的促进因素,而家庭环境因素则是障碍:没有肩部挛缩可能与在婴儿出生后的第一年中始终坚持实施PROM有关;婴儿出生一个月后减少实施PROM的频率并不会增加肩部挛缩的风险。对家庭常规和环境的考虑可能有助于坚持实施PROM。
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Frequency, facilitators, and barriers for range of motion to prevent shoulder contracture in brachial plexus birth injury: A pilot study.

Purpose: This pilot study investigated the efficacy of passive range of motion (PROM) during the first year of life to prevent development of shoulder contractures in children with brachial plexus birth injury (BPBI) and identified facilitators and barriers to caregiver adherence with daily PROM.

Methods: Five caregivers of children with upper trunk BPBI participated in retrospective interviews about the frequency with which they performed PROM during their child's first year of life including facilitators and barriers to daily adherence. Medical records were reviewed for documentation of caregiver-reported adherence and documented evidence of shoulder contracture by age one.

Results: Three of the five children had documented shoulder contractures; all three had delayed initiation or inconsistent PROM in the first year of life. Two without shoulder contractures received consistent PROM throughout the first year of life. Making PROM part of the daily routine was a facilitator to adherence while family contextual factors were barriers.

Conclusion: Absence of shoulder contracture may be related to consistent PROM throughout the first year of life; decreased frequency of PROM after the first month of life did not increase the risk of shoulder contracture. Consideration of family routines and context may facilitate adherence with PROM.

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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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