Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase.
J Rehabil Med
; 55: jrm12303, 2023 Aug 16.
Article
in En
| MEDLINE
| ID: mdl-37584479
ABSTRACT
OBJECTIVE:
To develop consensus among experts to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase.DESIGN:
International Delphi study.METHODS:
A 3-round online Delphi study was conducted with 11 international experts in rehabilitation for children and adolescents with acquired brain injury. The first round consisted of open-ended questions; the second and third round consisted of ranking 139 statements on a 5-point Likert scale.RESULTS:
The panel reached consensus on 116/139 statements. Consensus was reached on the importance of age, pre-injury developmental stage and the clinical presentation of the child when determining content and focus of physical rehabilitation. In addition, consensus was reached on the importance of participation-focused interventions, and involvement of family members in goal-setting and therapeutic activities. Although dosage was deemed very important, no consensus was reached for determination of dose-response variables to suit and influence the child's needs.CONCLUSION:
This study provides a framework for clinicians to design physical rehabilitation interventions in children with acquired brain injury in the sub-acute recovery phase. The promotion of physical activity in meaningful contexts and involvement of family members are considered as important components to optimize recovery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Brain Injuries
Type of study:
Guideline
Limits:
Adolescent
/
Child
/
Humans
Language:
En
Journal:
J Rehabil Med
Journal subject:
REABILITACAO
Year:
2023
Document type:
Article
Affiliation country:
Netherlands