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paediatrics rehabilitation

Sally Lindsay, Kara Grace Hounsell
PURPOSE: Youth with disabilities are under-represented in science, technology, engineering, and math (STEM) in school and in the workforce. One encouraging approach to engage youth's interest in STEM is through robotics; however, such programs are mostly for typically developing youth. The purpose of this study was to understand the development and implementation of an adapted robotics program for children and youth with disabilities and their experiences within it. METHOD: Our mixed methods pilot study (pre- and post-workshop surveys, observations, and interviews) involved 41 participants including: 18 youth (aged 6-13), 12 parents and 11 key informants...
October 20, 2016: Disability and Rehabilitation. Assistive Technology
Thomas Beez, Jennifer Brown
BACKGROUND: Atlanto-occipital dislocation (AOD) is a rare but severe sequela of high energy trauma. Children are at increased risk, due to their immature spine and biomechanical characteristics. LITERATURE REVIEW: The prevailing mechanism of injury is motor vehicle collision as passenger. AOD commonly presents with cardiorespiratory arrest, spinal cord injury or cranial nerve deficits. Concomitant injuries, such as traumatic brain injury, are frequently encountered...
October 18, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Audrey McKinlay, Mark Linden, Roberta DePompei, Catherine Aaro Jonsson, Vicki Anderson, Lucia Braga, Enrico Castelli, Peter de Koning, Carol A Hawley, Eric Hermans, Ingela Kristiansen, Alison Madden, Peter Rumney, Ron Savage, Beth Wicks
BACKGROUND: Providing appropriate rehabilitation services for Acquired Brain Injury (ABI) in childhood presents a number of challenges for caregivers, health and education professionals and the young person as they develop. PRIMARY OBJECTIVE: To record the challenges and possible creative solutions generated by an international group of professionals to address the needs of children with ABI. Review of information: Recommendations were generated from children's special interest group meetings of the International Brain Injury Association (Turin, Italy, 2001; Stockholm, Sweden, 2003; Melbourne, Australia, 2005; Lisbon, Portugal, 2008) and through meetings of the International Paediatric Brain Injury Society (IPBIS), formed in 2009...
October 14, 2016: Brain Injury: [BI]
Bedowra Zabeen, Jebun Nahar, Samin Tayyeb, Fauzia Mohsin, Nazmun Nahar, Kishwar Azad
INTRODUCTION: Recent data show that the prevalence of diabetes among children and adolescents is increasing in some ethnic groups. The worldwide epidemic of childhood obesity has been accompanied by an increase in the incidence of type 2 diabetes (T2D) in youth. METHODS: The aim of this study was to describe the baseline characteristics of children and adolescents diagnosed ≤18 years who had features of T2D and presented at Changing Diabetes in Children, Paediatric Diabetes Clinic at Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine, and Metabolic Disorders...
September 2016: Indian Journal of Endocrinology and Metabolism
Eleni Papathanasiou, Mathilde Chevignard, Carole Vuillerot, Anne Tiberghien, Ingrid Godard
OBJECTIVE: Paediatric stroke is a relatively rare medical condition, but it often leads to long lasting motor and cognitive impairments. Rehabilitation of motor impairments has been widely studied, with most studies performed in children with cerebral palsy (CP). However, CP covers a variety of medical conditions, including brain lesions due to paediatric stroke occurring early in life, but not stroke occurring later on during childhood. The specificity of rehabilitation after paediatric stroke remains understudied...
September 2016: Annals of Physical and Rehabilitation Medicine
J K Ma, M W M Post, J W Gorter, K A Martin Ginis
STUDY DESIGN: Cross-sectional. OBJECTIVES: To compare differences in self-reported health status, participation and life satisfaction outcomes between adults with a spinal cord injury (SCI) sustained during paediatric (P) versus adulthood (A) years. SETTING: Ontario, Canada. METHODS: Secondary analysis of data from the Study of Health and Activity in People with SCI. Eighty-seven participants who sustained an SCI prior to age 19 (M±s...
September 20, 2016: Spinal Cord
Deshini Naidoo, Jacqueline Van Wyk, Robin W E Joubert
BACKGROUND: Re-engineering of primary healthcare (PHC) was initiated nationally in 2009. There is, however, little information on the role expected of occupational therapists (OTs)in PHC. OBJECTIVES: This research aimed to understand how stakeholders of the Department of Health (DOH) perceived the role of OT in PHC service. METHOD: This exploratory, qualitative study used purposive sampling to recruit community health-care workers (CHW; n = 23), primary healthcare nurses (PHC; n = 5), DOH management (n = 5), experienced (n = 14) and novice OTs (n = 37) who graduated from the University of KwaZulu-Natal...
2016: African Journal of Primary Health Care & Family Medicine
Anne J A Kruijsen-Terpstra, Mariëlle Ellens, Marjolijn Ketelaar, Olaf Verschuren, Briano Di Rezze, Jan Willem Gorter, Anne M A Visser-Meily, Marian J Jongmans
AIMS: To (1) describe the child- and context-focused behaviors of physical and occupational therapists, and (2) compare the behaviors of therapists in a standard therapy session with those of therapists trained to deliver child- and context-focused services. METHOD: Videos of 49 therapy sessions provided by 36 therapists were analyzed using the intervention domains of the Paediatric Rehabilitation Observational measure of Fidelity (PROF) to examine the therapeutic behaviors of physical and occupational therapists with young children with cerebral palsy (CP) (24 to 48 months) in a Dutch rehabilitation setting...
November 2016: Physical & Occupational Therapy in Pediatrics
Tania McWilliams, Joyce Hendricks, Di Twigg, Fiona Wood, Margaret Giles
INTRODUCTION: Since 2005, the Western Australian paediatric burn unit has provided a state-wide clinical consultancy and support service for the assessment and management of acute and rehabilitative burn patients via its telehealth service. Since then, the use of this telehealth service has steadily increased as it has become imbedded in the model of care for paediatric burn patients. Primarily, the service involves acute and long term patient reviews conducted by the metropolitan-located burn unit in contact with health practitioners, advising patients and their families who reside outside the metropolitan area thereby avoiding unnecessary transfers and inpatient bed days...
November 2016: Burns: Journal of the International Society for Burn Injuries
Zehra Güçhan, Akmer Mutlu
AIM: Taping is popular in a variety of paediatric clinical settings. The purpose of this study was to investigate the effectiveness of taping on the rehabilitation of children with cerebral palsy (CP). METHOD: We used MEDLINE, Embase, PubMed, CINAHL, and the Cochrane Central Register of Controlled Trials as the electronic databases for the review. We reviewed all relevant studies published up to May 2015. We also analysed pertinent secondary references. We used Sackett's Levels of Evidence and the guidelines for critical review of McMaster University to criticize the reviewed articles...
August 1, 2016: Developmental Medicine and Child Neurology
Jean-Sébastien Bourseul, Sylvain Brochard, Laetitia Houx, Christelle Pons, Mélanie Bué, Isabelle Manesse, Juliette Ropars, Dominique Guyader, Philippe Le Moine, Amandine Dubois
BACKGROUND: Pain is one of the symptoms reported most by children with motor disabilities particularly during daily living activities in institutions and during rehabilitation. Despite the care and consideration of professionals, a wide range of motor and cognitive disabilities, limited communication skills, the presence of chronic pain and frequent care interventions place such children at high risk of experiencing induced pain. OBJECTIVES: We aimed to identify care-related pain and discomfort in children with motor disabilities in rehabilitation centres and the characteristics of children at risk of induced pain...
June 14, 2016: Annals of Physical and Rehabilitation Medicine
Robyn Adams, Anne Jones, Sophie Lefmann, Lorraine Sheppard
INTRODUCTION: A recent exploration of factors affecting rural physiotherapy service provision revealed considerable variation in services available between communities of the study. Multiple factors combined to influence local service provision, including macro level policy and funding decisions, service priorities and fiscal constraints of regional health services and capacity and capabilities at the physiotherapy service level. The aim of this article is to describe the variation in local service provision, the factors influencing service provision and the impact on availability of physiotherapy services...
April 2016: Rural and Remote Health
Jeong-Eun Yoo, Young-Ju Yun, Yong-Beom Shin, Nam-Kwen Kim, Soo-Yeon Kim, Myung-Jun Shin, Sun-Ae Yu
BACKGROUND: Cerebral palsy leads to many complications as well as delayed motor development, and early intensive rehabilitation in infancy, which is based on the theory of brain plasticity, is emphasized. In addition to conventional treatment, including physical, occupational, or speech-language therapies, children also have a demand for traditional Korean medicine interventions such as acupuncture or herbal medicine; however, a lack of evidence has made traditional Korean medicine difficult to implement in practice...
2016: BMC Complementary and Alternative Medicine
Josephine W I van Nierop, Rebecca R Snabel, Margreet Langereis, Ronald J E Pennings, Ronald J C Admiraal, Emmanuel A M Mylanus, Henricus P M Kunst
OBJECTIVE: To analyse the benefit of cochlear implantation in young deaf children with Waardenburg syndrome (WS) compared to a reference group of young deaf children without additional disabilities. METHOD: A retrospective study was conducted on children with WS who underwent cochlear implantation at the age of 2 years or younger. The post-operative results for speech perception (phonetically balanced standard Dutch consonant-vocal-consonant word lists) and language comprehension (the Reynell Developmental Language Scales, RDLS), expressed as a language quotient (LQ), were compared between the WS group and the reference group by using multiple linear regression analysis...
2016: Audiology & Neuro-otology
P Trevisi, A Ciorba, C Aimoni, R Bovo, A Martini
The aim of this paper is to assess the long-term audiological features and outcomes of hearing rehabilitation in a large group of individuals with CHARGE Syndrome. The study has been conducted retrospectively, on a paediatric patient database, at the Audiology Department of the University Hospitals of Ferrara and Padua. The study sample included 31 children presenting with different degrees of hearing impairment associated with CHARGE syndrome. Hearing was assessed using auditory brainstem responses (ABRs) and/or electrocochleography, or conditioned audiometry (visual reinforcement audiometry [VRA] or play audiometry)...
June 2016: Acta Otorhinolaryngologica Italica
Ana Paula Marques França, Alda Rosa Barbosa Mendes, Mariana Inês Fernandes Barrias
UNLABELLED: Theme: Ethical issues - dignity and humanity. INTRODUCTION: The child with special health care needs in a rehabilitation center for their vulnerable condition requires a clinical practice centered on ethics and humanization. OBJECTIVES: To know the parents' and nurses opinions on humanized care in a paediatric rehabilitation unit and to identify needs and strategies that promote the humanization of care in a paediatric rehabilitation unit...
May 9, 2016: Nursing Children and Young People
Nicolas Didelot, Catherine Guerrier, Anne Didelot, Sandrine Fritsch, Jean-Pierre Pelte, Marie Socha, Hervé Javelot
Based on an assessment of adverse events in a follow-up care and rehabilitation unit in paediatrics, audits were carried out of the medicine use pathway. The evaluation grid taken from this study today serves as a basis for the audits carried out on the medicine use pathway on a national level.
May 2016: Soins. Pédiatrie, Puériculture
S W Cheng, C H Ko, C Y Lee
INTRODUCTION: Studies showed that use of anticonvulsants (antiepileptic drugs) might be associated with reduced bone mineral density. The primary objective of this study was to evaluate the effect of anticonvulsants on bone mineral density in non-ambulatory children with cerebral palsy. The secondary objective was to identify their risk factors for low bone mineral density. METHODS: This case series with internal comparisons was conducted in a paediatric residential rehabilitation centre in Hong Kong...
June 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Guohong Gao, Manrong Yu, Jinhui Dai, Feng Xue, Xiaoying Wang, Leilei Zou, Minjie Chen, Fei Ma
PURPOSE: The aim was to describe the characteristics of the paediatric population attending the low vision clinic of the Eye and ENT Hospital, located in Shanghai, China. METHODS: The clinical records of all the children attending the low vision clinic of Eye and ENT Hospital affiliated to Fudan University between January 1, 2009 and May 31, 2014 were retrospectively reviewed. The main data analysed were age, gender, education, visual demand, diagnosis, visual acuity and prescription of low vision aids...
May 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
Juan Carlos Flores Cano, Macarena Lizama Calvo, Natalie Rodríguez Zamora, María Eugenia Ávalos Anguita, Mónica Galanti De La Paz, Salesa Barja Yañez, Carlos Becerra Flores, Carolina Sanhueza Sepúlveda, Ana María Cabezas Tamayo, Jorge Orellana Welch, Gisela Zillmann Geerdts, Rosa María Antilef, Alfonso Cox Melane, Marcelo Valle Maluenda, Nelson Vargas Catalán
"Children with special health care needs" (CSHCN) is an emerging and heterogeneous group of paediatric patients, with a wide variety of medical conditions and with different uses of health care services. There is consensus on how to classify and assess these patients according to their needs, but not for their specific diagnosis. Needs are classified into 6 areas: a) specialised medical care; b) use or need of prescription medication; c) special nutrition; d) dependence on technology; e) rehabilitation therapy for functional limitation; and f) special education services...
May 2016: Revista Chilena de Pediatría
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