Strategies supporting parent-delivered rehabilitation exercises to improve motor function after paediatric traumatic brain injury: A systematic review.


Journal

Developmental medicine and child neurology
ISSN: 1469-8749
Titre abrégé: Dev Med Child Neurol
Pays: England
ID NLM: 0006761

Informations de publication

Date de publication:
04 Oct 2023
Historique:
revised: 04 08 2023
received: 21 04 2023
accepted: 07 09 2023
pubmed: 5 10 2023
medline: 5 10 2023
entrez: 5 10 2023
Statut: aheadofprint

Résumé

To identify and analyse ways in which parents are supported to deliver rehabilitation exercises to their child after traumatic brain injury (TBI), conceptualized as strategies. A systematic search was completed using seven online databases and three grey literature databases, from inception to November 2021. The included studies focused on physical rehabilitation in children after TBI with the involvement of parents as hands-on deliverers or facilitators of rehabilitation (e.g. supervising the exercise). Intervention descriptions were reviewed to identify strategies; this was followed by fine-grained analysis using the Behaviour Change Wheel to identify intervention components. Risk of bias was analysed using the revised Cochrane Risk-of-Bias Tool for Randomized Trials or the Risk Of Bias In Non-randomized Studies - of Interventions. Six interventions including 211 participants and one trial protocol met the inclusion criteria. All studies included a proportion of children diagnosed with TBI and four studies included mixed samples of acquired brain injury or cerebral palsy. All interventions included elements of goal setting and instruction. Interventions focus heavily on the initiation of physical rehabilitation, but focus less on the longer-term maintenance of rehabilitation delivery. Further research should integrate perspectives from parents to inform the development of new interventions.

Identifiants

pubmed: 37794644
doi: 10.1111/dmcn.15773
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : National Institute for Health and Care Research
ID : Clinical Doctoral Research Fellowship (NIHR301583)

Informations de copyright

© 2023 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.

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Auteurs

David Young (D)

School of Health Sciences, University of East Anglia, Norwich, UK.
Women and Children's Services, Addenbrooke's Hospital NHS Foundation Trust, Cambridge, UK.

Sarah Cawood (S)

Women and Children's Services, Addenbrooke's Hospital NHS Foundation Trust, Cambridge, UK.

Kathryn Mares (K)

School of Health Sciences, University of East Anglia, Norwich, UK.

Robbie Duschinsky (R)

Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Wendy Hardeman (W)

School of Health Sciences, University of East Anglia, Norwich, UK.

Classifications MeSH