Dumas Helene M, Carey Tara
Research Center for Children with Special Health Care Needs, Franciscan Children's Hospital and Rehabilitation Center, 30 Warren Street, Boston, MA 02135, USA.
Phys Occup Ther Pediatr. 2002;22(3-4):73-99.
Traumatic brain injury (TBI) is a major cause of disability in children. Along with other neurological clinical sequelae, children often exhibit motor skill impairment and limitations in functional mobility following TBI. The purpose of this annotated bibliography is to: (1) familiarize therapists with the literature available regarding motor skill and mobility recovery outcomes for children and adolescents with TBI; (2) assist therapists in the selection of motor skill and mobility outcome assessments for use in clinical practice; and (3) provide therapists with comparisons of outcomes for external benchmarking. A number of reports document motor and mobility recovery outcomes as well as recovery in other domains. Studies vary, however, in design, sample size, number and type of outcome assessments used, time since injury at assessment(s), and the consideration of correlating factors such as age at time of injury and injury severity. Further research is needed to describe clinical, satisfaction and resource utilization outcomes, determine outcome predictors, and provide evidence for therapeutic intervention effectiveness.
创伤性脑损伤(TBI)是儿童残疾的主要原因。除了其他神经临床后遗症外,儿童在创伤性脑损伤后常表现出运动技能受损和功能活动受限。本注释性文献综述的目的是:(1)使治疗师熟悉有关创伤性脑损伤儿童和青少年运动技能和活动能力恢复结果的现有文献;(2)协助治疗师选择用于临床实践的运动技能和活动能力结果评估方法;(3)为治疗师提供结果比较以进行外部基准测试。许多报告记录了运动和活动能力恢复结果以及其他领域的恢复情况。然而,研究在设计、样本量、所使用的结果评估的数量和类型、评估时距受伤的时间,以及对相关因素(如受伤时的年龄和损伤严重程度)的考虑等方面存在差异。需要进一步的研究来描述临床、满意度和资源利用结果,确定结果预测因素,并为治疗干预的有效性提供证据。