Institute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Division of Pediatric Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Phys Occup Ther Pediatr. 2021;41(2):209-226. doi: 10.1080/01942638.2020.1822981. Epub 2020 Oct 4.
To provide recommendations for pre- and post-operative occupational and physical therapy for children with acute flaccid myelitis (AFM).
Writing panel members consisted of an interdisciplinary team of seven healthcare professionals specializing in the care of children with AFM. The panel reviewed background material on AFM, nerve transfer, and rehabilitation principles applied to pediatrics. Recommendations were prioritized if evidence was available. Where there was no known evidence to support a recommendation, this was noted.
Communication and coordination among interprofessional team members are vital to a comprehensive family-centered rehabilitation program. Surgical planning should include team preparation accounting for frequency, duration, and timing of treatment, as well as individual characteristics and developmental status of the child. Recommendations for pre-operative and six phases of post-operative therapy address assessment, strengthening, range of motion, orthoses, performance of functional activity, and support of the family.
Rehabilitation following nerve transfer in children with AFM requires interdisciplinary collaboration and a multisystem approach to assessment and treatment. As new evidence becomes available, recommendations may be revised or replaced accordingly.
为急性弛缓性脊髓炎（AFM）患儿提供术前和术后职业与物理治疗的建议。
写作小组成员由七名专门从事 AFM 患儿护理的跨学科医疗保健专业人员组成。该小组回顾了 AFM、神经转移和康复原则在儿科中的背景资料。如果有证据支持，则优先考虑建议。如果没有已知证据支持某项建议，则会予以说明。
跨专业团队成员之间的沟通和协调对于全面的以家庭为中心的康复计划至关重要。手术计划应包括团队准备，考虑治疗的频率、持续时间和时间安排，以及儿童的个体特征和发育状况。针对术前和术后六个阶段的治疗建议包括评估、增强、活动范围、矫形器、功能活动的执行以及对家庭的支持。
接受神经转移的 AFM 患儿的康复需要多学科协作和多系统的评估和治疗方法。随着新证据的出现，建议可能会相应地修订或取代。
