Aldharman Sarah S, Al-Jabr Khalid H, Alharbi Yazeed S, Alnajar Nadyah K, Alkhanani Jomanah J, Alghamdi Abdullrahman, Abdellatif Reem A, Allouzi Abdullah, Almallah Albaraa M, Jamil Syed F
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, SAU.
Cureus. 2023 May 8;15(5):e38745. doi: 10.7759/cureus.38745. eCollection 2023 May.
Neuro-developmental delay (NDD) is when a child's reflexes and nervous system are underdeveloped or immature at a given stage of child development. Neurodevelopmental delays account for delayed skill development surrounding speech, social, emotional, behavioral, motor, and cognitive delays. NDD might affect the child's psychological and physical well-being, resulting in chronic disease and disabilities throughout adulthood. This review sought to investigate the implication of early diagnosis and intervention of NDD in children. In this regard, this research opted for a systematic meta-analysis that used keywords and Boolean operators to search through main databases, including the Web of Science, JStor, PsychINFO, Science Direct, Cochrane, Scopus, and ASSIA. The result identified that telehealth interventions improved the management of NDD in children. Also, the Early Start Denver Model (ESDM) model was determined to improve the quality of life for NDD children. Another model was LEAP (Learning Experience and Alternative Program for Preschoolers and Their Parents) and Leap (Learning, engaging, and Playing), which improved behavioral, education, and social interventions in NDD children. The study identified that technology could revolutionize NDD interventions in children, possibly improving the quality of life. The parent-children relationship was shown to enhance the management of this condition; thus, it is recommended as one of the best ways to intervene in the management of NDD. Most importantly, the integration of machine learning algorithms and technology can create models; while this may not be significant in the treatment of childhood NDD but instead might be ideal in improving the quality of life for NDD children. Moreover, their social and communication skills along with academic achievements will improve. The study proposes further research in order to understand the different types of NDDs and their intervention strategies to help the researchers identify the most accurate models to improve the conditions and support the parents and guardians in the management.
神经发育迟缓(NDD)是指儿童在特定发育阶段的反射和神经系统发育不全或不成熟。神经发育迟缓导致言语、社交、情感、行为、运动和认知等方面的技能发展延迟。NDD可能会影响儿童的心理和身体健康,导致成年后出现慢性病和残疾。本综述旨在研究儿童NDD早期诊断和干预的意义。在这方面,本研究选择了一项系统的荟萃分析,使用关键词和布尔运算符在主要数据库中进行搜索,包括科学网、JStor、PsychINFO、科学Direct、Cochrane、Scopus和ASSIA。结果表明,远程医疗干预改善了儿童NDD的管理。此外,早期丹佛启动模式(ESDM)被确定可以提高NDD儿童的生活质量。另一个模式是LEAP(学龄前儿童及其父母的学习体验和替代项目)和Leap(学习、参与和玩耍),它们改善了NDD儿童的行为、教育和社会干预。该研究发现,技术可以彻底改变儿童NDD的干预方式,可能会提高生活质量。亲子关系被证明可以加强对这种疾病的管理;因此,建议将其作为干预NDD管理的最佳方法之一。最重要的是,机器学习算法和技术的整合可以创建模型;虽然这在儿童NDD的治疗中可能并不显著,但在改善NDD儿童的生活质量方面可能是理想的。此外,他们的社交和沟通技能以及学业成绩将会提高。该研究建议进一步开展研究,以了解不同类型的NDD及其干预策略,帮助研究人员确定最准确的模型,以改善病情,并在管理方面支持家长和监护人。