Corral-Parcet A, Macias-Merlo M L, Bagur-Calafat C, Cardó-Olmo C
Universitat Internacional de Catalunya, Sant Cugat del Vallès, España.
Rev Neurol. 2023 Jul 16;77(2):35-40. doi: 10.33588/rn.7702.2023104.
In early childhood, there are a number of different neurological conditions and syndromes that present with hypotonia of central origin. In 2019, the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) drew up a set of guidelines on therapeutic recommendations for the population aged from 0 to 6 years, based on the consensus of experts and on scientific evidence. The aim of this study is to determine how those therapeutic recommendations are being implemented in Spain.
A survey of paediatric physiotherapists treating 0-6-year-old children with central hypotonia was carried out by means of a questionnaire consisting of 31 questions: 10 questions on sociodemographic and practice-related data, and the remaining 21 related to the use of the therapeutic recommendations based on the AACPDM guidelines for children with hypotonia of central origin.
From a sample of 199 physiotherapists, it was found that familiarity with the AACPDM guidelines was significantly associated with the number of years of clinical experience, level of qualification and the community in which the professionals practise.
These guidelines can serve to raise awareness and unify criteria regarding the therapeutic approach to children with central hypotonia. The results indicate that, with the exception of a few techniques, in our country most of the therapeutic strategies are being implemented within the framework of early care.
在幼儿期，有多种不同的神经疾病和综合征会表现为中枢性肌张力减退。2019年，美国脑性瘫痪和发育医学学会（AACPDM）基于专家共识和科学证据，制定了一套针对0至6岁人群的治疗建议指南。本研究的目的是确定这些治疗建议在西班牙的实施情况。
通过一份包含31个问题的问卷，对治疗0至6岁中枢性肌张力减退儿童的儿科物理治疗师进行了调查：10个关于社会人口统计学和与实践相关数据的问题，其余21个问题与基于AACPDM中枢性肌张力减退儿童指南的治疗建议的使用有关。
从199名物理治疗师的样本中发现，对AACPDM指南的熟悉程度与临床经验年限、资质水平以及专业人员执业所在社区显著相关。
这些指南有助于提高对中枢性肌张力减退儿童治疗方法的认识并统一标准。结果表明，除了少数技术外，在我国，大多数治疗策略是在早期护理框架内实施的。
