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脑电图在促进获得性脑损伤儿童临床治疗和康复中的应用。

Utility of Electroencephalograms for Enhancing Clinical Care and Rehabilitation of Children with Acquired Brain Injury.

机构信息

ALYN Hospital, Jerusalem 91090, Israel.

Helmsley Pediatric & Adolescent Rehabilitation Research Center, ALYN Hospital, Jerusalem 91090, Israel.

出版信息

Int J Environ Res Public Health. 2024 Nov 2;21(11):1466. doi: 10.3390/ijerph21111466.

DOI:10.3390/ijerph21111466
PMID:39595733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11593451/
Abstract

The objective of this literature review was to present evidence from recent studies and applications focused on employing electroencephalogram (EEG) monitoring and methodological approaches during the rehabilitation of children with acquired brain injuries and their related effects. We describe acquired brain injury (ABI) as one of the most common reasons for cognitive and motor disabilities in children that significantly impact their safety, independence, and overall quality of life. These disabilities manifest as dysfunctions in cognition, gait, balance, upper-limb coordination, and hand dexterity. Rehabilitation treatment aims to restore and optimize these impaired functions to help children regain autonomy and enhance their quality of life. Recent advancements in monitoring technologies such as EEG measurements are increasingly playing a role in clinical diagnosis and management. A significant advantage of incorporating EEG technology in pediatric rehabilitation is its ability to provide continuous and objective quantitative monitoring of a child's neurological status. This allows for the real-time assessment of improvement or deterioration in brain function, including, but not limited to, a significant impact on motor function. EEG monitoring enables healthcare providers to tailor and adjust interventions-both pharmacological and rehabilitative-based on the child's current neurological status.

摘要

本次文献回顾的目的是呈现近期研究和应用的证据,这些研究和应用主要集中在使用脑电图(EEG)监测和方法学方法,对获得性脑损伤儿童进行康复治疗及其相关影响。我们将获得性脑损伤(ABI)描述为导致儿童认知和运动障碍的最常见原因之一,这些障碍严重影响了他们的安全、独立性和整体生活质量。这些残疾表现为认知、步态、平衡、上肢协调和手灵巧性方面的功能障碍。康复治疗旨在恢复和优化这些受损功能,帮助儿童重新获得自主能力并提高生活质量。近年来,监测技术的进步,如脑电图测量,在临床诊断和管理中发挥着越来越重要的作用。将脑电图技术纳入儿科康复的一个显著优势在于,它能够提供对儿童神经状态的连续和客观的定量监测。这使得能够实时评估大脑功能的改善或恶化,包括但不限于对运动功能的重大影响。脑电图监测使医疗保健提供者能够根据儿童当前的神经状态,调整干预措施——包括药物和康复治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddac/11593451/8cb55a629d84/ijerph-21-01466-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddac/11593451/2d550e3aba53/ijerph-21-01466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddac/11593451/8cb55a629d84/ijerph-21-01466-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddac/11593451/2d550e3aba53/ijerph-21-01466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddac/11593451/8cb55a629d84/ijerph-21-01466-g002.jpg

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本文引用的文献

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Verbal retrieval deficits due to traumatic brain injury are associated with changes in event related potentials during a Go-NoGo task.创伤性脑损伤导致的言语检索缺陷与“停止-继续”任务期间事件相关电位的变化有关。
Clin Neurophysiol. 2024 Jul;163:1-13. doi: 10.1016/j.clinph.2024.04.002. Epub 2024 Apr 16.
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Insights into epileptogenesis from post-traumatic epilepsy.外伤性癫痫致痫机制的研究进展
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Exploring new horizons: Emerging therapeutic strategies for pediatric stroke.
探索新领域:小儿中风的新兴治疗策略。
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Mild Traumatic Brain Injuries and Risk for Affective and Behavioral Disorders.轻度创伤性脑损伤与情感和行为障碍风险。
Pediatrics. 2024 Jan 1;153(2). doi: 10.1542/peds.2023-062340.
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Auditory attention measured by EEG in neurological populations: systematic review of literature and meta-analysis.神经科人群中通过 EEG 测量的听觉注意力:文献系统综述和荟萃分析。
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Attention Please! Unravelling the Link Between Brain Network Connectivity and Cognitive Attention Following Acquired Brain Injury: A Systematic Review of Structural and Functional Measures.请注意!揭示后天性脑损伤后脑网络连通性与认知注意力之间的联系:结构和功能测量的系统综述。
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Quantitative Electroencephalography Objectivity and Reliability in the Diagnosis and Management of Traumatic Brain Injury: A Systematic Review.定量脑电图在创伤性脑损伤诊断与管理中的客观性和可靠性:一项系统综述。
Clin EEG Neurosci. 2023 Oct 4:15500594231202265. doi: 10.1177/15500594231202265.
8
Autism Spectrum Disorder in Children with an Early History of Paediatric Acquired Brain Injury.有小儿获得性脑损伤早期病史的儿童的自闭症谱系障碍
J Clin Med. 2023 Jun 28;12(13):4361. doi: 10.3390/jcm12134361.
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Predicting posttraumatic epilepsy using admission electroencephalography after severe traumatic brain injury.利用严重颅脑损伤后的入院脑电图预测创伤后癫痫。
Epilepsia. 2023 Jul;64(7):1842-1852. doi: 10.1111/epi.17622. Epub 2023 May 6.
10
Review of Noninvasive Neuromonitoring Modalities in Children II: EEG, qEEG.儿童无创神经监测方式评估 II:脑电图、qEEG。
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