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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.

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/11593451/2d550e3aba53/ijerph-21-01466-g001.jpg

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