Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase
Objective: To develop consensus among experts to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase. Design: International Delphi study. Methods: A 3-round online Delphi study was conducted with 11 international experts in rehabilitation...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2023-08-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/12303 |
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| author | Christiaan Gmelig Meyling Olaf Verschuren Ingrid C.M. Rentinck Virginia Wright Jan Willem Gorter Raoul H. Engelbert |
| author_facet | Christiaan Gmelig Meyling Olaf Verschuren Ingrid C.M. Rentinck Virginia Wright Jan Willem Gorter Raoul H. Engelbert |
| author_sort | Christiaan Gmelig Meyling |
| collection | DOAJ |
| description | Objective: To develop consensus among experts to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase.
Design: International Delphi study.
Methods: A 3-round online Delphi study was conducted with 11 international experts in rehabilitation for children and adolescents with acquired brain injury. The first round consisted of open-ended questions; the second and third round consisted of ranking 139 statements on a 5-point Likert scale.
Results: The panel reached consensus on 116/139 statements. Consensus was reached on the importance of age, pre-injury developmental stage and the clinical presentation of the child when determining content and focus of physical rehabilitation. In addition, consensus was reached on the importance of participation-focused interventions, and involvement of family members in goal-setting and therapeutic activities. Although dosage was deemed very important, no consensus was reached for determination of dose-response variables to suit and influence the child’s needs.
Conclusion: This study provides a framework for clinicians to design physical rehabilitation interventions in children with acquired brain injury in the sub-acute recovery phase. The promotion of physical activity in meaningful contexts and involvement of family members are considered as important components to optimize recovery.
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| first_indexed | 2024-03-12T14:39:40Z |
| format | Article |
| id | doaj.art-ff67e86d6bc54cccbead7ea6cadf75e2 |
| institution | Directory Open Access Journal |
| issn | 1651-2081 |
| language | English |
| last_indexed | 2024-03-12T14:39:40Z |
| publishDate | 2023-08-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-ff67e86d6bc54cccbead7ea6cadf75e22023-08-16T12:43:38ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812023-08-015510.2340/jrm.v55.12303Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phaseChristiaan Gmelig Meyling0Olaf Verschuren1Ingrid C.M. Rentinck2Virginia Wright3Jan Willem Gorter4Raoul H. Engelbert5UMC Utrecht Brain Center and Center of Excellence for Rehabilitation Medicine, Utrecht University, Utrecht, The NetherlandsUMC Utrecht Brain Center and Center of Excellence for Rehabilitation Medicine, Utrecht University, Utrecht, The NetherlandsDe Hoogstraat Rehabilitation, Department of Pediatric Rehabilitation, Utrecht, The NetherlandsBloorview Research Institute, Toronto, Ontario, CanadaUMC Utrecht Brain Center and Center of Excellence for Rehabilitation Medicine, Utrecht University, Utrecht, The NetherlandsAmsterdam UMC, University of Amsterdam, Department of Rehabilitation, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, The Netherlands Objective: To develop consensus among experts to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase. Design: International Delphi study. Methods: A 3-round online Delphi study was conducted with 11 international experts in rehabilitation for children and adolescents with acquired brain injury. The first round consisted of open-ended questions; the second and third round consisted of ranking 139 statements on a 5-point Likert scale. Results: The panel reached consensus on 116/139 statements. Consensus was reached on the importance of age, pre-injury developmental stage and the clinical presentation of the child when determining content and focus of physical rehabilitation. In addition, consensus was reached on the importance of participation-focused interventions, and involvement of family members in goal-setting and therapeutic activities. Although dosage was deemed very important, no consensus was reached for determination of dose-response variables to suit and influence the child’s needs. Conclusion: This study provides a framework for clinicians to design physical rehabilitation interventions in children with acquired brain injury in the sub-acute recovery phase. The promotion of physical activity in meaningful contexts and involvement of family members are considered as important components to optimize recovery. https://medicaljournalssweden.se/jrm/article/view/12303acquired brain injurychildren and adolescentsdelphi studyoccupational therapyphysical activityphysiotherapy |
| spellingShingle | Christiaan Gmelig Meyling Olaf Verschuren Ingrid C.M. Rentinck Virginia Wright Jan Willem Gorter Raoul H. Engelbert Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase Journal of Rehabilitation Medicine acquired brain injury children and adolescents delphi study occupational therapy physical activity physiotherapy |
| title | Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase |
| title_full | Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase |
| title_fullStr | Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase |
| title_full_unstemmed | Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase |
| title_short | Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase |
| title_sort | development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase |
| topic | acquired brain injury children and adolescents delphi study occupational therapy physical activity physiotherapy |
| url | https://medicaljournalssweden.se/jrm/article/view/12303 |
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