Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase
DOI:
https://doi.org/10.2340/jrm.v55.12303Keywords:
acquired brain injury, children and adolescents, delphi study, occupational therapy, physical activity, physiotherapy, rehabilitation, traumatic brain injuryAbstract
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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Copyright (c) 2023 Christiaan Gmelig Meyling, Olaf Verschuren, Ingrid C.M. Rentinck, F. Virginia Wright, Jan Willem Gorter, Raoul Engelbert
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