TY - JOUR
T1 - DEVELOPMENT OF EXPERT CONSENSUS TO GUIDE PHYSICAL REHABILITATION IN CHILDREN AND ADOLESCENTS WITH ACQUIRED BRAIN INJURY DURING THE SUBACUTE PHASE
AU - Meyling, Christiaan Gmelig
AU - Verschuren, Olaf
AU - Rentinck, Ingrid C. M.
AU - Wright, F. Virginia
AU - Gorter, Jan Willem
AU - on Behalf of the Pediatric Acquired Brain Injury (Abi) Collaborative
AU - Engelbert, Raoul H.
PY - 2023
Y1 - 2023
N2 - Objective: To develop consensus among experts to guide physical rehabilitation in children and adolescents with acquired brain injury during the sub-acute 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.
AB - Objective: To develop consensus among experts to guide physical rehabilitation in children and adolescents with acquired brain injury during the sub-acute 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.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85175613435&origin=inward
U2 - 10.2340/jrm.v55.12303
DO - 10.2340/jrm.v55.12303
M3 - Article
C2 - 37584479
SN - 1650-1977
VL - 55
JO - Journal of rehabilitation medicine
JF - Journal of rehabilitation medicine
M1 - jrm12303
ER -