Design of a sensorimotor neurorehabilitation protocol with ecological validity for patients with a previous presumed neonatal - perinatal stroke
DOI:
https://doi.org/10.28957/rcmfr.417Keywords:
Neurological rehabilitation, stroke, pediatrics, validation study, sensationAbstract
Introduction. A neonatal-perinatal stroke is the one that occurs from 28 weeks of gestation until 28 days of postnatal life. The prognosis of patients who suffer this type of event varies and causes long-term sequelae, which is why early identification, adequate diagnosis and timely therapeutic intervention are key to helping these children reach their maximum potential.
Objective. To design a sensorimotor neurorehabilitation protocol with ecological validity for the management of patients with a history of presumed neonatal-perinatal stroke.
Methods. A mixed, retrospective, cross-sectional, and descriptive study with a nested (imbricated) design was conducted. In Loop 1 (quantitative) scientific articles (n=18) were systematically reviewed to identify the main sensorimotor strategies; In Loop 2 (qualitative), two focus groups were established (five family members/five experts), from which the intervention strategies were obtained, and, finally, in Loop 3, the protocol was validated by a panel of experts using Kendall's coefficient of concordance (W).
Results. Loop 1: The articles were selected according to the Oxford levels of evidence 1, 2 and 3. Loop 2: Through the strategies reported, the following categories were identified: space, tools and mode. Loop 3: The protocol validation showed a mean W=0.89.
Conclusions. An ecologically valid sensorimotor neurorehabilitation protocol for patients with a history of presumed neonatal-perinatal stroke is characterized by collecting scientific evidence on sensorimotor intervention strategies; recognizing the perceptions and experiences of professionals and family members; containing criteria for content validation, and providing systemic guidelines for pediatric care such as the identification of the space, the tools and the mode for each sense.
References
Prada DM, Espinosa E, Rangel O. Enfermedad cerebrovascular en niños: enfoque diagnóstico y guías de manejo. Acta Neurol. Colomb. 2004;20(1):23-38.
Ferriero DM, Fullerton HJ, Bernard TJ, Billinghurst L, Daniels SR, Debaun MR, et al. Management of stroke in neonates and children: A scientific statement from the American Heart Association/American stroke association. Stroke. 2019;50(3):E51-E96. Disponible en: https://doi.org/10.1161/STR.0000000000000183.
Muñoz -Collazos M. Enfermedades cerebrovasculares (ECV). Acta Neurol Colomb. 2010;26(2):59-61.
Kuczynski AM, Semrau JA, Kirton A, Dukelow SP. Kinesthetic deficits after perinatal stroke: Robotic measurement in hemiparetic children. J Neuroeng Rehabil. 2017;14(1):13. Disponible en: https://doi.org/10.1186/s12984-017-0221-6.
Larsen N, Craig BT, Hilderley AJ, Virani S, Murias K, Brooks BL, et al. Frontal interhemispheric structural connectivity, attention, and executive function in children with perinatal stroke. Brain Behav. 2022;12(1):e2433. Disponible en: https://doi.org/10.1002/brb3.2433.
Lynch JK. Epidemiology and classification of perinatal stroke. Semin Fetal Neonatal Med. 2009;14(5):245-9. Disponible en: https://doi.org/10.1016/j.siny.2009.07.001.
Gschaidmeier A, Heimgärtner M, Schnaufer L, Hernáiz-Driever P, Wilke M, Lidzba K, et al. Non-verbal Intelligence in Unilateral Perinatal Stroke Patients With and Without Epilepsies. Front Pediatr. 2021;9:660096. Disponible en: https://doi.org/10.3389/fped.2021.660096.
León-Sarmiento FE, Bayona E, Bayona-Prieto J. Neurorrehabilitación. La otra revolución del siglo XXI. Acta Med Colomb. 2009;34(2):88-92.
Bayona EA, Bayona-Prieto J, León-Sarmiento FE. Neuroplasticidad, neuromodulación y neurorrehabilitación: Tres conceptos distintos y un solo fin verdadero. Salud Uninorte. 2011;27(1):95-107.
Valdés-Torres D, Idárraga-Hincapié MY, Pedraza-Vargas SF, Díaz-Corso LR. Integral Intervention Protocol With Ecological Validity for School-Age Children With a Diagnosis of Hemiparesia Associated With Cerebral Palsy. International Journal of Health Science. 2023;3(32):1-10. Disponible en: https://doi.org/10.22533/at.ed.1593322328042.
Díaz-Corso LR, Pedraza-Vargas SF. Protocolo de sedestación para niños con parálisis cerebral espástica nivel funcional V. Ciencia Latina Revista Científica Multidisciplinar. 2022;6(6):2128-41. Disponible en: https://doi.org/10.37811/cl_rcm.v6i6.3666.
Guzmán-Jiménez Y, Herrera-Marmolejo D, Medina-Rodríguez AM, Pedraza-Vargas SF, Robles-Duran M, Suarez-Bohórquez Y. Ecological Validity in Pediatric Neurorehabilitation. International Journal of Health Science. 2023;3(52):1-8. Disponible en: https://doi.org/10.22533/at.ed.1593522310071.
Aldana-Casas AM, Pedraza-Vargas SF, López-Hernández KG. Diseño de un protocolo con validez ecológica para la detección temprana de riesgo neurológico en población pediátrica de la primera infancia. Rev Col Med Fis Rehab. 2023;33(1):25-40. Disponible en: http://doi.org/10.28957/rcmfr.372.
Basu AP, Pearse JE, Baggaley J, Watson RM, Rapley T. Participatory design in the development of an early therapy intervention for perinatal stroke. BMC Pediatr. 2017;17(1):33. Disponible en: https://doi.org/10.1186/s12887-017-0797-9.
de Campos AC, Kukke SN, Hallett M, Alter KE, Damiano DL. Characteristics of bilateral hand function in individuals with unilateral dystonia due to perinatal stroke: Sensory and motor aspects. J Child Neurol. 2014;29(5):623-32. Disponible en: https://doi.org/10.1177/0883073813512523.
Basu AP, Pearse J, Watson R, Dulson P, Baggaley J, Wright B, et al. Feasibility trial of an early therapy in perinatal stroke (eTIPS). BMC Neurol. 2018;18(1):102. Disponible en: https://doi.org/10.1186/s12883-018-1106-4.
Mrakotsky C, Williams TS, Shapiro KA, Westmacott R. Rehabilitation in Pediatric Stroke: Cognition and Behavior. Semin Pediatr Neurol. 2022;44:100998. Disponible en: https://doi.org/10.1016/j.spen.2022.100998.
Aivar P, Gómez L, Maiche A, Moreno-Alcázar A, Travieso D. Sistemas sensoriales y motores. Catalunya: Universitat Oberta de Catalunya; 2008.
Costello A. Sensory Survival Guide. 2020.
Bustamante J. Neuroanatomía funcional y clínica. Atlas del sistema nervioso central. 4.ta ed. Bogotá D.C.: Editorial Médica Celsus; 2007.
Chorna OD, Guzzetta A, Maitre NL. Vision Assessments and Interventions for Infants 0-2 Years at High Risk for Cerebral Palsy: A Systematic Review. Pediatr Neurol. 2017;76:3-13. Disponible en: https://doi.org/10.1016/j.pediatrneurol.2017.07.011.
Harmony T. Early diagnosis and treatment of infants with prenatal and perinatal risk factors for brain damage at the neurodevelopmental research unit in Mexico. Neuroimage. 2021;235:117984. Disponible en: https://doi.org/10.1016/.neuroimage.2021.117984.
Sánchez-Terradillos E, Pérez-Sáez J, Gil-Carcedo Sañido E. Fisiología Auditiva. In: Libro virtual de formación en Otorrinolaringología. Madrid: Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello; 2014. p. 1-19.
Cabrera-Catagña LK. Aplicación de un Programa de Estimulación Multisensorial en la sala Snoezelen a niños de 1-12 años con Trastorno Específico del Desarrollo Psicomotor del Hospital Quito No 1 de la Policía Nacional, del servicio de Rehabilitación del Área Pediátrica en el periodo Abril 2019 – Septiembre 2019. Quito: Universidad Central del Ecuador; 2019.
Novak I, Mcintyre S, Morgan C, Campbell L, Dark L, Morton N, et al. A systematic review of interventions for children with cerebral palsy: State of the evidence. Dev Med Child Neurol. 2013;55(10):885-910. Disponible en: https://doi.org/10.1111/dmcn.12246.
Morgan C, Novak I, Badawi N. Enriched environments and motor outcomes in cerebral palsy: systematic review and meta-analysis. Pediatrics. 2013;132(3):e735-46. Disponible en: https://doi.org/10.1542/peds.2012-3985.
Lázaro A, Blasco S, Lagranja A. La integración sensorial en el aula multisensorial y de relajación: estudio de dos casos. Revista Electrónica interuniversitaria de Formación del Profesorado. 2010;13(4):321-34.
Roan C, Bell A. Occupational Therapy in the Neonatal Intensive Care Unit for a Neonate with Perinatal Stroke: A Case Report. Phys Occup Ther Pediatr. 2017;37(3):283-91. Disponible en: https://doi.org/10.1080/01942638.2016.1185503.
Fucile S, Gisel EG. Sensorimotor Interventions Improve Growth and Motor Function in Preterm Infants. Neonatal Netw. 2010;29(6):360-4. Disponible en: https://doi.org/10.1891/0730-0832.29.6.359.
Ganesan V. Outcome and rehabilitation after childhood stroke. Handb Clin Neurol. 2013;112:1079-83. Disponible en: https://doi.org/10.1016/B978-0-444-52910-7.00025-8.
Basu AP. Early intervention after perinatal stroke: opportunities and challenges. Dev Med Child Neurol. 2014;56(6):516-21. Disponible en: https://doi.org/10.1111/dmcn.12407.
Basu AP, Pearse J, Kelly S, Wisher V, Kisler J. Early intervention to improve hand function in hemiplegic cerebral palsy. Front Neurol. 2015;5:281. Disponible en: https://doi.org/10.3389/fneur.2014.00281.
Hinojosa-Rodríguez M, De Leo-Jiménez JO, Juárez-Colín ME, Gonzalez-Moreira E, Flores-Bautista CS, Harmony T. Long-term therapeutic effects of Katona therapy in moderate-to-severe perinatal brain damage. Neurosci Lett. 2020;738:135345. Disponible en: https://doi.org/10.1016/j.neulet.2020.135345.
Hart E, Humanitzki E, Schroeder J, Woodbury M, Coker-Bolt P, Dodds C. Neuromotor Rehabilitation Interventions After Pediatric Stroke: A Focused Review. Semin Pediatr Neurol. Disponible en: https://doi.org/10.1016/j.spen.2022.100994.
Harmony T, Barrera-reséndiz J, Juárez-Colín ME, Carrillo-Prado C, Pedraza-Aguilar MdC, Asprón Ramírez A, et al. Longitudinal study of children with perinatal brain damage in whom early neurohabilitation was applied : Preliminary report. Neurosci Lett. 2016;611:59-67. Disponible en: https://doi.org/10.1016/j.neulet.2015.11.013.
Novak I, Morgan C, Adde L, Blackman J, Boyd RN, Brunstrom-Hernandez J, et al. Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment. JAMA Pediatrics. 2017;171(9):897-907. Disponible en: https://doi.org/10.1001/jamapediatrics.2017.1689.
Morgan C, Darrah J, Gordon AM, Harbourne R, Spittle A, Johnson R, et al. Effectiveness of motor interventions in infants with cerebral palsy : a systematic review. Dev Med Child Neurol. 2016;58(9):900-9. Disponible en: https://doi.org/10.1111/dmcn.13105.
van Berkel N, Clarkson MJ, Xiao G, Dursun E, Allam M, Davidson BR, et al. Dimensions of ecological validity for usability evaluations in clinical settings. J Biomed Inform. 2020;110:103553. Disponible en: https://doi.org/10.1016/j.jbi.2020.103553.
Morgan C, Novak I, Dale RC, Guzzetta A, Badawi N. GAME (Goals - Activity - Motor Enrichment): protocol of a single blind randomised controlled trial of motor training, parent education and environmental enrichment for infants at high risk of cerebral palsy. BMC Neurol. 2014;14:203. Disponible en: https://doi.org/10.1186/s12883-014-0203-2.
Aizawa CYP, Einspieler C, Genovesi FF, Ibidi SM, Hasue RH. The general movement checklist: A guide to the assessment of general movements during preterm and term age. J Pediatr (Rio J). 2021;97(4):445-52. Disponible en: https://doi.org/10.1016/j.jped.2020.09.006.
Lecuona E, Van Jaarsveld A, Raubenheimer J, Van Heerden R. Sensory integration intervention and the development of the premature infant: A controlled trial. S Afr Med J. 2017;107(11):976-82. Disponible en: https://doi.org/10.7196/SAMJ.2017.v107i11.12393.
Cano-de-la-Cuerda R, Molero-Sánchez A, Carratalá-Tejada M, Alguacil-Diego IM, Molina-Rueda F, Miangolarra-Page JC, et al. Teorías y modelos de control y aprendizaje motor. Aplicaciones clínicas en neurorrehabilitación. Neurología. 2015;30(1):32-41. Disponible en: https://doi.org/10.1016/j.nrl.2011.12.010.
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