The effects rehabilitation timing on the motor functioning of children with a traumatic brain injury
10.3760/cma.j.cn421666-20240424-00306
- VernacularTitle:不同介入时机的综合康复干预对创伤性脑损伤患儿运动功能的影响
- Author:
Zerui ZHENG
1
;
Qin FU
;
Min ZHOU
;
Jianguo CAO
;
Linjuan WANG
;
Fanling MENG
Author Information
1. 深圳市儿童医院护理部，深圳 518000
- Keywords:
Traumatic brain injury;
Rehabilitation timing;
Motor functioning
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(11):983-987
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To document any impact of the timing of rehabilitation interventions on the recovery of motor function among children after a traumatic brain injury (TBI).Methods:Seventy-one children with a TBI were randomly divided into a control group ( n=36) and an observation group ( n=35). All received comprehensive rehabilitation-15 to 30 days after admission for those in the control group and 2 to 14 days after admission for the observation group. It included joint range-of-motion training, multi-sensory stimulation training, low-frequency electrical stimulation, and acupuncture. Before the experiment and 4, 12 and 24 weeks afterward, everyone′s motor functioning, muscle tone, and functional independence were quantified using the Fugl-Meyer Assessment (FMA), the Modified Ashworth Scale (MAS), and the WeeFIM pediatric functional independence measure. Results:Four weeks after the intervention the average FMA and WeeFIM scores of both groups had already increased significantly. At 12 and 24 weeks the average FMA and WeeFIM scores of the observation group were significantly higher than the control group′s averages. Muscle tone was then also significantly better on average. There was no significant difference in the incidence of rehabilitation interruptions between the two groups.Conclusion:Early comprehensive rehabilitation intervention within 2 to 14 days of admission can effectively better the motor functioning and functional independence of pediatric TBI patients.
