As practitioners in the field of pediatric neurology and neurodevelopmental disorders, staying updated with the latest advancements in telerehabilitation is crucial for enhancing the quality of care we provide. A recent systematic review titled The wide world of technological telerehabilitation for pediatric neurologic and neurodevelopmental disorders – a systematic review offers valuable insights into the effectiveness of various technological interventions in telerehabilitation.
Key Findings from the Systematic Review
The systematic review, which adhered to PRISMA guidelines and included studies published from 2000 onwards, analyzed the effectiveness of telerehabilitation protocols across various pediatric neurodevelopmental and neurological disorders. Here are some of the key findings:
- Technological Tools: The review found that most telerehabilitation technologies are commercial devices, although research prototypes and clinical software with high potential for personalization and treatment efficacy were also used.
- Targeted Functions: Most studies focused on motor and neuropsychological functions, with fewer studies addressing language or multi-domain protocols.
- Caregiver Involvement: The role of caregivers was highlighted as a critical element in home-based rehabilitation settings, although they were rarely the direct target of interventions.
- Outcomes: The efficacy of these protocols was evaluated using the International Classification of Functioning, Disability, and Health (ICF) framework, with positive outcomes reported in motor and neuropsychological functions.
Implementing Findings into Practice
To improve your skills and outcomes for your pediatric patients, consider the following recommendations based on the systematic review:
- Utilize a Variety of Technological Tools: Incorporate commercial devices and clinical software that allow for personalization and efficacy in treatment. This can include virtual reality, active video gaming devices, and telemonitoring tools.
- Focus on Multi-Domain Protocols: While most studies focus on motor and neuropsychological functions, expanding to multi-domain protocols can provide a more holistic approach to rehabilitation.
- Enhance Caregiver Involvement: Actively involve caregivers in the rehabilitation process by providing them with the necessary training and support. This can lead to improved clinical outcomes and greater adherence to treatment protocols.
- Measure Outcomes Using ICF Framework: Adopt the ICF framework to evaluate the effectiveness of your interventions, ensuring that you are targeting the right functional domains and achieving measurable improvements.
Encouraging Further Research
The review also suggests areas for further research, particularly in developing dynamic and multi-domain rehabilitation protocols and promoting home-based, family-centered care. By engaging in or supporting research in these areas, you can contribute to the advancement of telerehabilitation and improve outcomes for children with neurological and neurodevelopmental disorders.
To read the original research paper, please follow this link: The wide world of technological telerehabilitation for pediatric neurologic and neurodevelopmental disorders – a systematic review.
