Effectiveness of Physical Therapy Interventions in Children with Brachial Plexus Birth Injury: A Systematic Review.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2023-01-01 DOI:10.1080/17518423.2022.2099995

Mariana Aguiar de Matos, Deisiane Oliveira Souto, Bruno Alvarenga Soares, Vinícius Cunha de Oliveira, Hércules Ribeiro Leite, Ana Cristina Resende Camargos

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引用次数: 2

Abstract

Aim: To systematically review the effectiveness of physical therapy interventions in infants, children and adolescents with brachial plexus birth injury (BPBI).

Methods: Systematic review of randomized controlled trials including patients under 18 years old with BPBI was conducted on Medline, Cochrane, Embase, Amed and Pedro databases. Methodological quality was assessed by the PEDro score and quality of evidence by the GRADE system. The primary outcomes measured were range of motion, muscle strength and bone mineral density.

Results: Seven studies were included, two in infant and 5 in children, of 932 title and abstracts screened. The interventions, characteristics of the participants and outcomes were diverse. The largest effect was found when other intervention was combined with conventional physical therapy in the primary outcomes, with low quality of evidence.

Conclusion: Physical therapy interventions alone or in combination with other treatment modalities are effective in improving short-term disabilities in children with BPBI.

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物理治疗干预对臂丛出生损伤儿童的有效性:一项系统综述。

目的:系统回顾物理治疗干预在婴儿、儿童和青少年臂丛出生损伤(BPBI)中的效果。方法:在Medline、Cochrane、Embase、Amed和Pedro数据库中对纳入18岁以下BPBI患者的随机对照试验进行系统评价。方法质量采用PEDro评分评估，证据质量采用GRADE系统评估。测量的主要结果是活动范围、肌肉力量和骨密度。结果:在筛选的932篇标题和摘要中，纳入了7项研究，其中2项为婴儿，5项为儿童。干预措施、参与者的特征和结果是多种多样的。在主要结果中，其他干预措施与常规物理治疗相结合的效果最大，证据质量较低。结论:物理治疗干预单独或联合其他治疗方式可有效改善BPBI患儿的短期残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.