Revolutionizing paediatric neurorehabilitation: integrating innovation and contemporary practice

Abstract

The field of paediatric neurorehabilitation is undergoing significant transformation, driven by evolving care pathways, innovative technologies, and a growing emphasis on addressing health disparities. Children and young people (CYP) with acquired brain injuries (ABI) benefit from rehabilitation that optimizes their participation in daily life across home, school, and community settings. This paper explores the changing landscape of paediatric neurorehabilitation and changing patterns of causes of brain injury in children. The discussion extends to health inequalities that affect access to care, underscoring the need for system-wide reforms to bridge disparities linked to socioeconomic, geographic, and cultural factors. The development of seamless, end-to-end service pathways, from acute care to specialist tertiary neurorehabilitation and onward community services, demonstrates the potential for integrated care to improve outcomes for CYP transitioning from hospital to home. Central to effective rehabilitation is personalized goal setting and high-intensity treatments, which enhance physical, cognitive, and social outcomes. Technological advancements, including virtual reality, robotics, and electrical muscle stimulation, are reshaping therapeutic approaches, increasing engagement, and fostering neuroplasticity. Findings advocate for ongoing research, investment in community services, and equitable application of emerging technologies. By prioritizing personalized care and addressing systemic barriers, the future of paediatric neurorehabilitation holds promise for improved long-term functional outcomes for children with ABI.