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IJERPH
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Current Issues in the Neurological Rehabilitation of Children and Adolescents
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Current Issues in the Neurological Rehabilitation of Children and Adolescents

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 31 January 2025 | Viewed by 3738

Special Issue Editors

Dr. Lidia Perenc

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Guest Editor
Medical Faculty, Institute of Physiotherapy, University of Rzeszów, 35-959 Rzeszów, Poland
Interests: pediatric neurorehabilitation; neurological disorders; neurological rehabilitation
Dr. Agnieszka Guzik

E-Mail Website
Guest Editor
Physiotherapy Department, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, Marszałkowska 24, 35-215 Rzeszów, Poland
Interests: physiotherapy; rehabilitation; neurorehabilitation; stroke rehabilitation; gait analysis; back pain; neurologic gait disorders; neurology
Dr. Mariusz Drużbicki

E-Mail Website
Guest Editor
Physiotherapy Department, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, Marszałkowska 24, 35-215 Rzeszów, Poland
Interests: rehabilitation; posture; gait analysis; biomechanics; movement analysis; postural balance; kinesiology; neurorehabilitation; physical rehabilitation; stroke rehabilitation

Special Issue Information

Dear Colleagues,

Patients with illnesses and injuries of the nervous system, especially children and adolescents, may benefit from neurological rehabilitation (NR). As with other forms of treatment, the basic goal of NR is to improve patients’ functioning, decrease the severity of their impairing symptoms, and improve their quality of life. From a broader perspective, NR should be treated as an educative process that will make it easier for the disabled individual to cope with life’s problems as independently as possible. This process requires active participation from the patient. Therefore, the recent consensus has been that NR is not performed on the disabled person, but that it is performed by them, with the help, guidance, and support of various professionals.

A number of factors have contributed to the major changes and advances that have taken place in recent years within NR, e.g., changes in the disability model, advances in medical technology, and progress in neuroscience. Currently, the dominant biopsychosocial model of disability places emphasis on the individual’s abilities rather than their disabilities and on the role of the social environment. This has resulted in an increase in the roles of such specialists as neuropsychologists, speech–language pathologists, occupation therapists, and physiotherapists.

This Special Issue aims to discuss recent advances and changes in the field of neurological rehabilitation and their influence on the diagnosis and treatment of major neurological illnesses and disabilities, with particular emphasis on children and adolescents. We are interested in original research and review articles that may be helpful in further advancing current knowledge and practice in the field of NR. Please note that clinical studies not sufficiently addressing the aim of the journal will not be considered.

Topics include, but are not limited to:

  1. Biofeedback methods in the neurological rehabilitation of children and adolescents;
  2. Robotics in the neurological rehabilitation of children and adolescents;
  3. Gamification in the neurological rehabilitation of children and adolescents;
  4. Improving gait in the neurological rehabilitation of children and adolescents;
  5. Improving manual functions in the neurological rehabilitation of children and adolescents;
  6. The correction of body posture in the neurological rehabilitation of children and adolescents;
  7. Daily-life problems faced by the carers of children and adolescents participating in neurological rehabilitation;
  8. Differentiation of the nutritional status of children and adolescents participating in neurorehabilitation;
  9. The rehabilitation of balance and coordination disorders in children and adolescents with neurodysfunctions;
  10. The rehabilitation of cognitive and speech functions in children and adolescents with neurodysfunctions.

Dr. Lidia Perenc
Dr. Agnieszka Guzik
Dr. Mariusz Drużbicki
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric neurorehabilitation
  • neurological disorders
  • assessment
  • treatment
  • quality of life
  • robotics- and computer-assisted training
  • rehabilitation teams

Published Papers (3 papers)

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Research

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19 pages, 2046 KiB  
Article
Supported Standing and Supported Stepping Devices for Children with Non-Ambulant Cerebral Palsy: An Interdependence and F-Words Focus
by Ginny S. Paleg, Sian A. Williams and Roslyn W. Livingstone
Int. J. Environ. Res. Public Health 2024, 21(6), 669; https://doi.org/10.3390/ijerph21060669 - 23 May 2024
Viewed by 1035
Abstract
Children functioning at Gross Motor Function Classification System (GMFCS) levels IV–V cannot maintain an aligned standing position or take steps without support. Upright positioning and mobility devices have psycho-social significance for these children and their families, enhancing use of vision, communication, functioning and [...] Read more.
Children functioning at Gross Motor Function Classification System (GMFCS) levels IV–V cannot maintain an aligned standing position or take steps without support. Upright positioning and mobility devices have psycho-social significance for these children and their families, enhancing use of vision, communication, functioning and emotional well-being. Standers and supported stepping devices facilitate opportunities for biomechanical loading, potentially helping to build and maintain muscle and bone integrity, and they promote physical development. However, families are often required to choose between these two devices for their young child. This study aims to synthesize evidence for use and benefits of both supported standing and stepping devices through the lens of two contemporary theoretical frameworks to support clinical reasoning and implementation. The F-words for childhood development (functioning, family, fitness, fun, friends, future) and the interdependence-Human Activity Assistive Technology (iHAAT) models were combined to illustrate the complex interactions between the child, family, caregivers, peers and contextual factors when implementing standing and stepping devices with children at GMFCS levels IV and V. Supported standing and stepping devices provide complementary benefits, and both may be necessary starting at 9–15 months. We propose they both be included ON-Time, along with other age-appropriate positioning and mobility devices, to promote more equitable developmental opportunities for children with non-ambulant cerebral palsy. Full article
(This article belongs to the Special Issue Current Issues in the Neurological Rehabilitation of Children and Adolescents)
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19 pages, 386 KiB  
Article
Impact of the COVID-19 Pandemic on the Level of Anxiety and Depression in Caregivers of Children Benefiting from Neurorehabilitation Services
by Lidia Perenc, Justyna Podgórska-Bednarz, Agnieszka Guzik and Mariusz Drużbicki
Int. J. Environ. Res. Public Health 2023, 20(5), 4564; https://doi.org/10.3390/ijerph20054564 - 4 Mar 2023
Viewed by 1440
Abstract
Introduction: At the turn of March and April 2020, due to the occurrence of COVID-19 in Poland, the first restrictions on the provision of rehabilitation services were introduced. Nevertheless, caregivers strived to ensure that their children could benefit from rehabilitation services. Aim of [...] Read more.
Introduction: At the turn of March and April 2020, due to the occurrence of COVID-19 in Poland, the first restrictions on the provision of rehabilitation services were introduced. Nevertheless, caregivers strived to ensure that their children could benefit from rehabilitation services. Aim of the study: To determine which of the selected data presented in the media reflecting the intensity of the COVID-19 epidemic in Poland differentiated the level of anxiety and depression in caregivers of children benefiting from neurorehabilitation services. Material and methods: The study group consisted of caregivers of children (n = 454) receiving various neurorehabilitation services in the inpatient ward of Neurological Rehabilitation of Children and Adolescents (n = 200, 44%), in the Neurorehabilitation Day Ward (n = 168, 37%), and in the Outpatient Clinic (n = 86, 19%) of the Clinical Regional Rehabilitation and Education Center in Rzeszow. The average age of the respondents was 37.23 ± 7.14 years. The Hospital Anxiety and Depression Scale (HADS) was used to measure the severity of anxiety and depression in caregivers of children. The questionnaires were distributed from June 2020 to April 2021. As a measure of the severity of the COVID-19 epidemic in Poland, the figures presented in the media were adopted. In addition, data on the COVID-19 pandemic presented in the media (Wikipedia, TVP Info, Polsat Nes, Radio Zet) on the day preceding the completion of the survey were analyzed based on statistical analysis methods. Results: 73 of the surveyed caregivers (16.08%) suffered from severe anxiety disorders, and 21 (4.63%) from severe depressive disorders. The average severity of anxiety (HADS) in the subjects was 6.37 points, and the average severity of depression was 4.09 points. There was no statistically significant relationship between the data presented in the media—such as daily number of infections, total number of infections, daily number of deaths, total number of deaths, total number of recoveries, number of hospitalizations, and people under quarantine—and the level of anxiety and depression of the studied caregivers (p > 0.05). Conclusions: It was not found that the selected data presented in the media, showing the intensity of the COVID-19 epidemic in Poland, significantly differentiated the level of anxiety and depression among caregivers of children using neurorehabilitation services. Their motivation to continue the treatment, caused by concern for their children’s health, resulted in less severe symptoms of anxiety and depression during the peak period of the COVID-19 pandemic. Full article
(This article belongs to the Special Issue Current Issues in the Neurological Rehabilitation of Children and Adolescents)

Review

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17 pages, 1432 KiB  
Review
Looking beyond Body Structure and Function: ICF Foci and Who Is Being Assessed in Research about Adolescents and Young Adults with Cerebral Palsy—A Scoping Review
by Camila Araújo Santos Santana, Peter Rosenbaum, Jet van der Kemp and Ana Carolina de Campos
Int. J. Environ. Res. Public Health 2024, 21(6), 670; https://doi.org/10.3390/ijerph21060670 - 24 May 2024
Viewed by 790
Abstract
Purpose: The purpose of this study is to summarize the ICF foci, looking beyond body structures and function, and to analyze who has been assessed in research about adolescents and young adults (AYAs) with CP in the phase of transition to adulthood. Method: [...] Read more.
Purpose: The purpose of this study is to summarize the ICF foci, looking beyond body structures and function, and to analyze who has been assessed in research about adolescents and young adults (AYAs) with CP in the phase of transition to adulthood. Method: Medline, EMBASE, PsycINFO, and CINAHL databases were searched using terms related to cerebral palsy, adolescents/young adults, health development, participation, and independence. Studies including youth with CP (13–30 years old) published in English from 2014 to 2021 were considered. The methods of assessment reported in the included studies were used to identify the ICF foci and who was assessed. Results: In this study, 86 studies were reviewed. The main ICF foci are activity and participation (51% of the studies), personal factors (23%), ICF not covered (14%), ICF not defined (9%), with environmental factors being the least focused ICF component (3%). Most studies assessed AYAs directly (49% of studies). Conclusions: Activity- and participation-related constructs are the leading research focus of studies, and more attention is needed concerning environmental factors. AYAs are the main source of information, and the perspectives of other key figures are also being valued. To bridge the gap between child and adult health care, a broader view of health development and approaches to explore AYA developmental issues must be taken. Full article
(This article belongs to the Special Issue Current Issues in the Neurological Rehabilitation of Children and Adolescents)
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