Multidisciplinary rehabilitation of a post-stroke pediatric patient considering the ICF perspective.

Autor: Gilardone G, Fumagalli FM, Monti A, Pintavalle G, Troletti ID, Gilardone M, Corbo M
Jazyk: angličtina
Zdroj: Journal of pediatric rehabilitation medicine [J Pediatr Rehabil Med] 2020; Vol. 13 (3), pp. 255-262.
DOI: 10.3233/PRM-190636
Abstrakt: Purpose: There is a general lack of evidence on the efficacy of rehabilitation training methods after childhood stroke. The aim of the current paper is to provide an example of a multidisciplinary assessment and intensive patient-centered rehabilitation program that was devised following the Clinical Guidelines for Childhood Stroke Diagnosis, Management and Rehabilitation, based on the International Classification of Functioning, Disability and Health.
Method: The case of a 13-year-old teenager with physical, linguistic, cognitive and emotional impairments after acute ischemic stroke (AIS) in left middle cerebral artery territories is presented and his neurorehabilitation program is described.
Results: After an intensive and comprehensive rehabilitation period, the patient showed significant improvement involving language abilities, cognitive flexibility, logical reasoning and motor independence. A 6-month post-stroke follow-up evaluation showed further gains in spontaneous language, improved motivation and collaboration, reduction of impulsiveness and better general motor stability.
Conclusion: This case highlights how an intensive, patient-centered, interdisciplinary rehabilitation approach can lead to good improvement across different domains, maximizing the spontaneous recovery in children and adolescents after AIS.
Databáze: MEDLINE
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