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Pediatric Patients With Hemiplegia: A Systematic Review of a Randomized Controlled Trial
Ashish Varma1, Nadeem R Khan2, Anuj Varma3
1Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Insights
This review found that pediatric hemiplegia patients benefit from Kinesio taping, botulinum toxin injections, and bimanual therapy. These treatments improve motor function and quality of life for children with paralysis.
Area of Science:
- Neurology
- Pediatric Rehabilitation
- Clinical Trials
Background:
- Hemiplegia, paralysis of one body side, causes muscular wasting, impaired gait, and reduced motor abilities.
- It significantly impacts patients' quality of life by affecting brain and spinal cord functions.
- Therapeutic interventions include physical therapy, medical management, and multidisciplinary care.
Purpose of the Study:
- To systematically review the effects of various treatments on juvenile hemiplegia patients.
- To evaluate interventions within the context of randomized controlled trials (RCTs).
Main Methods:
- A systematic review methodology was employed.
- Keywords 'Hemiplegia' and 'Pediatrics' were searched using the Boolean operator 'AND'.
- Six RCTs met the inclusion and exclusion criteria for analysis.
Main Results:
- Pediatric hemiplegia patients demonstrated benefits from Kinesio taping (KT).
- Botulinum toxin type-A (BoNT-A) injections showed positive outcomes.
- Hyaluronic acid injections and bimanual therapy were also found to be beneficial.
Conclusions:
- Kinesio taping, BoNT-A, hyaluronic acid injections, and bimanual therapy are effective interventions for pediatric hemiplegia.
- These treatments offer significant improvements for affected children.
- Further research may explore optimal combinations and long-term efficacy.
Abstract:
Hemiplegia is the medical term for paralysis of one side of the body. It results in muscular wasting on the affected side, impairs gait, reduces motor abilities, and causes instability and a loss of grasping capacity. The patient's quality of life is impacted by hemiplegia because it impairs brain and spinal cord functions. Consequently, a range of therapeutic options, including physical therapy, medical health management, and other multidisciplinary care, are accessible. The effects of treatments on juvenile patients with hemiplegia who are participating in a randomized controlled trial (RCT) are examined in this systematic review. Using the Boolean operator "AND," the research process entailed searching for keywords like "Hemiplegia" and "Pediatrics." Based on the inclusion and exclusion criteria, a total of six RCTs were included in the study. According to the study's findings, hemiplegic patients benefited from Kinesio taping (KT), botulinum toxin type-A (BoNT-A), hyaluronic acid injections, and bimanual treatment.
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