定义脑儿童的目标导向培训:范围审查和实施框架
Angela Shierk1,2, Bridget Barry Thias1, Haley Becker1,3
1Department of Clinical Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Children (Basel, Switzerland)
|August 28, 2025
概括
目标导向训练 (GDT) 改善了脑儿童的运动功能,自我照顾和参与. 这一审查为有效实施GDT提供了基于证据的框架.
科学领域:
- 康复医学
- 儿童神经学
- 发动机控制
背景情况:
- 脑对运动功能和参与具有重大挑战.
- 针对目标的培训 (GDT) 是一种治疗方法,
研究的目的:
- 定义以目标为导向的培训 (GDT) 以及它对脑儿童的影响.
- 制定一个有效实施GDT的结构框架.
主要方法:
- 使用阿克西和奥马利框架和PICO标准进行范围审查.
- 在九个数据库和参考清单中进行系统的搜索;由两名独立审查员进行数据提取.
- 包括4708名儿童的156项研究的定性描述性分析.
主要成果:
- 在所有总运动功能分类系统 (GMFCS) 和手动能力分类系统 (MACS) 级别中应用了GDT干预措施.
- 在运动功能,手动,自我照顾,沟通和参与方面有显著的改善.
- 综合了八步GDT框架,强调了协作目标设定,结构化实践和反.
结论:
- GDT对患有脑膜炎的儿童有广泛的功能益处,
- 开发的框架提供了一个实用的,以证据为基础的指南,用于一致的GDT交付.
- 这一框架支持临床医生和研究人员在各种环境中忠实地实施GDT.
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