运动障碍儿童的非运动症状尺度:一个范围审查
Clément Desjardins1, Christelle Nilles1, Hortensia Gimeno2,3
1Department of Neurology, Rothschild Foundation Hospital, Paris, France.
Neurology
|October 17, 2025
概括
运动障碍儿童的非运动症状 (NMS) 通常被忽视. 这次审查发现了评估疼痛,睡眠和胃肠道问题的差距,强调了需要更好的工具和综合护理的需要.
科学领域:
- 儿科神经学 儿科神经学
- 运动障碍 运动障碍
- 非运动性症状评估评估
背景情况:
- 非运动性症状 (NMSs) 显著影响儿童的运动障碍,如, dystonia,脑 (CP).
- 这些症状经常被忽视,影响日常功能和生活质量.
- 了解当前的评估实践对于未来的研究和工具开发至关重要.
研究的目的:
- 确定在日常实践和研究中用于评估儿科运动障碍中的NMS的尺度和工具.
- 为制定标准化和潜在的疾病特定的NMS评估工具提供信息.
主要方法:
- 在 MEDLINE,Embase 和 PsycINFO (1990-2023) 进行了全面的文献搜索.
- 包括评估NMS使用儿童 (0-18岁) 计量表的研究,这些儿童患有滴滴障碍, dystonia,或CP.
主要成果:
- 分析了382项研究,主要是横截面,队列和病例对照设计.
- 认知障碍,心理健康,行为问题和疼痛是最常被评估的.
- 自尊,沟通,睡眠障碍,疲劳和胃肠道/尿道症状很少被评估,CP评估可能过度表现.
结论:
- 在儿童运动障碍中评估NMS存在显著差距,特别是在疼痛,睡眠和胃肠道症状方面.
- 标准化是必要的,但对一般与疾病特定工具的偏好仍然不清楚.
- 将NMS评估整合到日常护理和跨文化验证中,对于早期识别和管理至关重要.
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