Recommendations for clinical practice after neonatal arterial ischemic stroke: Clinical monitoring and early rehabilitation intervention

Publication date: September 2016 Source:Annals of Physical and Rehabilitation Medicine, Volume 59, Supplement Author(s): Carole Vuillerot, Mickael Dinomais, Stephane Marret, Stephane Chabrier, Thierry Debillon Opinion/Feedback Neonatal arterial ischemic stroke (NAIS) affects one child in 6–17 100,000-birth term neonates, most of these children will keep long-term motor and cognitive impairment. In 2014, initiated by the French Center for Pediatric Stroke in association with the French Society of Neonatology, a steering committee was created to propose clinical guidelines after NAIS. From all the relevant questions, the importance is given to long-term outcomes after a NAIS with a need for a better description of motor and cognitive outcomes after a NAIS in order to propose a more consensual monitoring for these children to improve their management. Guidelines were proposed based on an extensive literature review and experts experience. About 30% of children after a NAIS will develop a unilateral cerebral palsy requiring a management by a team with expertise in physical medicine and rehabilitation. To quantify impairments, activity limitations and participation restrictions resulting from this NAIS, evaluations, with reliable tools must be carried out systematically, early and repeated annually through adolescence. A multidisciplinary team with a longitudinal follow-up, in all the different developmental dimensions, must conduct these evaluations in term of motor skil...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research