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. 2024 Jul 13;11(7):852.
doi: 10.3390/children11070852.

Care Pathways in Rehabilitation for Children and Adolescents with Cerebral Palsy: Distinctiveness of the Adaptation to the Italian Context

Silvia Faccioli  1   2 , Silvia Sassi  1 , Emanuela Pagliano  3 , Cristina Maghini  4 , Silvia Perazza  1 , Maria Francesca Siani  5 , Giada Sgherri  6 , Giuseppina Mariagrazia Farella  7 , Maria Foscan  3 , Marta Viganò  3 , Silvia Sghedoni  1 , Arianna Valeria Bai  6 , Giulia Borelli  1 , Adriano Ferrari  1 ; CP Care Pathway Panel
Affiliations

Care Pathways in Rehabilitation for Children and Adolescents with Cerebral Palsy: Distinctiveness of the Adaptation to the Italian Context

Silvia Faccioli et al. Children (Basel). .

Abstract

Background: In 2020, a multiprofessional panel was set up in collaboration with the Italian FightTheStroke Foundation family association to produce evidence-based recommendations for the management and neuromotor rehabilitation of persons with cerebral palsy aged 2-18 years to implement in clinical practice in Italy.

Methods: The recommendations of these care pathways were developed according to the American Academy for Cerebral Palsy and Developmental Medicine guidelines for Care Pathways Development and the Grading of Recommendations Assessment Development and Evaluation working group for adoption, adaptation, or de novo development of recommendations from high-quality guidelines (GRADE-ADOLOPMENT).

Results: Four strong positive recommendations were developed regarding comprehensive management, and twenty-four addressed neuromotor treatment.

Conclusions: A holistic, individualized approach was affirmed in terms of both multidimensional patient profile and interdisciplinary management in a network with the school where children and adolescents are integrated. It was defined that all motor rehabilitation approaches must be individually tailored considering age and developmentally appropriate activities as interventions and goals, in light of the reference curves addressing prognosis for Gross Motor Function and Manual Ability Classification Systems. Intervention must be structured with adaptations of the task and/or of the context (objects and environment) based on the analysis of the child's skills to support motivation and avoid frustration.

Keywords: exercise; health services; learning; orthotic devices; patient participation; physical and rehabilitation medicine; physical therapy modalities; play and playthings.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Flowchart representing the “Comprehensive management of children and adolescents with CP” care pathway with adaptation to the Italian context.
Figure 2
Figure 2
Flowchart representing the “Motor rehabilitation of children and adolescents with CP” care pathway with adaptation to the Italian context.
See this image and copyright information in PMC

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