Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study
ABSTRACT Background: Stroke has been increasingly recognized as an important morbidity and mortality factor in neonates and children. Children have different and more diverse risk factors than adults, commonly related to an underlying disease. Stroke may compromise functional capacity in children....
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Thieme Revinter Publicações
2022-01-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022005002201&lng=en&tlng=en |
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| author | Larissa Audi Teixeira Mota Daniela Rodrigues Baleroni Silva Luzia Iara Pfeifer |
| author_facet | Larissa Audi Teixeira Mota Daniela Rodrigues Baleroni Silva Luzia Iara Pfeifer |
| author_sort | Larissa Audi Teixeira Mota |
| collection | DOAJ |
| description | ABSTRACT Background: Stroke has been increasingly recognized as an important morbidity and mortality factor in neonates and children. Children have different and more diverse risk factors than adults, commonly related to an underlying disease. Stroke may compromise functional capacity in children. Few studies have focused on functional outcomes related to activities and participation. Objectives: To investigate post-stroke functionality of children related to self-care, mobility, and social function. Methods: We assessed the functional outcome of 14 children younger than 7.5 years who suffered a stroke in early childhood through the use of the Pediatric Evaluation of Disability Inventory (PEDI). Results: The average age of the sample at assessment was 3.6 ± 1.4 years (2 - 6 years). The average scores in the PEDI functional domains of self-care, mobility, and social function were, respectively, 37.6 ± 15.4, 36.2 ± 15.4, and 48.7 ± 11.1. Children showed age-appropriate functional outcomes in the PEDI functional domains: 71.4% of them in self-care and mobility and 92.9% in social function. Children with bilateral injuries (p = 0.05) and longer hospital stays (r = -0.79, p = 0.001) showed the worst scores in PEDI's social function domains. Conclusions: Overall, our sample of preschool children showed age-appropriate functional outcomes on self-care, mobility, and social function domains after stroke. However, children with bilateral injuries and longer hospital stays showed the worst scores in social function domains. We recommend focusing on functional rehabilitation to promote activities and participation and to monitor the development of children's social skills after stroke. |
| format | Article |
| id | doaj-art-3a51ec0e12fe4e39a0c6da1342997a87 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-3a51ec0e12fe4e39a0c6da1342997a872025-08-20T02:16:34ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272022-01-0110.1590/0004-282x-anp-2021-0019Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort studyLarissa Audi Teixeira Motahttps://orcid.org/0000-0001-6075-0848Daniela Rodrigues Baleroni Silvahttps://orcid.org/0000-0003-3373-7466Luzia Iara Pfeiferhttps://orcid.org/0000-0002-1826-1968ABSTRACT Background: Stroke has been increasingly recognized as an important morbidity and mortality factor in neonates and children. Children have different and more diverse risk factors than adults, commonly related to an underlying disease. Stroke may compromise functional capacity in children. Few studies have focused on functional outcomes related to activities and participation. Objectives: To investigate post-stroke functionality of children related to self-care, mobility, and social function. Methods: We assessed the functional outcome of 14 children younger than 7.5 years who suffered a stroke in early childhood through the use of the Pediatric Evaluation of Disability Inventory (PEDI). Results: The average age of the sample at assessment was 3.6 ± 1.4 years (2 - 6 years). The average scores in the PEDI functional domains of self-care, mobility, and social function were, respectively, 37.6 ± 15.4, 36.2 ± 15.4, and 48.7 ± 11.1. Children showed age-appropriate functional outcomes in the PEDI functional domains: 71.4% of them in self-care and mobility and 92.9% in social function. Children with bilateral injuries (p = 0.05) and longer hospital stays (r = -0.79, p = 0.001) showed the worst scores in PEDI's social function domains. Conclusions: Overall, our sample of preschool children showed age-appropriate functional outcomes on self-care, mobility, and social function domains after stroke. However, children with bilateral injuries and longer hospital stays showed the worst scores in social function domains. We recommend focusing on functional rehabilitation to promote activities and participation and to monitor the development of children's social skills after stroke.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022005002201&lng=en&tlng=enStrokeChildSelf-CareLocomotionSocial Skills |
| spellingShingle | Larissa Audi Teixeira Mota Daniela Rodrigues Baleroni Silva Luzia Iara Pfeifer Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study Arquivos de Neuro-Psiquiatria Stroke Child Self-Care Locomotion Social Skills |
| title | Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study |
| title_full | Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study |
| title_fullStr | Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study |
| title_full_unstemmed | Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study |
| title_short | Functional outcomes in children related to self-care, mobility, and social function after stroke in early childhood: a cohort study |
| title_sort | functional outcomes in children related to self care mobility and social function after stroke in early childhood a cohort study |
| topic | Stroke Child Self-Care Locomotion Social Skills |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022005002201&lng=en&tlng=en |
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