Abstract
Aim Inpatient rehabilitation plays an important role in treating neurological diseases
in children and adolescents. However, there is a lack of current research concerning
this matter. This retrospective study aims to analyze the effectiveness of neuropediatric
inpatient rehabilitation, to identify influencing factors, and to examine the importance
of inpatient rehabilitation programs.
Methods We reviewed medical records of patients, diagnosed with cerebral palsy, traumatic
brain injury (TBI), or stroke who had an inpatient rehabilitation at the Department
of Neuropediatrics of St. Mauritius Therapieklinik in Meerbusch from 2012 to 2019.
The patients received several units of different therapies such as motor and cognitive
rehabilitation or speech therapy per day, depending on their individual needs and
aims. Rehabilitation outcome was assessed by comparing Gross Motor Function Measure-88
and Pediatric Evaluation of Disability Inventory admission and discharge scores. Influences
of sex, age, length of stay (LOS), and admission score were analyzed.
Results A total of 738 patients with a mean age of 9.2 (± 5.1) years and a mean LOS of 53.8
(± 33.7) days were included; 38.5% were female. Patients, regardless of their diagnosis,
sex, or age, demonstrated highly significant and meaningful improvements of self-care,
mobility, and social function during inpatient rehabilitation. Especially, the group
of patients with TBI and stroke could approximate their skills substantially to the
ones of healthy peers. A longer LOS correlated significantly with greater improvement
of skills.
Interpretation This is a current study, supporting the effectiveness of neuropediatric inpatient
rehabilitation and affirming its value in treating neurological diseases in children
and adolescents.
Keywords
rehabilitation - neuropediatric - outcome - cerebral palsy - traumatic brain injury
- stroke
