Çocuklarda Serebrovasküler Hastalıklarda Rehabilitasyon
Özet
Çocukluk çağı serebrovasküler hastalıkları; arteryal iskemik, venöz tromboz ve hemorajik inme olarak sınıflandırılan, nadir görülmesine rağmen uzun süreli motor, bilişsel ve sosyal bozukluklara yol açabilen ciddi klinik tablolardır. İnme sonrası çocuklarda %50-80 oranında motor defisitlerin yanı sıra epilepsi, kognitif gerileme, yutma güçlüğü ve konuşma bozuklukları gibi geniş bir fonksiyonel kayıp spektrumu ortaya çıkmaktadır. Rehabilitasyon süreci, çocuğun nöroplastisite potansiyelini maksimize etmek amacıyla multidisipliner bir yaklaşımla erken dönemde başlamalı; fizik tedavi, iş-uğraşı terapisi ve aile katılımını içeren kişiselleştirilmiş programları kapsamalıdır. Güncel tedavi yöntemleri arasında konvansiyonel egzersizlerin yanı sıra zorunlu kullanım terapisi, sanal gerçeklik uygulamaları ve robotik rehabilitasyon gibi motor öğrenmeyi destekleyen modern yaklaşımlar büyük önem taşımaktadır.
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