Estado motor dos pacientes pediátricos vítimas de traumatismo cranioencefálico: uma revisão narrativa da literatura

Abstract

The present study aimed to understand the motor status of pediatric patients who are victims of traumatic brain injury (TBI) through a narrative review of the literature. An advanced search was carried out in the PubMed database from the last 20 years until December 2022. The descriptors used were Child, Traumatic Brain Injury and Functional Status and the inclusion criteria were sample with age group between 0 and 17 years and 11 months and studies that addressed the motor state of children and adolescents victims of TBI. The search was restricted to randomized clinical trials, systematic reviews and meta-analyses, with no limit to year of publication and in Portuguese, English and Spanish. The initial survey identified 80 studies and a total of 12 articles formed the basis of this review. The motor status analysis included “adaptive function”, “ability to maintain head and sitting position”, “gross motor and fine motor” and “self-care and mobility” in children with mild, moderate and severe TBI. The window of the first two years after the trauma was the most frequently analyzed among the authors to assess the motor functional gain and, the younger the child is at the time of the trauma associated with a TBI classified as severe, the worse the outcome tends to be. functional engine.