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Record W4414767335 · doi:10.21802/artm.2025.3.35.118

МОЖЛИВОСТІ ТЕЛЕРЕАБІЛІТАЦІЇ У ВІДНОВЛЕННІ РУХОВИХ ФУНКЦІЙ У ДІТЕЙ З НЕВРОЛОГІЧНОЮ ПАТОЛОГІЄЮ

2025· article· en· W4414767335 on OpenAlexaboutno aff
Л. О. Вакуленко, О. І. Боднар, Світлана Храбра, Olga Barladin, Г. О. Стельмах, Н. Р. Макарчук

Bibliographic record

VenueArt of Medicine · 2025
Typearticle
Languageen
FieldEngineering
TopicMuscle activation and electromyography studies
Canadian institutionsnot available
Fundersnot available
KeywordsTelerehabilitationPsychological interventionRehabilitationCerebral palsyMotor skillGross motor skillRandomized controlled trialQuality of life (healthcare)

Abstract

fetched live from OpenAlex

Neurodevelopmental disorders, particularly cerebral palsy and other impairments of the central nervous system (CNS), are frequently associated with persistent motor deficits that significantly affect children's ability to perform daily activities and participate fully in age-appropriate social, educational, and physical environments. Early childhood is a critical period for motor development, and timely rehabilitation interventions during this window of heightened neuroplasticity can have a profound impact on long-term functional outcomes. Traditional rehabilitation approaches often require frequent in-person visits to specialized centers, which may not be feasible for many families due to geographical remoteness, lack of transportation, economic constraints, or limited availability of trained professionals. In this context, telerehabilitation has emerged as a promising alternative or adjunct to conventional care. It leverages modern information and communication technologies to deliver therapeutic services remotely, thereby overcoming many logistical and systemic barriers to care. Telerehabilitation can ensure continuous access to therapy, facilitate individualized programming, and foster stronger involvement of parents and caregivers in the rehabilitation process, which is a key factor in the success of pediatric interventions. The aim of this paper is to analyze contemporary literature on the effectiveness of telerehabilitation in promoting motor function recovery in children with neurological disorders. This narrative review synthesizes evidence from randomized controlled trials (RCTs), systematic reviews, scoping reviews, and cohort studies that assess the impact of various remote interventions on motor skills, functional independence, participation in daily life, and overall quality of life. The paper also discusses commonly used outcome measurement tools, such as the Gross Motor Function Measure (GMFM), the Pediatric Evaluation of Disability Inventory (PEDI), and the Canadian Occupational Performance Measure (COPM), which are instrumental in quantifying progress and tailoring interventions. Furthermore, the International Classification of Functioning, Disability and Health (ICF) framework is explored as a valuable model for designing and evaluating telerehabilitation programs. Findings indicate that telerehabilitation can significantly enhance motor development, reduce the severity of functional limitations, improve treatment adherence, and empower families to take an active role in the therapeutic journey. Successful programs often combine structured, play-based home activities with real-time virtual support from professionals, gamified platforms to enhance motivation, mobile applications for tracking progress, and virtual or augmented reality technologies to simulate engaging therapeutic environments. Nonetheless, challenges remain, including the need for standardized protocols, sufficient training for providers, data privacy and security concerns, and ensuring equitable access to digital health tools across diverse populations. Further high-quality studies are needed to establish best practices and to fully integrate telerehabilitation into pediatric neurorehabilitation pathways.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.864
Threshold uncertainty score0.695

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.007
GPT teacher head0.228
Teacher spread0.221 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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