Review Article
The Perceived Benefits of Assistive Technologies for Children with Cerebral Palsy, Families and Caregivers: A Systematic Review
Dala Hreish*
Issue:
Volume 10, Issue 1, March 2025
Pages:
1-15
Received:
14 December 2024
Accepted:
9 January 2025
Published:
24 January 2025
Abstract: Cerebral palsy is a neurodevelopmental condition that occurs pre-birth, during birth or post-birth. It often results in motor impairments and associated challenges that significantly affect functional independence and quality of life. Assistive technologies play a critical role in enhancing function and independence for young people affected by this condition. This systematic review aimed to identify the perceived benefits of such technologies for children with cerebral palsy, their families and caregivers. A systematic search of the literature identified nine articles that met the inclusion criteria. The review used meta-ethnography as its methodology, applying an interpretive approach to translate concepts across studies and generate new insights. Four third-order interpretations were identified. The first was Identity and belonging: enhancing self-esteem, motivation, independence, and improving posture and mobility. The second was Inclusion and participation: children’s willingness, relationships and parents’ perception. The third was Environmental barriers at home and school. And the fourth was Challenges in assistive technology: aesthetics, usability, knowledge gaps and the need for ongoing support. The findings highlight how assistive technologies address both physical and social challenges, improving developmental opportunities and enhancing independence, social participation and quality of life. Tailoring devices to real-world needs and strengthening collaboration among healthcare professionals, educators and families are essential for promoting children’s functional performance, well-being and inclusion in society.
Abstract: Cerebral palsy is a neurodevelopmental condition that occurs pre-birth, during birth or post-birth. It often results in motor impairments and associated challenges that significantly affect functional independence and quality of life. Assistive technologies play a critical role in enhancing function and independence for young people affected by thi...
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Research Article
Effectiveness of Transcutaneous Posterior Tibial Nerve Stimulation for Refractory Idiopathic Overactive Bladder in Children
Nada Kyal*,
Ryme El Beloui,
Hasnaa Boutalja,
Khawla Rsaissi,
Fatima Lmidmani,
Abdellatif El Fatimi
Issue:
Volume 10, Issue 1, March 2025
Pages:
16-20
Received:
28 June 2025
Accepted:
14 July 2025
Published:
31 July 2025
DOI:
10.11648/j.rs.20251001.12
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Abstract: Background: Transcutaneous posterior tibial nerve stimulation (TPTNS) is a promising treatment modality for idiopathic overactive bladder (OAB) in the pediatric population. Objective: To evaluate the efficacy of TPTNS in children suffering from idiopathic OAB refractory to conventional therapies. Method: It is a retrospective study including children with clinical OAB syndrome refractory to treatment. The TPTNS protocol consisted of a daily 20-minute session (5 times per week, frequency 10 Hz, pulse width 200 µsec). All patients and family were instructed on how to use the device at home. Treatment efficacy was assessed based on perceived clinical improvement or success using a 3-day voiding diary and visual analog scale (VAS). The evaluation of treatment effectiveness was done after 1 and 6 months. Result: A total of 55 children were included in the study (31 girls and 24 boys), with a mean age of 10.6 ± 3.1 years. All patients experienced urinary urgency, 78.2% had frequency and 51% urge incontinence. 32.7% exhibited both daytime and nighttime symptoms. After one month of TPTNS, clinical outcomes showed improvement in 52 patients. The perceived improvement was more pronounced for daytime symptoms. After 6 months, 65.5% were considered cured while the remaining patients showed continued improvement. On the VAS, 72.7% assessed the improvement in symptoms as between 9/10 and 10/10. Conclusion: TPTNS represents a potentially effective and noninvasive treatment strategy for idiopathic OAB in children, showing significant symptom improvement without adverse effects. However, further research is needed to determine optimal treatment parameters.
Abstract: Background: Transcutaneous posterior tibial nerve stimulation (TPTNS) is a promising treatment modality for idiopathic overactive bladder (OAB) in the pediatric population. Objective: To evaluate the efficacy of TPTNS in children suffering from idiopathic OAB refractory to conventional therapies. Method: It is a retrospective study including childr...
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