Vision Assessments and Interventions for Infants 0-2 Years at High Risk for Cerebral Palsy: A Systematic Review.

We performed a systematic review and evaluated the level of evidence of vision interventions and assessments for infants at high risk for or with a diagnosis of cerebral palsy from zero to two years of age. Articles were evaluated based on the level of methodologic quality, evidence, and clinical ut...

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Published in:Pediatric Neurology Vol. 76; pp. 3 - 14
Main Authors: Chorna, Olena D., Guzzetta, Andrea, Maitre, Nathalie L.
Format: research systematic review Journal Article
Published: Elsevier B.V. Nov2017
Online Access:View this record in EBSCOhost
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      dt: Nov2017
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.pediatrneurol.2017.07.011
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        atl: Vision Assessments and Interventions for Infants 0-2 Years at High Risk for Cerebral Palsy: A Systematic Review.
      aug:
        au:
          Chorna, Olena D.
          Guzzetta, Andrea
          Maitre, Nathalie L.
        affil: Center for Perinatal Research and Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio
      sug:
        subj:
          Vision Disorders Therapy
          Cerebral Palsy Complications
          Vision Disorders Etiology
          Cerebral Palsy Rehabilitation
          Child, Preschool
          Infant
          Neuroradiography
          Electrophysiology
          Cerebral Palsy
          Human
          Funding Source
          Systematic Review
          Child, Preschool: 2-5 years
          Infant: 1-23 months
      ab: We performed a systematic review and evaluated the level of evidence of vision interventions and assessments for infants at high risk for or with a diagnosis of cerebral palsy from zero to two years of age. Articles were evaluated based on the level of methodologic quality, evidence, and clinical utilization. Thirty publications with vision assessments and five with vision interventions met criteria for inclusion. Assessments included standard care neuroimaging, electrophysiology, and neuro-ophthalmologic examination techniques that are utilized clinically with any preverbal or nonverbal pediatric patient. The overall level of evidence of interventions was strong for neuroprotective interventions such as caffeine and hypothermia but weak for surgery, visual training, or developmental programs. There are few evidence-based interventions and assessments that address cerebral/cortical visual impairment-related needs of infants and toddlers at high risk for or with cerebral palsy. Recommendation guidelines include the use of three types of standard care methodologies and two types of protective interventions.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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