The Pathway Is Clear but the Road Remains Unpaved: A Scoping Review of Implementation of Tools for Early Detection of Cerebral Palsy.
Background/Objectives: International guidelines recommend the combined use of the General Movement Assessment (GMA), Hammersmith Infant Neurological Examination (HINE), and magnetic resonance imaging (MRI) to support early and accurate diagnosis of cerebral palsy (CP). However, their implementation...
| Publicado en: | Children Vol. 12; no. 7; pp. 941 - 970 |
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| Autores principales: | , , , , , |
| Formato: | pictorial research systematic review tables/charts Journal Article |
| Publicado: |
MDPI
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186983696&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186983696 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22279067 LW6K jtl: Children issn: 22279067 maglogo: N pubinfo: dt: Jul2025 vid: 12 iid: 7 pid: 97109 pub: MDPI artinfo: ui: 186983696 186983696 186983696 10.3390/children12070941 186983696 ppf: 941 ppct: 29 formats: tig: atl: The Pathway Is Clear but the Road Remains Unpaved: A Scoping Review of Implementation of Tools for Early Detection of Cerebral Palsy. aug: au: Hidalgo-Robles, Álvaro Merino-Andrés, Javier Cisse, Mareme Rose Samb Pacheco-Molero, Manuel León-Estrada, Irene Gutiérrez-Ortega, Mónica affil: Facultad de Educación, Universidad Internacional de La Rioja, 26006 Logroño, Spain sug: subj: Cerebral Palsy Diagnosis Early Diagnosis Magnetic Resonance Imaging Health Services Accessibility Neurologic Examination Neuroradiography Implementation Science Human Scoping Review Infant, Newborn Infant Child, Preschool PubMed Cochrane Library Physiotherapy Evidence Database Funding Source Psychological Tests Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years ab: Background/Objectives: International guidelines recommend the combined use of the General Movement Assessment (GMA), Hammersmith Infant Neurological Examination (HINE), and magnetic resonance imaging (MRI) to support early and accurate diagnosis of cerebral palsy (CP). However, their implementation remains inconsistent. This study aimed to map their reported global use and identify associated enablers and barriers. Methods: A scoping review was conducted following JBI and PRISMA-ScR guidelines. Systematic searches were performed in PubMed, Cochrane, PEDro, ProQuest, Web of Science, and Scopus. Eligible studies were charted and thematically analyzed, focusing on tools use and implementation factors at individual, organizational, and system levels. Results: Fourteen articles (seven surveys, seven implementation studies) from seven countries met the inclusion criteria. While awareness of GMA, HINE, and MRI was generally high, routine clinical use was limited—particularly outside structured implementation initiatives. Major barriers emerged at the system level (e.g., limited training access, time constraints, lack of standardized referral pathways) and social level (e.g., unclear leadership and coordination). Conclusions: The limited integration of GMA, HINE, and MRI into routine practice reflects a persistent "know–do" gap in early CP detection. Since implementation is shaped by the dynamic interplay of capability, opportunity, and motivation, bridging this gap demands sustained and equitable action—by addressing system-wide barriers, supporting professional development, and embedding early detection within national care pathways. pubtype: Academic Journal doctype: pictorial research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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