RT info:eu-repo/semantics/article
T1 The Pathway Is Clear but the Road Remains Unpaved: A Scoping Review of Implementation of Tools for Early Detection of Cerebral Palsy
A1 Hidalgo-Robles, Álvaro
A1 Merino-Andrés, Javier
A1 Samb Cisse, Mareme Rose
A1 Pacheco-Molero, Manuel
A1 León-Estrada, Irene
A1 Gutiérrez-Ortega, Mónica
K1 cerebral palsy
K1 early detection
K1 implementation science
K1 General Movement Assessment
K1 HINE
K1 MRI
K1 assessment tools
K1 barriers and enablers
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.
PB MDPI
YR 2025
FD 2025-07-17
LK https://uvadoc.uva.es/handle/10324/76437
UL https://uvadoc.uva.es/handle/10324/76437
LA eng
NO Hidalgo-Robles, Á.; Merino-Andrés, J.; Cisse, M.R.S.; Pacheco-Molero, M.; León-Estrada, I.; Gutiérrez-Ortega, M. The Pathway Is Clear but the Road Remains Unpaved: A Scoping Review of Implementation of Tools for Early Detection of Cerebral Palsy. Children 2025, 12, 941. https:// doi.org/10.3390/children12070941
NO Producción Científica
DS UVaDOC
RD 18-jul-2025