THE IMPORTANCE OF INTERDISCIPLINARY COLLABORATION IN IMPROVING ACADEMIC ACHIEVEMENT IN CHILDREN WITH MULTIPLE SCLEROSIS
DOI:
https://doi.org/10.46793/PP250131003CKeywords:
children with multiple sclerosis, adolescents with multiple sclerosis, academic achievement, quality of life, supportAbstract
Introduction: Multiple sclerosis (MS) in the pediatric population is more and more frequently reported. Given the age of onset, pediatric multiple sclerosis has more severe psychosocial implications for children and their families. The prognosis and disease course have distinctive characteristics that differentiate it from the adult form.
Objective: The main goal of this literature overview is to examine the impact of pediatric multiple sclerosis symptomatology on growth, development, academic achievements and quality of life, with an emphasis on the importance of interdisciplinary collaboration within healthcare, social protection, and education systems.
Method: A comprehensive literature overview was conducted using the following databases: PubMed, Google Scholar, and COBSON.
Results: The negative impact of pediatric multiple sclerosis on gross and fine motor skills, graphomotor skills, visual functions, cognitive and executive functions, speech, language and communication, socialization, mental health, and consequently, academic success and overall quality of life is evident. Pediatricians play a key role in the early identification, treatment, and monitoring of the child, as well as collaboration with teachers and special educators. Guidelines were identified for working with teachers and school staff, including: accommodation of the physical environment, organization of teaching materials, tests and homework, monitoring of the child’s behavior, and other specific requirements that need to be addressed,
Conclusion: The pediatrician has a significant role in the early identification, treatment and monitoring of the child, as well as in cooperation with teachers and support staff members. A transdisciplinary, individualized, and personalized approach to children with MS, alongside adherence to guidelines in the school environment and beyond, and the active involvement of pediatricians in the team, will positively influence the academic achievements, quality of life of the child and their family, and all that it encompasses.
References
Jančić J, Nikolić B, Mesaroš Š, Mostarica Stojković M, Pekmezović T, Drulović J. Multipla skleroza kod dece i adolescenata. Medicinska istraživanja. 2018;52(3):7-13.
Alroughani R, Boyko A. Pediatric multiple sclerosis: a review. BMC Neurol. 2018;18(1):27. doi: 10.1186/s12883-018-1026-3. PMID: 29523094.
Adabanya U, Awosika A, Khan A, Oluka E, Adeniyi M. Pediatric multiple sclerosis: an integrated outlook at the interplay between genetics, environment and brain-gut dysbiosis. AIMS Neurosci. 2023;10(3):232-251. doi: 10.3934/Neuroscience.2023018. PMID: 37841344.
Grgić S. Nemotorni simptomi multiple skleroze. Banja Luka: Medicinski fakultet, Univerzitet u Banjoj Luci; 2022.
Waldman A, Ness J, Pohl D, Simone IL, Anlar B, Amato MP, et al. Pediatric multiple sclerosis: Clinical features and outcome. Neurology. 2016;87(9 Suppl 2):S74-81. doi: 10.1212/WNL.0000000000003028. PMID: 27572865.
Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018 Feb;17(2):162-173. doi: 10.1016/S1474-4422(17)30470-2. PMID: 29275977.
McKay KA, Hillert J, Manouchehrinia A. Long-term disability progression of pediatric-onset multiple sclerosis. Neurology. 2019;92(24):e2764-e2773. doi: 10.1212/WNL.0000000000007647. PMID: 31092624.
Mrosková S, Klímová E, Majerníková Ľ, Tkáčová Ľ. Quality of Life of Children and Adolescents with Multiple Sclerosis-A Literature Review of the Quantitative Evidence. Int J Environ Res Public Health. 2021;18(16):8645. doi: 10.3390/ijerph18168645. PMID: 34444393.
Younger DS. Multiple sclerosis: Motor dysfunction. Handb Clin Neurol. 2023;196:119-147. doi: 10.1016/B978-0-323-98817-9.00016-8. PMID: 37620066.
Brenton JN, Florenzo B, Koshiya H, Min S, Woolbright E, Coleman R, et al. Six-Minute Walk as a Measure of Walking Capacity and Endurance in Patients with Pediatric-Onset Multiple Sclerosis. Neurology. 2022;99(19):e2161-e2170. doi: 10.1212/WNL.0000000000201098. PMID: 35985830.
Squillace M, Ray S, Milazzo M. Changes in gross grasp strength and fine motor skills in adolescents with pediatric multiple sclerosis. Occup Ther Health Care. 2015;29(1):77-85. doi: 10.3109/07380577.2014.967441. PMID: 25338167.
Ivančević N. Kinematička analiza rukopisa u neuroloških i psihijatrijskim oboljenjima i neurorazvojnim poremećajima dečjeg i adolescentnog doba. Doktorska disertacija. Beograd: Univerzitet u Beogradu; 2021.
Katagiri M, Ito H, Murayama Y, Hamada M, Nakajima S, Takayanagi N, et al. Fine and gross motor skills predict later psychosocial maladaptation and academic achievement. Brain Dev. 2021;43(5):605-615. doi: 10.1016/j.braindev.2021.01.003. PMID: 33558106.
Ghezzi A, Baroncini D, Zaffaroni M, Comi G. Pediatric versus adult MS: similar or different? Mult Scler Demyelinating Disord. 2017;2(1):5. doi: 10.1186/s40893-017-0022-6
Öztürk Z, Gücüyener K, Soysal Ş, Konuşkan GD, Konuşkan B, Dikmen AU, et al. Cognitive functions in pediatric multiple sclerosis: 2-years follow-up. Neurol Res. 2020;42(2):159-163. doi: 10.1080/01616412.2019.1710417. PMID: 31913090..
Amato MP, Krupp LB, Charvet LE, Penner I, Till C. Pediatric multiple sclerosis: Cognition and mood. Neurology. 2016;87(9 Suppl 2):S82-7. doi: 10.1212/WNL.0000000000002883. PMID: 27572867.
DeLuca J, Chiaravalloti ND, Sandroff BM. Treatment and management of cognitive dysfunction in patients with multiple sclerosis. Nat Rev Neurol. 2020;16(6):319-332. doi: 10.1038/s41582-020-0355-1. PMID: 32372033
Taksande A, Meshram R, Lohkare A. A Rare Presentation of Isolated Oculomotor Nerve Palsy due to Multiple Sclerosis in a Child. Int J Pediatr. 2017;5(8):5525-5529. doi: 10.22038/ijp.2017.24602.2075
Yeh EA, Graves JS, Benson LA, Wassmer W, Waldman A. Pediatric optic neuritis. Neurology. 2016;87(9 Supplement 2):S53-S58. doi:10.1212/WNL.0000000000002822. PMID: 27572862.
Lee JY, Han J, Yang M, Oh SY. Population-based Incidence of Pediatric and Adult Optic Neuritis and the Risk of Multiple Sclerosis. Ophthalmology. 2020;127(3):417-25. doi:10.1016/j.ophtha.2019.09.032
Carroll S, Chalder T, Hemingway C, Heyman I, Bear H, Sweeney L, et al. Adolescent and parent factors related to fatigue in paediatric multiple sclerosis and chronic fatigue syndrome: A comparative study. Eur J Paediatr Neurol. 2019;23(1):70-80. doi: 10.1016/j.ejpn.2018.10.006. PMID: 30455131.
MacAllister WS, Christodoulou C, Troxell R, Milazzo M, Block P, Preston TE, et al. Fatigue and quality of life in pediatric multiple sclerosis. Mult Scler. 2009;15(12):1502-1508. doi: 10.1177/1352458509345902. PMID: 19965517.
Renauld S, Mohamed-Saïd L, Macoir J. Language disorders in multiple sclerosis: A systematic review. Mult Scler Relat Disord. 2016;10:103-111. doi: 10.1016/j.msard.2016.09.005. PMID: 27919475.
Plotas P, Nanousi V, Kantanis A, Tsiamaki E, Papadopoulos A, Tsapara A, et al. Speech deficits in multiple sclerosis: a narrative review of the existing literature. Eur J Med Res. 2023;28(1):252. doi:10.1186/s40001-023-01230-3. PMID: 37488623.
Noffs G, Perera T, Kolbe SC, Shanahan CJ, Boonstra FMC, Evans A, et al. What speech can tell us: A systematic review of dysarthria characteristics in Multiple Sclerosis. Autoimmun Rev. 2018;17(12):1202-1209. doi:10.1016/j.autrev.2018.06.010. PMID: 30316992.
Lin X, Zhang X, Liu Q, Zhao P, Zhong J, Pan P, et al. Social cognition in multiple sclerosis and its subtypes: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2020;99(33):e21750. doi: 10.1097/MD.0000000000021750. PMID: 32872066.
Cotter J, Firth J, Enzinger C, Kontopantelis E, Yung AR, Elliott R, et al. Social cognition in multiple sclerosis: A systematic review and meta-analysis. Neurology. 2016;87(16):1727-1736. doi:10.1212/WNL.0000000000003236. PMID: 27655736.
Bora E, Özakbaş S, Velakoulis D, Walterfang M. Social Cognition in Multiple Sclerosis: a Meta-Analysis. Neuropsychol Rev. 2016;26(2):160-72. doi: 10.1007/s11065-016-9320-6. PMID: 27324894.
Im-Wang S, Erlich K, Chabas D, Crittenden M, Doyle M, Julian L, Strober J, Waubant E. Managing school related issues: a guide for parents with a child or teen living with MS [Brochure]. National MS Society; 2011.
Zakon o osnovama sistema obrazovanja i vaspitanja. Sl. glasnik RS, br. 88/2017, 27/2018 - dr. zakon, 10/2019, 6/2020, 129/2021 i 92/2023. Dostupno na: https://www.paragraf.rs/propisi/zakon_o_osnovama_sistema
_obrazovanja_i_vaspitanja.html
Zakon o osnovnom obrazovanju i vaspitanju ("Sl. glasnik RS", br. 55/2013, 101/2017, 10/2019, 27/2018 - dr. zakon, 129/2021 i 92/2023). Dostupno na: https://www.paragraf.rs/propisi/zakon_o_osnovnom_obrazovanju_i_vaspitanju.html
Lavery AM, Banwell BL, Liu G, Waldman AT. Hospital admission rates for pediatric multiple sclerosis in the United States using the Pediatric Health Information System (PHIS). Mult Scler Relat Disord. 2016;9:5-10. doi: 10.1016/j.msard.2016.05.018. PMID: 27645335.
Šćepanović MN. Korektivno defektološki rad u kontekstu inkluzivnog obrazovanja (perspektiva davalaca usluga). Sinteze - časopis za pedagoške nauke, književnost i kulturu. 2019;15:17–38.
Aaen G, Waltz M, Vargas W, Makhani N, Ness J, Harris Y, et al. Acquisition of Early Developmental Milestones and Need for Special Education Services in Pediatric Multiple Sclerosis. J Child Neurol. 2019;34(3):148-152. doi:10.1177/0883073818815041. PMID: 30556452.
Ilić-Stošović D. Specifičnosti inkluzivnog obrazovanja učenika sa cerebralnom paralizom. Beograd: Fakultet za specijalnu edukaciju i rehabilitaciju; 2016.
Stošljević M. Osnovi specijalne edukacije i rehabilitacije osoba sa motoričkim poremećajima. Beograd: Fakultet za specijalnu edukaciju i rehabilitaciju; 2017.
Fernandez-Carbonell C, Charvet LE, Krupp LB. Enhancing Mood, Cognition, and Quality of Life in Pediatric Multiple Sclerosis. Paediatr Drugs. 2021;23(4):317-329. doi:10.1007/s40272-021-00451-5. PMID: 33997945.
Rapaić D, Ćurčić B. Kognitivna neurorehabilitacija. Istočno Novo Sarajevo: Zavod za udžbenike i nastavna sredstva; 2022.
Helm S, Krapinski M, Milazzo M, Rodriquez E, Shaffer C, Smith LL, et al. Students with MS & the Academic Setting: A Handbook for School Personnel [Brochure]. National MS Society; 2018.
Peterson JW, Loeb S, Chamberlain LJ. The Intersection of Health and Education to Address School Readiness of All Children. Pediatrics. 2018;142(5):e20181126. doi:10.1542/peds.2018-1126. PMID: 30366953.
AAP Council on Early Childhood, AAP Council on School Health. The Pediatrician's Role in Optimizing School Readiness. Pediatrics. 2016;138(3):e20162293. doi: 10.1542/peds.2016-2293. PMID: 27573085.
Ghai S, Kasilingam E, Lanzillo R, Malenica M, van Pesch V, Burke NC, et al. Needs and Experiences of Children and Adolescents with Pediatric Multiple Sclerosis and Their Caregivers: A Systematic Review. Children (Basel). 2021;8(6):445. doi: 10.3390/children8060445. PMID: 34070298.
Kaş Alay G, Kaçan H. Care burden and resilience in parents of children with special needs and chronic diseases. J Pediatr Nurs. 2024;76:61-67. doi: 10.1016/j.pedn.2024.02.001. PMID: 38359546.
Damjanović R, Šćepanović M, Đorđić D. Angažovanje defektologa u radu interresorne komisije grada Sombora. U: Aktuelna defektološka praksa - tematski zbornik radova međunarodnog značaja. Novi Sad; 2015.
