FUNCTIONAL ABILITIES IN DYSKINETIC CEREBRAL PALSY CHILDREN BETWEEN AGE 5-12 YEARS

Hafsa Jamil, S. Waqas, H. Asim
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Abstract

Back ground: Dyskinetic cerebral palsy (DCP) is an involuntary repetitive movement disorder characterized by alternating state of muscular hypertonia and hypotonia due to lesion in basal ganglia. Objective: To describe the functional abilities DCP subjects aged between 5-12 years. Methods: An observational case series on 48 children from special schools was conducted by convenient sampling. All diagnosed patients of DCP aged between 5-12 years with I.Q levels 70-79 were included and the children who had undergone any surgical procedure or on medication were excluded. Informed consent was taken from the parents of the children. Subjects were assessed with the help of functional independence measure (FIM) scale having validity (0.98) (1). The study variables were presented in the form of descriptive statistics. Results: The mean age of 48 participants was 7.21 with the standard deviation of 2.143. Five subjects required total assistance (level I) those were 0-25% independent, 36 subjects required maximal assistance (level II) those were 25-50% independent and 7 subjects required moderate assistance (level II) those were 50-75% independent in their daily tasks according to FIM. Conclusion: DCP patients require maximum assistance and were dependent on their caregivers for performing daily living tasks. Key terms: Dyskinetic Cerebral Palsy, functional independence measure
5-12岁运动障碍脑瘫儿童的功能能力
背景:运动障碍脑瘫(DCP)是一种不自主的重复性运动障碍,以基底神经节病变引起的肌张力高、肌张力低交替状态为特征。目的:描述5 ~ 12岁DCP受试者的功能能力。方法:采用方便抽样的方法,对48名特殊学校儿童进行观察。所有年龄在5-12岁之间,智商水平在70-79之间的诊断为DCP的患者被纳入研究,接受过任何手术或药物治疗的儿童被排除在外。获得了儿童父母的知情同意。采用功能独立性量表(FIM)对受试者进行评估,效度为0.98(1)。研究变量以描述性统计的形式呈现。结果:48名参与者平均年龄7.21岁,标准差2.143。根据FIM, 5名受试者在日常工作中需要完全帮助(ⅰ级),独立性为0 ~ 25%;36名受试者需要最大程度帮助(ⅱ级),独立性为25 ~ 50%;7名受试者需要中度帮助(ⅱ级),独立性为50 ~ 75%。结论:DCP患者需要最大程度的帮助,并且依赖于他们的照顾者完成日常生活任务。关键词:运动障碍脑瘫,功能独立性测量
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