Mobility device use in children with cerebral palsy.

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Developmental Medicine and Child Neurology Pub Date : 2025-05-01 DOI:10.1111/dmcn.16345

Elizabeth Maus, Ben Reader, Jill C Heathcock

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Abstract

Aims: To quantify the number and types of mobility devices used by children with cerebral palsy (CP) and explore the relationships between Gross Motor Functional Classification System (GMFCS) level, age, insurance, income, and number and types of devices.

Method: This was a secondary analysis of a cohort from a larger randomized controlled trial. Data from 89 children with CP (56.2% male and 43.8% female; mean = 4 years 11 months; SD = 2 years 0 months; range 2 years 0 months-8 years 10 months) were collected from electronic medical records, parent-completed medical history questionnaires, and the Hollingshead Four-Factor Index. The analysis included quasi-Poisson and logistical regressions.

Results: Most children had Medicaid insurance (83.2%). All income and GMFCS levels were represented. The most common mobility devices were lower-extremity orthoses (75.3%). The number of devices used increased by 8.2% for each 1-year increase in age. Children classified in GMFCS level V used 5.1, 2.9, and 1.6 times more mobility devices than children classified in GMFCS levels I, II, and III respectively. GMFCS level also predicted the use of wheelchairs, bath chairs, and standers. Income and insurance were not significant.

Interpretation: Children used more devices as age and GMFCS level increased. Device access is an important public health initiative.

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脑性麻痹儿童活动装置的使用。

目的：量化脑瘫（CP）患儿使用活动装置的数量和类型，探讨大肌肉运动功能分类系统（GMFCS）水平与年龄、保险、收入、活动装置数量和类型的关系。方法：这是一项来自一项大型随机对照试验的队列的二次分析。89例CP患儿(男56.2%，女43.8%；平均= 4年11个月；SD = 2年0个月；从电子病历、父母填写的病史问卷和Hollingshead四因素指数中收集2年0个月至8年10个月)。分析包括准泊松回归和逻辑回归。结果：大多数儿童有医疗补助保险（83.2%）。所有收入和GMFCS水平均有表示。最常见的活动装置是下肢矫形器（75.3%）。年龄每增加1岁，使用的设备数量增加8.2%。GMFCS V级儿童使用的移动设备分别是GMFCS I级、II级和III级儿童的5.1倍、2.9倍和1.6倍。GMFCS水平还预测了轮椅、沐浴椅和站立椅的使用。收入和保险不显著。解释：随着年龄和GMFCS水平的增加，儿童使用更多的设备。获得医疗器械是一项重要的公共卫生举措。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Medicine and Child Neurology 医学-临床神经学

CiteScore

7.80

自引率

13.20%

发文量

338

审稿时长

3-6 weeks

期刊介绍： Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.