International Journal of Rehabilitation Research最新文献

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Importance of factors determining disability caused by neck pain may vary by gender and age. 决定颈部疼痛导致残疾的因素的重要性可能因性别和年龄而异。
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2023-03-01 DOI: 10.1097/MRR.0000000000000559
Mikhail Saltychev, Sara S Widbom-Kolhanen, Katri I Pernaa
{"title":"Importance of factors determining disability caused by neck pain may vary by gender and age.","authors":"Mikhail Saltychev,&nbsp;Sara S Widbom-Kolhanen,&nbsp;Katri I Pernaa","doi":"10.1097/MRR.0000000000000559","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000559","url":null,"abstract":"<p><p>The objective was to investigate if age and gender affect the importance of domains of functioning when grading disability related to neck pain. Multi-group confirmatory factor analysis of register-based data on 392 patients undergoing cervical surgery was applied. The main outcome was item loadings on a common factor. The mean age was 55 years and 52% were women. The factor structure was different for both gender and age groups, P  < 0.0001. Reading, driving, pain intensity, and recreational activity had the highest loadings while headaches, lifting, and sleep placed the lowest. Reading and pain intensity had bigger weight among men than women, while recreational activity and driving had higher loadings in women. Reading and work were more important for the younger than for the older respondents, while recreational activity was more important for the older respondents. The importance of factors determining disability caused by neck pain may vary by gender and age.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 1","pages":"103-107"},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10680333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Self-perception of cognitive functions in patients with neurological impairments as measured against a translated Cognitive Change Index. 神经损伤患者的认知功能自我知觉与翻译后的认知改变指数相比较。
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2023-03-01 DOI: 10.1097/MRR.0000000000000564
Alja Suster, Vesna Mlinaric Lesnik, Anja Podlesek, Ursa Cizman Staba
{"title":"Self-perception of cognitive functions in patients with neurological impairments as measured against a translated Cognitive Change Index.","authors":"Alja Suster,&nbsp;Vesna Mlinaric Lesnik,&nbsp;Anja Podlesek,&nbsp;Ursa Cizman Staba","doi":"10.1097/MRR.0000000000000564","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000564","url":null,"abstract":"<p><p>The primary purpose of the study was to compare the results of neuropsychological assessments with results obtained using a translated Cognitive Change Index (CCI) on patients with diagnosed brain pathology. Our study included 54 patients diagnosed with neurologic pathology (stroke, TBI, or brain tumor) at the University Rehabilitation Institute Soca (average age = 51 years, SD = 15 years). The results of neuropsychological evaluations and anamnestic data were also obtained for the clinical subsample. Confirmatory factor analysis of the translated CCI performed on responses of 151 normative elderly participants supported a one-factor structure of the questionnaire. Cronbach's α was 0.77 in the clinical sample. A significant correlation was found between lower scores for attention and visual abilities using objective measurement tools and a person's self-assessment of impairment in their own cognitive functions (score on CCI). Individuals can perceive that their attention and visual abilities are impaired when those abilities also score low in diagnostic tests.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 1","pages":"86-91"},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10680330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinically ill patients' experiences of early mobilisation after liver transplantation: a qualitative study using Pender's health promotion model. 临床患者肝移植术后早期活动经验:基于Pender健康促进模型的定性研究
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2023-03-01 DOI: 10.1097/MRR.0000000000000566
Lixia Zhong, Yanhong Jin, Yanmei Gu, Wenjing He, Yulin Zheng, Tongnan Yang, Yingying Li, Li Fu, Weiwei Zhang, Qiuying Xu
{"title":"Clinically ill patients' experiences of early mobilisation after liver transplantation: a qualitative study using Pender's health promotion model.","authors":"Lixia Zhong,&nbsp;Yanhong Jin,&nbsp;Yanmei Gu,&nbsp;Wenjing He,&nbsp;Yulin Zheng,&nbsp;Tongnan Yang,&nbsp;Yingying Li,&nbsp;Li Fu,&nbsp;Weiwei Zhang,&nbsp;Qiuying Xu","doi":"10.1097/MRR.0000000000000566","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000566","url":null,"abstract":"<p><p>The aim of this study is to explore the factors influencing early mobilisation behaviours and patients' needs in critically ill patients after liver transplantation (LT). This interview study used phenomenological research, and Pender's health promotion model (HPM) was used to construct the interview guide. With the use of purposeful sampling, a total of 19 critically ill patients who experienced early mobilisation after LT were recruited at three tertiary hospitals in Beijing from August to November 2022. Data were collected through semi-structured interviews and analysed using Colaizzi's seven-step method. Nine themes were categorised into the three domains of Pender's HPM. The first domain was individual characteristics and experiences: (1) symptoms of end-stage liver disease limiting premobility behaviours and (2) previous treatment experience affecting understanding of early mobilisation after LT. The second domain was behaviour-specific cognition and affect: (3) coexistence of benefits and concerns in early mobilisation after LT, (4) barriers to early mobilisation after LT, (5) high self-efficacy in early mobilisation after LT, (6) individual differences in early mobilisation and (7) support and encouragement from family, wardmates and medical staff. The final domain was behavioural outcomes: (8) the need for sufficient staff, a quiet environment, safety, goals, guidance and family participation and (9) a strong willingness to comply with early mobilisation plans. The three areas and nine themes extracted in this study are helpful for the long-term development of early mobilisation in patients after LT.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 1","pages":"92-97"},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/3d/ijrr-46-92.PMC9907680.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10642868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial. 社论
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2023-03-01 DOI: 10.1097/MRR.0000000000000569
Črt Marinček, Dobrivoje S Stokic
{"title":"Editorial.","authors":"Črt Marinček,&nbsp;Dobrivoje S Stokic","doi":"10.1097/MRR.0000000000000569","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000569","url":null,"abstract":"","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 1","pages":"1-2"},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10665025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors influencing the self-perceived mobility of active unilateral lower limb amputees assessed with the Prosthetic Mobility Questionnaire: a brief report. 用义肢活动能力问卷评估单侧下肢主动截肢者自我感知活动能力的影响因素:简要报告。
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2023-03-01 DOI: 10.1097/MRR.0000000000000560
Federico Morosato, Cosimo Gentile, Arianna Di Bernardo, Emanuele Gruppioni, Antonella Miccio
{"title":"Factors influencing the self-perceived mobility of active unilateral lower limb amputees assessed with the Prosthetic Mobility Questionnaire: a brief report.","authors":"Federico Morosato,&nbsp;Cosimo Gentile,&nbsp;Arianna Di Bernardo,&nbsp;Emanuele Gruppioni,&nbsp;Antonella Miccio","doi":"10.1097/MRR.0000000000000560","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000560","url":null,"abstract":"<p><p>The Prosthetic Mobility Questionnaire (PMQ 2.0) represents a reliable solution for evaluating amputees' self-perceived mobility. The study aimed to evaluate the perceived mobility of middle-aged users with a traumatic amputation using the PMQ 2.0 and to assess the influence of age, stump and phantom limb pain, amputation level, time since amputation, and prosthesis use on it. Fifty subjects were recruited. The median value of the score was higher than previously published reference values, reflecting the 'active' mobility status of the sample. The hours of prosthesis use per day explained about 21% of the variance of the questionnaire score and was a significant predictor of perceived mobility. Reference values for the recently developed PMQ 2.0 survey and relative to active, traumatic amputees were reported. As prosthesis use was a significant predictor of the amputees' perceived mobility, prolonged use of the artificial limb should be always encouraged in clinical practice.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 1","pages":"108-111"},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10680336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Telephone-based assessment of the fear of falling in older people and factors associated. 基于电话的老年人跌倒恐惧评估及其相关因素。
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2023-03-01 DOI: 10.1097/MRR.0000000000000568
Daniele de Oliveira Nunes Duarte, Isabela Cristina Soares Cordeiro, Maria Aparecida Silva de Freitas, Geice Kely Karina Silva, Lucas Eugênio Soares Pires, Victor Siqueira Silva, Patrick R Avelino, Kênia Kiefer Parreiras de Menezes
{"title":"Telephone-based assessment of the fear of falling in older people and factors associated.","authors":"Daniele de Oliveira Nunes Duarte,&nbsp;Isabela Cristina Soares Cordeiro,&nbsp;Maria Aparecida Silva de Freitas,&nbsp;Geice Kely Karina Silva,&nbsp;Lucas Eugênio Soares Pires,&nbsp;Victor Siqueira Silva,&nbsp;Patrick R Avelino,&nbsp;Kênia Kiefer Parreiras de Menezes","doi":"10.1097/MRR.0000000000000568","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000568","url":null,"abstract":"<p><p>This study aimed to validate the telephone-based application of the Falls Efficacy Scale-International (FES-I) for the assessment of the fear of falling in older people, and to investigate, among personal and environmental factors, which ones can explain this fear in this population. Participants answered the FES-I on two randomized occasions, face-to-face and by telephone. Intraclass correlation coefficient (ICC 3,1 ) was used to investigate the levels of agreement between the two occasions. The possible factors associated were sex, age, previous history of falls, family arrangement, practice of physical activity, presence of orthopedic pathologies, use of walking aids, presence of visual impairment, and presence of stairs in the home environment. Linear regression analysis was applied to investigate which of these factors could explain the fear of falling in older people. One hundred twenty-two individuals were included. There was no significant difference in the mean difference obtained between the two applications of the FES-I (1 point; 95% confidence interval, -4 to 6), with a high level of agreement (ICC = 0.88). Sex and presence of orthopedic pathologies explained 14% of the model. The FES-I showed to be a reliable scale to be applied for telephone assessments of fear of falling in older people. In addition, women with orthopedic pathologies are the profile of older people with most afraid of falling.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 1","pages":"98-102"},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9255476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive impairment predicts engagement in inpatient stroke rehabilitation. 认知障碍预测住院中风康复的参与。
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2022-12-01 DOI: 10.1097/MRR.0000000000000552
Ryan J Lowder, Abhishek Jaywant, Chaya B Fridman, Joan Toglia, Michael W O'Dell
{"title":"Cognitive impairment predicts engagement in inpatient stroke rehabilitation.","authors":"Ryan J Lowder,&nbsp;Abhishek Jaywant,&nbsp;Chaya B Fridman,&nbsp;Joan Toglia,&nbsp;Michael W O'Dell","doi":"10.1097/MRR.0000000000000552","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000552","url":null,"abstract":"<p><p>Patient engagement during inpatient rehabilitation is an important component of rehabilitation therapy, as lower levels of engagement are associated with poorer outcomes. Cognitive deficits may impact patient engagement during inpatient stroke rehabilitation. Here, we assess whether patient performance on the cognitive tasks of the 30-min National Institute of Neurologic Disorders and Stroke - Canadian Stroke Network (NINDS-CSN) screening battery predicts engagement in inpatient stroke rehabilitation. Prospective data from 110 participants completing inpatient stroke rehabilitation at an academic medical center were utilized for the present analyses. Cognitive functioning was assessed at inpatient stroke rehabilitation admission using the NINDS-CSN cognitive battery. Patient engagement was evaluated at discharge from an inpatient rehabilitation unit using the Hopkins Rehabilitation Engagement Rating Scale. The results demonstrate that the NINDS-CSN cognitive battery, specifically subtests measuring executive functioning, attention and processing speed, predicts patient engagement in inpatient stroke rehabilitation. Cognitively impaired patients undergoing rehabilitation may benefit from modifications and interventions to increase engagement and improve functional outcomes.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"45 4","pages":"359-365"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10267038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Walking speed, hip muscles strength, aerobic capacity, and self-perceived locomotion ability most explain walking confidence after stroke: a cross-sectional experimental study. 步行速度、臀部肌肉力量、有氧能力和自我感知运动能力最能解释中风后的步行信心:一项横断面实验研究。
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2022-12-01 DOI: 10.1097/MRR.0000000000000550
Patrick R Avelino, Kênia K P Menezes, Lucas R Nascimento, Maria Tereza Mota Alvarenga, Jordana de Paula Magalhães, Luci Fuscaldi Teixeira-Salmela, Aline A Scianni
{"title":"Walking speed, hip muscles strength, aerobic capacity, and self-perceived locomotion ability most explain walking confidence after stroke: a cross-sectional experimental study.","authors":"Patrick R Avelino,&nbsp;Kênia K P Menezes,&nbsp;Lucas R Nascimento,&nbsp;Maria Tereza Mota Alvarenga,&nbsp;Jordana de Paula Magalhães,&nbsp;Luci Fuscaldi Teixeira-Salmela,&nbsp;Aline A Scianni","doi":"10.1097/MRR.0000000000000550","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000550","url":null,"abstract":"<p><p>Identifying the determinants of walking confidence can be crucial in therapeutic terms. On these bases, interventions to improve these factors could improve, in turn, walking confidence. Objective is to explore the relationship between motor impairments and activity limitation measures and walking confidence in people with chronic stroke. Walking confidence was assessed using the modified Gait Efficacy Scale. The independent variables were: strength of the hip flexors and knee flexors/extensors (measured with a dynamometer), lower limb coordination (assessed by the Lower Extremity Motor Coordination Test), dynamic balance (assessed by the Four-Square Step Test), walking speed (from the 10-m Walk Test), aerobic capacity (from the 6-Minute Walk Test), and self-perceived locomotion ability (assessed by the ABILOCO). Pearson correlation was used to explore the relationships between the variables, and multiple linear regression to identify the independent explainers of walking confidence after stroke. Ninety chronic stroke individuals (35 men), with a mean age of 68 (SD 13) years were assessed. All independent variables were significantly correlated with walking confidence. Regarding the regression analysis, these measures explained 44% ( F = 9.21; P < 0.001) of the variance in walking confidence; however, only walking speed, strength of the hip flexor muscles, aerobic capacity, and perceived locomotion ability showed significance. All motor impairment and activity limitation measures correlated with walking confidence. However, the regression analysis highlighted that only walking speed, aerobic capacity, the strength of the hip flexor muscles, and perceived locomotion were independent explainers of walking confidence after stroke.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"45 4","pages":"350-354"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10274756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring advanced motor skills in children with cerebral palsy: development of normative data and percentile curves for the Challenge-20 assessment. 测量脑瘫儿童高级运动技能:Challenge-20评估标准数据和百分位曲线的发展
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2022-12-01 DOI: 10.1097/MRR.0000000000000546
Darko Milaščević, F Virginia Wright, Milan Milošević, David Neubauer
{"title":"Measuring advanced motor skills in children with cerebral palsy: development of normative data and percentile curves for the Challenge-20 assessment.","authors":"Darko Milaščević,&nbsp;F Virginia Wright,&nbsp;Milan Milošević,&nbsp;David Neubauer","doi":"10.1097/MRR.0000000000000546","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000546","url":null,"abstract":"<p><p>The Challenge-20 is an assessment of advanced motor skills of children with cerebral palsy. The purpose of this study was to develop age-related norms and percentile curves for the Challenge-20 with typically developing children ( n = 150, 7 through 11 years), and compare Challenge-20 scores of independently ambulatory children with CP, Gross Motor Function Classification System level I ( n = 135) and II ( n = 56) to these age norms. Younger TD children (7 years) scored lowest, and older children (11 years) scored highest on the Challenge-20 , showing similar developmental trajectories. Challenge-20 scores of 15% of children in GMFCS level I were situated above the lower 2.5th percentile curve of the typically developing children's Challenge-20 growth curve, that is, overlapping into the typically developing child zone. The Challenge-20 is sensitive to the progression of advanced gross motor skills in typically developing children. Children with cerebral palsy, GMFCS I follow similar, albeit lower, Challenge score trajectory to that of typically developing children, and in some cases come close to lower level abilities of typically developing children. The reference values with typically developing children extend the Challenge-20 's utility when assessing advanced gross motor skill of independently ambulatory children with cerebral palsy for physiotherapy intervention and physical activity planning and open the door to re-thinking more about advanced gross motor interventions for children with cerebral palsy in GMFCS levels I and II given their potential to progress along the developmental trajectory.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"45 4","pages":"329-335"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10326336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hip subluxation in Italian cerebral palsy children and its determinants: a retrospective cohort study. 意大利脑瘫儿童髋关节半脱位及其决定因素:一项回顾性队列研究。
IF 1.7 4区 医学
International Journal of Rehabilitation Research Pub Date : 2022-12-01 DOI: 10.1097/MRR.0000000000000545
Silvia Faccioli, Silvia Sassi, Adriano Ferrari, Elena Corradini, Francesca Toni, Shaniko Kaleci, Francesco Lombardi, Maria Grazia Benedetti
{"title":"Hip subluxation in Italian cerebral palsy children and its determinants: a retrospective cohort study.","authors":"Silvia Faccioli,&nbsp;Silvia Sassi,&nbsp;Adriano Ferrari,&nbsp;Elena Corradini,&nbsp;Francesca Toni,&nbsp;Shaniko Kaleci,&nbsp;Francesco Lombardi,&nbsp;Maria Grazia Benedetti","doi":"10.1097/MRR.0000000000000545","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000545","url":null,"abstract":"<p><p>The study's aim was two-fold: to describe the trend of hip subluxation in the largest sample of Italian nonambulatory cerebral palsy (CP) children ever published; to investigate its determinants. This single-centre retrospective cohort study included patients with spastic or dyskinetic CP, Gross Motor Function Classification System (GMFCS) level IV or V, age 0-18 years, having been referred to our unit before March 2020. The hip subluxation was measured by means of the migration percentage (MP). Other data were gathered such as sex, CP subtype, GMFCS level, presence of drug-resistant epilepsy, age, use of walkers with weight relief or standing devices, previous botulinum injection or hip surgery, oral or intrathecal baclofen and hip pain. Multiple linear stepwise regression was performed and descriptive statistics are provided. Spastic CP had MP maximum increase in early ages, with GMFCS level V values persistently higher than level IV. The dyskinetic subtype showed a slower increase of the MP, with GMFCS level IV presenting similar or higher values, compared to level V. Age, CP severity and spastic subtype are the main determinants. The stepwise multiple regression analysis demonstrated that weight relief walking and standing assistive devices, combined with botulinum contributed to reduce the MP progression. Dyskinetic CP showed overall lower MP values and a more variable behaviour relative to age and GMFCS level, compared to the spastic subtype. Standing and walking assistive devices, with partial or total weight relief, combined with individually targeted botulinum injections, should be considered in the management of bilateral nonambulatory CP patients, to prevent hip subluxation or its recurrence after surgery.</p>","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"45 4","pages":"319-328"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/e7/ijrr-45-319.PMC9631781.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10277502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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