围产期感染艾滋病毒儿童的运动功能、肌肉力量和健康相关生活质量

IF 1 Q4 REHABILITATION
Cassandra V Rego, Joanne L Potterton
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引用次数: 0

摘要

背景:大运动迟缓在感染人类免疫缺陷病毒(HIV)的婴儿和学龄前儿童中很常见。这些延迟在学龄儿童中持续存在,并可能影响他们参加课堂和操场活动;然而,在这个年龄段,人们对这个问题的严重程度知之甚少。目的:我们的研究旨在确定围生期感染HIV的5-10岁儿童的运动功能、肌肉力量和健康相关生活质量(HRQoL)。方法:在我们的横断面研究中,参与者采用方便抽样从豪登省HIV诊所招募。采用儿童运动评估量表第二版(MABC-2)、立定跳远测验(SBJT)、儿科生活质量量表(PedsQL)和社会人口调查问卷对参与者进行评估。结果:30名儿童参与了我们的研究。MABC-2显示,60%的被评估儿童要么有发育迟缓的风险,要么已经发育迟缓,其中手灵巧性受到的影响最大。SBJT显示,女性参与者的肌肉力量比男性弱。PedsQL的平均总分为81%,子量表范围从非常高的生活质量得分到中等高的生活质量得分,情感功能得分较低。结论:围生期感染HIV的儿童存在运动功能迟发的显著风险。肌肉力量和情绪HRQoL也是一个值得关注的领域。需要进一步研究和执行全面康复方案。临床意义:感染艾滋病毒的儿童需要在整个儿童时期优先进行发育筛查。健康促进和早期干预必须放在我们防治这一流行病的斗争的前列。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Motor function, muscle strength and health-related quality of life of children perinatally infected with HIV.

Motor function, muscle strength and health-related quality of life of children perinatally infected with HIV.

Background: Gross motor delays are common in infants and preschool children infected with human immunodeficiency virus (HIV). These delays persist in children of school-going age and may affect participation in classroom and playground activities; however, the extent of the problem is poorly understood in this age group.

Objectives: Our study aimed to determine the motor function, muscle strength and health-related quality of life (HRQoL) in children aged 5-10 years who were perinatally infected with HIV.

Methods: In our cross-sectional study, participants were recruited using convenience sampling from a Gauteng HIV clinic. Participants were assessed using the Movement Assessment Battery for Children, Second Edition (MABC-2), standing broad jump test (SBJT), Paediatric Quality of Life InventoryTM (PedsQL) and a sociodemographic questionnaire.

Results: Thirty children participated in our study. The MABC-2 showed 60% of the children assessed were either at risk of developmental delay or were already delayed, with the domain of manual dexterity being most affected. The SBJT showed female participants had weaker muscle strength than males. The mean total score on the PedsQL was 81%, with the subscales ranging from very high quality of life scores to moderately high quality of life scores, with emotional functioning having one of the lower overall scores.

Conclusion: Children who have been perinatally infected with HIV are at significant risk of delayed motor function. Muscle strength is also an area of concern, as is emotional HRQoL. Further research and implementation of holistic rehabilitation programmes are needed.

Clinical implications: Children with HIV need to be prioritised for developmental screening throughout childhood. Health promotion and early intervention need to be at the forefront of our fight against this pandemic.

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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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