基于 ICF-CY 各组成部分的偏瘫和双瘫脑瘫儿童功能和残疾程度比较。

IF 1.4 4区 心理学 Q4 PSYCHOLOGY, EXPERIMENTAL
Perceptual and Motor Skills Pub Date : 2024-08-01 Epub Date: 2024-05-12 DOI:10.1177/00315125241254130
Hasan Bingöl, Dilan Demirtaş Karaoba
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引用次数: 0

摘要

我们采用国际功能、残疾和健康分类(ICF-CY)的概念框架,对偏瘫和双瘫脑瘫(CP)儿童进行了比较:儿童和青少年版》(ICF-CY)的概念框架进行了比较。我们共招募了 42 名 5-13 岁的 CP 儿童(中位年龄 = 9.57 岁,标准差 = 2.8 岁)。我们使用躯干控制测量量表(TCMS)和定时起立行走测试(TUG)评估了他们的躯干控制和动态平衡能力,并使用ABILHAND-Kids和生活习惯评估(Life-H)评估了他们的动手能力和参与日常生活的情况。我们采用欧洲儿童环境问卷(ECEQ)来确定相关的环境因素。我们采用结构方程模型(SEM)来确定导致这些 CP 组之间潜在差异的具体因素。与偏瘫型 CP 儿童相比,偏瘫型 CP 儿童在躯干控制、动态平衡和环境因素方面的表现明显更好(p < .05)。相反,与偏瘫型脊髓灰质炎患儿相比,双瘫型脊髓灰质炎患儿在徒手能力方面表现出更好的结果(p < .001)。在我们的结构方程模型中,躯干控制对动态平衡(0.75)和环境因素(0.74)都有很强的预测作用。此外,躯干控制与参与日常活动和社会活动之间的关系分别为 0.54 和 0.47。躯干控制和动态平衡受损是导致双瘫 CP 儿童活动限制和环境障碍增加的重要因素。这表明,要改善双瘫儿童的残疾和功能,就必须重视躯干控制训练和动态平衡练习。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Comparison of the Functioning and Disability Levels of Children With Hemiplegic and Diplegic Cerebral Palsy Based on ICF-CY Components.

We compared children with hemiplegic and diplegic cerebral palsy (CP) using the conceptual framework of the International Classification of Functioning, Disability and Health: Child and Youth version (ICF-CY). We enrolled 42 children with CP aged 5 - 13 years old (M age = 9.57, SD = 2.8 years). We assessed their trunk control and dynamic balance with the Trunk Control Measurement Scale (TCMS) and the Timed Up and Go test (TUG), and we used ABILHAND-Kids and Assessment of Life Habits (Life-H) to assess their manual ability and participation with activities of daily living. We administered the European Child Environment Questionnaire (ECEQ) to identify relevant environmental factors. We employed structural equation modeling (SEM) to identify specific factors contributing to potential differences between these CP groups. Children with hemiplegic CP demonstrated significantly better outcomes in terms of trunk control, dynamic balance, and environmental factors compared to those with diplegic CP (p < .05). In contrast, children with diplegic CP demonstrated superior outcomes regarding manual ability, compared to those with hemiplegic CP (p < .001). In our structural equation models, trunk control strongly predicted both dynamic balance (0.75) and environmental factors (0.74). Moreover, the relationships between trunk control and participation in daily and social activities were 0.54 and 0.47, respectively. Impaired trunk control and dynamic balance were significant contributors to increased activity restrictions and environmental barriers in children with diplegic CP. This suggests that improving disability and functioning in children with diplegic CP requires a focus on trunk control training and dynamic balance exercises.

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来源期刊
Perceptual and Motor Skills
Perceptual and Motor Skills PSYCHOLOGY, EXPERIMENTAL-
CiteScore
2.90
自引率
6.20%
发文量
110
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