脑瘫儿童手工能力的决定因素:一项基于全国登记的研究。

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2022-04-01 Epub Date: 2021-04-14 DOI:10.1080/17518423.2021.1914761

Sana M N Abu-Dahab, Nihad A Almasri, Maysoun Saleh, Somaya H Malkawi

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引用次数: 1

摘要

目的:本横断面研究旨在通过手工能力分类系统(MACS)从内在(与儿童相关)和外在(与服务相关)变量方面确定脑瘫(CP)儿童手工能力的决定因素。方法:研究对象为106例确诊为CP的儿童(4-16岁)。采用两个有序逻辑回归模型来确定手工能力的内在和外在决定因素。结果:四个与儿童相关的(内在的)变量被发现是手操作能力的重要决定因素:双手操作能力、保持和坐在椅子上的能力、癫痫发作的存在和大运动功能，只有一个与服务相关的(外在的)显著变量被确定，即接受痉挛药物治疗。讨论:结果强调了在评估和干预以提高CP儿童的手动能力时应考虑的几个决定因素。研究结果讨论了干预方法、环境修改和辅助装置处方的关系。

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Determinants of Manual Abilities of Children with Cerebral Palsy: A National Registry-Based Study.

Purpose: This cross-sectional study aimed to identify determinants of manual abilities of children with cerebral palsy (CP), as measured by the Manual Ability Classification System (MACS), in terms of intrinsic (child-related) and extrinsic (service-related) variables.

Methods: The participants were 106 children with a confirmed diagnosis of CP (aged 4-16 years). Two ordinal logistic regression models were conducted to identify intrinsic and extrinsic determinants of manual abilities.

Results: Four child-related (intrinsic) variables were found to be significant determinants of manual abilities: bimanual ability, ability to maintain and assume chair sitting, presence of seizures, and gross motor function, and only one service-related (extrinsic) significant variable was identified, which was receiving spasticity medications.

Discussion: The results highlight several determinants that should be considered when assessing and intervening to improve manual abilities of children with CP. The findings are discussed in relation to the intervention approach, contextual modification, and assistive device prescription.

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.