不同临床类型脑瘫患儿四种功能分类系统与父母预测智力水平的关系

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2022-03-18 DOI:10.1080/17518423.2022.2051629

Sefa Unes, M. Tunçdemir, Cemil Ozal, Ozge Cankaya, Kübra Seyhan Bıyık, K. Delioğlu, C. Gunbey, M. Kerem Gunel, B. Anlar

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引用次数: 3

摘要

摘要目的探讨脑瘫患儿的四种功能分类系统与父母智力水平的关系，以及脑瘫临床分型的功能状况。方法使用土耳其欧洲CP监测（SCPE）数据库，纳入225名年龄在2至18岁（平均年龄6.5±4.4）岁之间的CP儿童。通过临床观察对总运动功能分类系统（GMFCS）、手动能力分类系统（MACS）、沟通功能分类系统和饮食分类系统（EDACS）水平进行分类，并通过家长报告确定智商。结果各功能水平之间存在相关性；GMFCS-MACS（r=0.784，p<.001）、CFCS-EDACS（r=0.772，p<0.001）之间的相关性最强。IQ-CFCS（r=0.762，p<-001）和IQ-EDACS（r=0.634，p<001）之间存在强相关性。双侧CP和IQ水平<70的儿童的相关性更强。结论综合来看，这四个分类系统和报告的智商水平可以充分描述儿童脑瘫的整体功能。我们的研究结果可以指导临床医生对儿童脑瘫的康复。

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Relationship among four functional classification systems and parent interpredicted intelligence level in children with different clinical types of cerebral palsy

ABSTRACT Objective To investigate the relationships between four functional classification systems in children with cerebral palsy (CP) and parent-interpredicted intelligence level, and the functional status in clinical types of CP. Methods Two hundred and twenty-five children with CP ages between 2 and 18 (mean age 6.5 ± 4.4) years included using the Surveillance of CP in Europe (SCPE) database in Turkey. Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS) and Eating and Drinking Classification System (EDACS) levels were classified by clinical observation, and intelligence quotient (IQ) was determined by parent reports. Results Correlations were found between all functional levels; the strongest were between GMFCS-MACS (r = 0.784, p < .001), CFCS-EDACS (r = 0.772, p < .001). Strong correlations were found for the IQ-CFCS (r = 0.762, p < .001) and IQ-EDACS (r = 0.634, p < .001). Correlations were stronger in children with bilateral CP and IQ level <70. Conclusions Taken together, these four classification systems and reported IQ levels can adequately describe overall functioning for children with CP. Our results can guide clinicians in the rehabilitation of children with CP.

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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.