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脑瘫患儿粗大运动功能与参与限制之间的关系:一项探索性分析。

The relationship between gross motor function and participation restriction in children with cerebral palsy: an exploratory analysis.

作者信息

Kerr C, McDowell B, McDonough S

机构信息

Musgrave Park Hospital, Belfast, Northern Ireland, UK.

出版信息

Child Care Health Dev. 2007 Jan;33(1):22-7. doi: 10.1111/j.1365-2214.2006.00634.x.

DOI:10.1111/j.1365-2214.2006.00634.x
PMID:17181749
Abstract

BACKGROUND

Children with cerebral palsy (CP) experience a variety of functional limitations depending on the severity of their condition that impact on their participation in day-to-day activities.

METHODS

The gross motor function and participation restrictions experienced by 60 ambulant children with CP (mean age 11.04 years) were assessed using the Gross Motor Function Measure (GMFM-88) and the Lifestyle Assessment Questionnaire - Cerebral Palsy (LAQ-CP).

RESULTS

A significant negative correlation existed between the GMFM-88 and the LAQ-CP (r = -0.52, P < 0.001). Significant relationships were also identified between the GMFM-88 and the physical independence, mobility, economic burden and social integration domains of the LAQ-CP.

CONCLUSION

In ambulatory children with CP, better physical function is associated with a lesser impact of disability; however, the relationship between function and participation is complex. Measures of participation restriction may assist with goal setting appropriate to the specific needs of the child and family.

摘要

背景

脑瘫(CP)患儿会因病情严重程度不同而出现各种功能限制,这会影响他们参与日常活动。

方法

使用粗大运动功能测量量表(GMFM - 88)和脑瘫生活方式评估问卷(LAQ - CP)对60名能行走的脑瘫患儿(平均年龄11.04岁)的粗大运动功能和参与限制情况进行评估。

结果

GMFM - 88与LAQ - CP之间存在显著负相关(r = -0.52,P < 0.001)。GMFM - 88与LAQ - CP的身体独立性、移动性、经济负担和社会融合领域之间也存在显著关系。

结论

在能行走的脑瘫患儿中,较好的身体功能与较小的残疾影响相关;然而,功能与参与之间的关系很复杂。参与限制的测量可能有助于根据儿童和家庭的特定需求设定目标。

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