Oeffinger Donna, Gorton George, Bagley Anita, Nicholson Diane, Barnes Douglas, Calmes Janine, Abel Mark, Damiano Diane, Kryscio Richard, Rogers Sarah, Tylkowski Chester
Shriners Hospitals for Children, Lexington, KY 40502, USA.
Dev Med Child Neurol. 2007 Mar;49(3):172-80. doi: 10.1111/j.1469-8749.2007.00172.x.
This prospective cross-sectional multicenter study assessed the relationships between Gross Motor Function Classification System (GMFCS) level and scores on outcome tools used in pediatric orthopedics. Five hundred and sixty-two participants with cerebral palsy (CP; 339 males, 223 females; age range 4-18y, mean age 11y 1mo [SD 3y 7mo]; 400 with diplegia, 162 with hemiplegia; GMFCS Levels I-III;) completed the study. The Functional Assessment Questionnaire (FAQ), Gross Motor Function Measure (GMFM) Dimensions D and E, Pediatric Quality of Life Inventory (PedsQL), the Pediatric Outcomes Data Collection Instrument (PODCI), Pediatric Functional Independence Measure (WeeFIM), temporal-spatial gait parameters, and O(2) cost were collected during one session. Descriptive characteristics are reported by GMFCS level clinicians can use for comparison with individual children. Tools with a direct relationship between outcome scores and GMFCS levels were the PODCI Parent and Child Global Function, Transfers & Basic Mobility, and Sports and Physical Function; PODCI Parent Upper Extremity Function; WeeFIM Self-care and Mobility; FAQ Question 1; GMFM Dimensions D and E; GMFM-66; O(2) cost; and temporal-spatial gait parameters. Child report scores differed significantly higher than Parent scores for six of eight PODCI subscales and three of four PedsQL dimensions. Children classified into different GMFCS levels function differently.
这项前瞻性横断面多中心研究评估了粗大运动功能分类系统(GMFCS)水平与小儿骨科所使用的结局工具得分之间的关系。562名脑瘫(CP)参与者(339名男性,223名女性;年龄范围4 - 18岁,平均年龄11岁1个月[标准差3岁7个月];400名单瘫,162名偏瘫;GMFCS I - III级)完成了该研究。在一次检查期间收集了功能评估问卷(FAQ)、粗大运动功能测量(GMFM)D和E维度、儿童生活质量量表(PedsQL)、儿科结局数据收集工具(PODCI)、儿科功能独立性测量(小儿WeeFIM)、时空步态参数和氧气消耗。GMFCS水平报告了描述性特征,临床医生可用于与个体儿童进行比较。结局得分与GMFCS水平有直接关系的工具包括PODCI家长和儿童总体功能、转移与基本移动能力以及运动和身体功能;PODCI家长上肢功能;小儿WeeFIM自我护理和移动能力;FAQ问题1;GMFM D和E维度;GMFM - 66;氧气消耗;以及时空步态参数。在PODCI的八个子量表中的六个以及PedsQL的四个维度中的三个方面,儿童报告得分显著高于家长得分。分类到不同GMFCS水平的儿童功能不同。