Donkervoort Mireille, Roebroeck Marij, Wiegerink Diana, van der Heijden-Maessen Helene, Stam Henk
Department of Rehabilitation Medicine, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Disabil Rehabil. 2007 Mar 30;29(6):453-63. doi: 10.1080/09638280600836018.
To describe the level of functioning of adolescents and young adults with cerebral palsy (CP) and study determinants of their level of functioning.
In the CP Transition study, adolescents and young adults aged 16-20 years, diagnosed with CP without severe learning disabilities (n =103) participated. In this group we assessed subject characteristics, i.e., age, type of CP, gross motor function (GMFCS), level of education as well as outcome measures on functioning in daily activities and social participation (Life Habits questionnaire, Vineland Adaptive Behavior Scale, Functional Independence Measure). Multivariate regression analyses were performed.
About 20-30% of the participants encountered restrictions in daily activities (mobility, self-care, nutrition) and social participation (taking responsibility, community living, leisure activities and employment). The GMFCS level, level of education, and age proved to be important determinants of functioning in daily activities and social participation, explaining 70% and 66% of the variance in outcome respectively.
A significant number of adolescents and young adults with CP without severe learning disabilities are restricted in daily activities and social participation. These problems are mainly attributable to restricted gross motor functioning, a low level of education and younger age.
描述脑瘫（CP）青少年和青年的功能水平，并研究其功能水平的决定因素。
在脑瘫过渡研究中，16 - 20岁、被诊断为无严重学习障碍的脑瘫青少年和青年（n = 103）参与其中。在该组中，我们评估了受试者特征，即年龄、脑瘫类型、粗大运动功能（GMFCS）、教育水平以及日常活动和社会参与功能的结果指标（生活习惯问卷、文兰适应行为量表、功能独立性测量）。进行了多变量回归分析。
约20 - 30%的参与者在日常活动（移动、自我护理、营养）和社会参与（承担责任、社区生活、休闲活动和就业）方面存在限制。GMFCS水平、教育水平和年龄被证明是日常活动和社会参与功能的重要决定因素，分别解释了结果差异的70%和66%。
相当数量的无严重学习障碍的脑瘫青少年和青年在日常活动和社会参与方面受到限制。这些问题主要归因于粗大运动功能受限、教育水平低和年龄较小。
