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脑瘫患儿的身体和认知功能与日常生活活动之间的关系

Relationships between Physical and Cognitive Functioning and Activities of Daily Living in Children with Cerebral Palsy.

作者信息

Song Chiang-Soon

机构信息

Department of Occupational Therapy, Chungnam Provincial Cheongyang College.

出版信息

J Phys Ther Sci. 2013 May;25(5):619-22. doi: 10.1589/jpts.25.619. Epub 2013 Jun 29.

Abstract

[Purpose] The purpose of the present study was to evaluate the relationship between physical function, cognitive function, and activities of daily living in children with cerebral palsy. [Subjects] Sixty-eight children who had been diagnosed with cerebral palsy and have participated in inpatient or outpatient rehabilitation programs were enrolled in the present study. We used 3 clinical assessments: the Gross Motor Function Measure (GMFM), the Bayley Infant Development Screening Test-II (BSID-II), and the Wee Functional Independence Measure (WeeFIM). [Results] The GMFM was positively correlated with the BSID-II motor scale and the BSID-II cognitive scale, but not with the WeeFIM scores. The BSID-II motor scale was significantly correlated with the GMFM and BSID-II cognitive scale, but not with the WeeFIM. [Conclusion] The results of this study provide evidence of the necessity of including cognitive and physical impairments in the examination and evaluation of children with cerebral palsy in research and clinical settings.

摘要

[目的] 本研究的目的是评估脑瘫患儿的身体功能、认知功能和日常生活活动之间的关系。[对象] 本研究纳入了68名已被诊断为脑瘫且参加过住院或门诊康复项目的儿童。我们使用了3种临床评估方法:粗大运动功能测量量表(GMFM)、贝利婴儿发育筛查测验第二版(BSID-II)和小儿功能独立性测量量表(WeeFIM)。[结果] GMFM与BSID-II运动量表和BSID-II认知量表呈正相关,但与WeeFIM评分无关。BSID-II运动量表与GMFM和BSID-II认知量表显著相关,但与WeeFIM无关。[结论] 本研究结果为在研究和临床环境中对脑瘫患儿进行检查和评估时纳入认知和身体损伤的必要性提供了证据。

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