脑瘫患儿玩耍行为中的手部功能。
Hand function in the play behavior of children with cerebral palsy.
作者信息
Pfeifer Luzia Iara, Santos Thaís Reis, Silva Daniela Baleroni Rodrigues, Panúncio Pinto Maria Paula, Caldas Carla Andrea, Santos Jair Lício Ferreira
机构信息
Department of Neurosciences and Behavioral Sciences, Division of Occupational Therapy , Ribeirão Preto Medical School, University of São Paulo.
出版信息
Scand J Occup Ther. 2014 Jul;21(4):241-50. doi: 10.3109/11038128.2013.871059. Epub 2014 Mar 28.
OBJECTIVE
The aim of this study was to evaluate the influence of hand function on the occupational performance of playing for children with cerebral palsy.
METHODS
Twenty children with cerebral palsy took part in the study, of both genders, aged 3-10 years, with motor abilities ranging from I to V and manual abilities from II to IV. Data were collected using the Assessment of Ludic Behaviour before and after botulinum toxin was applied in the upper limbs to reduce spasticity.
RESULTS
Significant differences were found between the scores before and after the application of botulinum toxin in relation to the total Assessment of Ludic Behaviour score (p < 0.001), as well as in basic ludic interest (p = 0.003), basic ludic ability (p < 0.001), ludic attitude (p = 0.008), and communication of needs and feelings (p = 0.025), except for general level of interest (p = 0.957).
CONCLUSIONS
The reduction of spasticity permits better handling of the play materials, which promotes the children's involvement in play situations.
目的
本研究旨在评估手部功能对脑瘫儿童游戏职业表现的影响。
方法
20名脑瘫儿童参与了本研究，年龄在3至10岁之间，男女皆有，运动能力从I级到V级，手部能力从II级到IV级。在对上肢应用肉毒杆菌毒素以减轻痉挛之前和之后，使用游戏行为评估收集数据。
结果
在肉毒杆菌毒素应用前后，游戏行为评估总分（p < 0.001）以及基本游戏兴趣（p = 0.003）、基本游戏能力（p < 0.001）、游戏态度（p = 0.008）和需求与情感交流（p = 0.025）方面的得分存在显著差异，但总体兴趣水平除外（p = 0.957）。
结论
痉挛的减轻使儿童能够更好地操控游戏材料，这促进了儿童参与游戏情境。
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