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脑瘫患儿的功能平衡与粗大运动功能

Functional balance and gross motor function in children with cerebral palsy.

作者信息

Pavão Silvia Leticia, Barbosa Kayo Andre F, Sato Tatiana de Oliveira, Rocha Nelci Adriana Cicuto Ferreira

机构信息

Department of Physiotherapy, Neuropediatrics Section, Federal University of São Carlos, Rod. Washington Luis, km 235, 13565-905 São Carlos-SP, Brazil.

Department of Physiotherapy, Neuropediatrics Section, Federal University of São Carlos, Rod. Washington Luis, km 235, 13565-905 São Carlos-SP, Brazil.

出版信息

Res Dev Disabil. 2014 Oct;35(10):2278-83. doi: 10.1016/j.ridd.2014.05.024. Epub 2014 Jun 17.

DOI:10.1016/j.ridd.2014.05.024
PMID:24946267
Abstract

AIMS

To compare scores of children with cerebral palsy (CP) at different levels of Gross Motor Function Classification System (GMFCS), using the Pediatric Balance Scale (PBS) and to assess whether it can be used to predict GMFCS levels in children with CP.

METHODS

Fifty-eight children with CP levels I-V of GMFCS were assessed by PBS and grouped according to their GMFCS level.

RESULTS

It was observed differences in PBS scores between GMFCS I and II and between GMFCS II and III groups. Discriminant analysis indicated a 67% accuracy for the PBS instrument in assessing the GMFCS level of children with CP.

INTERPRETATION

PBS is able to detect differences among GMFCS levels I, II, and III of mild and moderate impairment. Accordingly, PBS can be used reliably in clinical practice to indicate the motor impairment level of such children. The results enable specify the expected tasks that are expected to be accomplished by the children in each GMFCS level, contributing with therapeutic planning and monitoring.

摘要

目的

使用儿童平衡量表(PBS)比较不同粗大运动功能分类系统(GMFCS)水平的脑瘫(CP)儿童的得分,并评估其是否可用于预测CP儿童的GMFCS水平。

方法

对58名GMFCS I - V级的CP儿童进行PBS评估,并根据其GMFCS水平分组。

结果

观察到GMFCS I组与II组以及GMFCS II组与III组之间PBS得分存在差异。判别分析表明,PBS工具评估CP儿童GMFCS水平的准确率为67%。

解读

PBS能够检测轻度和中度损伤的GMFCS I、II和III级之间的差异。因此,PBS可在临床实践中可靠地用于指示此类儿童的运动损伤水平。研究结果有助于明确每个GMFCS水平儿童预期能够完成的任务,为治疗计划和监测提供参考。

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