Sokal Brad, Uswatte Gitendra, Vogtle Laura, Byrom Ezekiel, Barman Joydip
Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.
J Pediatr Rehabil Med. 2015;8(3):197-206. doi: 10.3233/PRM-150334.
In adults with hemiparesis amount of movement of the more-affected arm is related to its amount of use in daily life. In children, little is known about everyday arm use. This report examines the relationships between everyday movement of the more-affected arm and its (a) everyday use and (b) motor capacity in children with hemiparesis.
Participants were 28 children with a wide range of upper-extremity hemiparesis subsequent to cerebral palsy due to pre- or peri-natal stroke. Everyday movement of the more-affected arm was assessed by putting accelerometers on the children's forearms for three days. Everyday use of that arm and its motor capacity were assessed with the Pediatric Motor Activity Log-Revised and Pediatric Arm Function Test, respectively.
Intensity of everyday movement of the more-affected arm was correlated with its motor capacity (rs ≥ 0.52, ps ≤ 0.003). However, everyday movement of that arm was not correlated with its everyday use (rs ≤ 0.30, ps ≥ $ 0.126).
In children with upper-extremity hemiparesis who meet the study intake criteria amount of movement of the more-affected arm in daily life is not related to its amount to use, suggesting that children differ from adults in this respect.
在患有偏瘫的成年人中，受影响更严重的手臂的活动量与其在日常生活中的使用量相关。在儿童中，关于手臂在日常生活中的使用情况知之甚少。本报告探讨了偏瘫儿童中受影响更严重的手臂的日常活动与其（a）日常使用情况以及（b）运动能力之间的关系。
研究对象为28名因产前或围产期中风导致脑瘫并伴有不同程度上肢偏瘫的儿童。通过在儿童前臂佩戴加速度计三天来评估受影响更严重的手臂的日常活动。分别使用修订后的儿童运动活动日志和儿童手臂功能测试来评估该手臂的日常使用情况及其运动能力。
受影响更严重的手臂的日常活动强度与其运动能力相关（rs≥0.52，ps≤0.003）。然而，该手臂的日常活动与其日常使用情况不相关（rs≤0.30，ps≥0.126）。
在符合研究纳入标准的上肢偏瘫儿童中，受影响更严重的手臂在日常生活中的活动量与其使用量无关，这表明儿童在这方面与成年人不同。
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