Lee Byoung-Hee, Kim Yu-Mi, Jeong Goo-Churl
Department of Physical Therapy, Sahmyook University, Republic of Korea.
Graduate School of Physical Therapy, Sahmyook University, Republic of Korea.
J Phys Ther Sci. 2015 Oct;27(10):3059-62. doi: 10.1589/jpts.27.3059. Epub 2015 Oct 30.
[Purpose] This study aimed to evaluate the mediating effect of gross motor function, measured using the Gross Motor Function Measure (GMFM) and of general function, measured using the International Classification of Functioning, Disability and Health-Child and Youth Check List (ICF-CY), on the ICF domains of activity and participation in children with cerebral palsy (CP). [Subjects] Ninety-five children with CP, from Seoul, Korea, participated in the study. [Methods] The GMFM was administered in its entirety to patients without orthoses or mobility aids. The ICF-CY was used to evaluate the degree of disability and health of subjects. [Results] GMFM score and ICF-CY function were negatively correlated to ICF-CY activity and participation. ICF-CY partially mediated the effects of the GMFM on activity and participation. [Conclusion] When establishing a treatment plan for a child with CP, limitations in activity and participation, as described by the ICF-CY, should be considered in addition to the child's physical abilities and development. In addition, the treatment plan should focus on increasing the child's activity and participation level, as well as his/her physical level.
[目的] 本研究旨在评估使用粗大运动功能测量量表（GMFM）测量的粗大运动功能以及使用《国际功能、残疾和健康分类-儿童与青少年检查表》（ICF-CY）测量的一般功能对脑瘫（CP）儿童ICF活动和参与领域的中介作用。[对象] 来自韩国首尔的95名CP儿童参与了本研究。[方法] 对未使用矫形器或移动辅助器具的患者完整施测GMFM。使用ICF-CY评估受试者的残疾和健康程度。[结果] GMFM评分和ICF-CY功能与ICF-CY活动和参与呈负相关。ICF-CY部分介导了GMFM对活动和参与的影响。[结论] 在为CP儿童制定治疗计划时，除了考虑儿童的身体能力和发育情况外，还应考虑ICF-CY所描述的活动和参与方面的限制。此外，治疗计划应侧重于提高儿童的活动和参与水平以及身体水平。
