Toussaint Leontien C C, van der Cammen-van Zijp Monique H M, Janssen Anjo J, Tibboel Dick, van Heijst Arno F, IJsselstijn Hanneke
Department of Orthopedics, Section of Physical Therapy, and Intensive Care and Department of Pediatric Surgery, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, Netherlands;
Department of Rehabilitation, Pediatric Physical Therapy and Donders Institute, Radboud University Medical Center, Nijmegen, Netherlands; and.
Pediatrics. 2016 Mar;137(3):e20152724. doi: 10.1542/peds.2015-2724. Epub 2016 Feb 12.
To assess perceived motor competence, social competence, self-worth, health-related quality of life, and actual motor performancein 8-year-old survivors of neonatal extracorporeal membrane oxygenation (ECMO).
In a prospective nationwide study, 135 children completed the extended version of the "athletic competence" domain of the Self Perception Profile for Children (SPPC) called the m-CBSK (Motor supplement of the Competentie BelevingsSchaal voor Kinderen) to assess perceived motor competence, the SPPC, and the Pediatric Quality of Life Inventory (PedsQL), andwere tested with the Movement Assessment Battery for Children. SD scores (SDS) were used to compare with the norm.
The mean (SD) SDS for perceived motor competence, social competence, and self-worth were all significantly higher than the norm: 0.18 (0.94), P = .03; 0.35 (1.03), P < .001; and 0.32 (1.08), P < .001, respectively. The total PedsQL score was significantly below the norm: mean (SD) SDS: -1.26 (1.53), P < .001. Twenty-two percent of children had actual motor problems. The SDS m-CBSK and actual motor performance did not correlate (r = 0.12; P = .17). The SDS m-CBSK significantly correlated with the athletic competence domain of the SPPC (r = 0.63; P < .001).
Eight-year-old ECMO survivors feel satisfied with their motor- and social competence, despite impaired PedsQL scores and motor problems. Because motor problems in ECMO survivorsdeteriorate throughout childhood, clinicians should be aware that these patients may tend to "overrate" their actual motor performance. Education andstrict monitoring of actual motor performanceare important to enable timelyintervention.
评估接受过新生儿体外膜肺氧合（ECMO）治疗的8岁幸存者的运动能力感知、社交能力、自我价值、健康相关生活质量及实际运动表现。
在一项全国性前瞻性研究中，135名儿童完成了儿童自我认知量表（SPPC）中名为m-CBSK（儿童能力信念量表运动补充版）的“运动能力”领域扩展版，以评估运动能力感知，还完成了SPPC和儿童生活质量量表（PedsQL），并接受了儿童运动评估量表测试。采用标准差分数（SDS）与常模进行比较。
运动能力感知、社交能力和自我价值的平均（标准差）SDS均显著高于常模：分别为0.18（0.94），P = 0.03；0.35（1.03），P < 0.001；0.32（1.08），P < 0.001。PedsQL总分显著低于常模：平均（标准差）SDS：-1.26（1.53），P < 0.001。22%的儿童存在实际运动问题。SDS m-CBSK与实际运动表现无相关性（r = 0.12；P = 0.17）。SDS m-CBSK与SPPC的运动能力领域显著相关（r = 0.63；P < 0.001）。
尽管PedsQL评分受损且存在运动问题，但接受过ECMO治疗的8岁幸存者对自己的运动和社交能力感到满意。由于ECMO幸存者的运动问题在整个童年期会恶化，临床医生应意识到这些患者可能倾向于“高估”自己的实际运动表现。对实际运动表现进行教育和严格监测对于及时干预很重要。
