评估姿势会影响一名患有运动障碍儿童的问题解决行为。
Assessment Position Affects Problem-Solving Behaviors in a Child With Motor Impairments.
作者信息
OʼGrady Michael G, Dusing Stacey C
机构信息
Rehabilitation and Movement Science Program (Mr O'Grady) and Motor Development Laboratory, Department of Physical Therapy (Dr Dusing), Virginia Commonwealth University, Richmond; and Department of Pediatrics, Children's Hospital of Richmond, Richmond, Virginia (Dr Dusing).
出版信息
Pediatr Phys Ther. 2016 Summer;28(2):253-8. doi: 10.1097/PEP.0000000000000238.
PURPOSE
The purpose of this report was to examine problem-solving behaviors of a child with significant motor impairments in positions she could maintain independently, in supine and prone positions, as well as a position that required support, sitting.
CASE DESCRIPTION
The child was a 22-month-old girl who could not sit independently and had limited independent mobility. Her problem-solving behaviors were assessed using the Early Problem Solving Indicator, while she was placed in supine or prone position, and again in manually supported sitting position.
RESULTS
In manually supported sitting position, the subject demonstrated a higher frequency of problem-solving behaviors and her most developmentally advanced problem-solving behavior.
CLINICAL IMPLICATIONS
Because a child's position may affect cognitive test results, position should be documented at the time of testing.
目的
本报告的目的是研究一名有严重运动障碍的儿童在她能够独立保持的仰卧位和俯卧位以及需要支撑的坐位时的问题解决行为。
病例描述
该儿童是一名22个月大的女孩，无法独立坐立，独立活动能力有限。在她处于仰卧位或俯卧位时，以及再次处于手动支撑坐位时，使用早期问题解决指标评估她的问题解决行为。
结果
在手动支撑坐位时，该受试者表现出更高频率的问题解决行为以及她最具发育先进性的问题解决行为。
临床意义
由于儿童的体位可能影响认知测试结果，因此在测试时应记录体位。
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