脑瘫青少年的能力与表现之间的关系因 Gross Motor Function Classification System（GMFCS）水平而异。
The Relationships Between Capacity and Performance in Youths With Cerebral Palsy Differ for GMFCS Levels.
作者信息
Ho Pei-Chi, Chang Chia-Hsieh, Granlund Mats, Hwang Ai-Wen
机构信息
Department of Pediatric Orthopedics (Ms Ho and Dr Chia-Hsieh Chang), Chang Gung Memorial Hospital, and Graduate Institute of Early Intervention, College of Medicine, Chang Gung University & Department of Physical Medicine and Rehabilitation (Dr Hwang), Chang Gung Memorial Hospital, Linkou, (Dr Hwang), Tao-Yuan, Taiwan; and CHILD (Dr Granlund), Swedish Institute of Disability Research, School of Health Science, Jönköping University, Jönköping, Sweden.
出版信息
Pediatr Phys Ther. 2017 Jan;29(1):23-29. doi: 10.1097/PEP.0000000000000332.
PURPOSE
To examine change in, and longitudinal relationships between motor capacity and activity performance across the Gross Motor Function Classification System (GMFCS).
METHODS
Ninety-two youths with cerebral palsy were examined at 2 time points, 1 year apart, using the Gross Motor Function Measure-66 (GMFM-66) for motor capacity, and the Chinese version of the Activities Scale for Kids-Performance Version (ASKp-C) for activity performance. The score changes and capacity-to-performance/performance-to-capacity pathways were explored across GMFCS levels.
RESULTS
The GMFM-66 scores declined over time in GMFCS levels IV-V while ASKp-C scores increased in GMFCS level I. The correlations for both pathways in GMFCS levels I, III, and IV-V were significant with a higher correlation for performance-to-capacity pathway in GMFCS levels IV-V.
CONCLUSIONS
Longitudinal changes in and relationships between capacity and performance differ between GMFCS levels. The opportunities to perform activities need to be emphasized in GMFCS levels IV-V.
目的
研究整个粗大运动功能分类系统（GMFCS）中运动能力与活动表现的变化及纵向关系。
方法
对92名脑瘫青少年进行两次检查，间隔1年，使用粗大运动功能测量量表66项（GMFM - 66）评估运动能力，使用中文版儿童活动量表 - 表现版（ASKp - C）评估活动表现。探讨了GMFCS各水平上的得分变化以及能力与表现/表现与能力的路径。
结果
GMFCSⅣ - Ⅴ级中GMFM - 66得分随时间下降，而GMFCSⅠ级中ASKp - C得分升高。GMFCSⅠ、Ⅲ和Ⅳ - Ⅴ级中两条路径的相关性均显著，GMFCSⅣ - Ⅴ级中表现与能力路径的相关性更高。
结论
GMFCS各水平之间，能力与表现的纵向变化及关系存在差异。在GMFCSⅣ - Ⅴ级中，需要强调进行活动的机会。
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