Cheng Chihwen, Burns T G, Wang May D
Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, 30332.
Children's' Healthcare of Atlanta, Atlanta GA.
Proc (IEEE Int Conf Healthc Inform). 2013 Sep;2013:258-263. doi: 10.1109/ICHI.2013.24. Epub 2013 Dec 12.
Children diagnosed with cerebral palsy (CP) appear to be at high risk for developing neurobehavioral and motor disorders. The most common disorders for these children are impaired visual-perception skills and motor planning. Besides, they often have impaired executive functions, which can contribute to problematic emotional adjustment such as depression. Additionally, literature suggests that the tendency to develop these cognitive impairments and emotional abnormalities in pediatric CP is influenced by age and IQ. Because there are many other medical co-morbidities that can occur with CP (e.g., seizures and shunt placement), prediction of what percentages of patients will incur cognitive impairment and emotional abnormality is a difficult task. The purpose of this study was to investigate the associations between possible factors mentioned above, and neurobehavioral and motor disorders from a clinical database of pediatric subjects diagnosed with CP. The study resulted in 22 rules that can predict negative outcomes. These rules reinforced the growing body of literature supporting a link between CP, executive dysfunction, and subsequent neurobehavioral problems. The antecedents and consequents of some association rules were single factors, while other statistical associations were interactions of factor combinations. Further research is needed to include children's comprehensive treatment and medication history in order to determine additional impacts on their neurobehavioral and motor disorders.
被诊断患有脑瘫(CP)的儿童似乎有患神经行为和运动障碍的高风险。这些儿童最常见的障碍是视觉感知技能受损和运动规划能力受损。此外,他们的执行功能往往也有缺陷,这可能导致诸如抑郁等情绪调节问题。此外,文献表明,小儿脑瘫患者出现这些认知障碍和情绪异常的倾向受年龄和智商影响。由于脑瘫还可能伴有许多其他合并症(如癫痫发作和分流管置入),预测患者出现认知障碍和情绪异常的百分比是一项艰巨的任务。本研究的目的是从一个被诊断患有脑瘫的儿科临床数据库中,调查上述可能因素与神经行为和运动障碍之间的关联。该研究得出了22条可预测负面结果的规则。这些规则进一步证明了越来越多的文献支持脑瘫、执行功能障碍与随后的神经行为问题之间的联系。一些关联规则的前因和后果是单一因素,而其他统计关联是因素组合的相互作用。需要进一步研究纳入儿童的综合治疗和用药史,以确定对其神经行为和运动障碍的其他影响。