Kim Do Hyun, An Duk-Hyun, Yoo Won-Gyu
HIP&MAL Laboratory, Department of Rehabilitation Science, Inje University, Gimhae, Korea.
Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Gimhae, Korea.
Technol Health Care. 2018;26(3):421-427. doi: 10.3233/THC-171073.
Trunk control ability greatly influences functional movement of the upper limbs.
Our primary aims were to assess trunk control ability, sway, and upper limb functions in children with cerebral palsy (CP), and to investigate the relationship between trunk control ability and upper limb function.
We included 15 children (8 boys and 7 girls) with CP. We used the Trunk Control Measurement Scale (TCMS) to evaluate trunk control ability and sway. We employed the Jebsen-Taylor Hand Function Test (JTHFT), the Quality of Upper Extremity Skills Test (QUEST), the Box and Blocks Test (BBT), and the ABILHAND-Kids questionnaire to explore upper limb function and arm movement acceleration. We calculated correlations between trunk control ability and parameters of upper limb function.
TCMS scores correlated positively with the QUEST, BBT, and ABILHAND-Kids data, but negatively with the JTHFT findings. Anteroposterior acceleration correlated positively with JTHFT data, but negatively with QUEST, BBT, and ABILHAND-Kids data. Mediolateral acceleration correlated positively with the JTHFT outcomes, but negatively with those of QUEST, BBT, and ABILHAND-Kids.
Upper limb function test data exhibited moderate to strong correlations with trunk control ability, as measured via the TCMS and triaxial accelerometry, in children with CP. Our results suggest that trunk control ability should be assessed when evaluating upper limb function in such children.
躯干控制能力对上肢的功能运动有很大影响。
我们的主要目的是评估脑瘫（CP）患儿的躯干控制能力、摇摆情况和上肢功能，并研究躯干控制能力与上肢功能之间的关系。
我们纳入了15名CP患儿（8名男孩和7名女孩）。我们使用躯干控制测量量表（TCMS）来评估躯干控制能力和摇摆情况。我们采用杰布森 - 泰勒手功能测试（JTHFT）、上肢技能质量测试（QUEST）、方块和积木测试（BBT）以及儿童ABILHAND问卷来探究上肢功能和手臂运动加速度。我们计算了躯干控制能力与上肢功能参数之间的相关性。
TCMS评分与QUEST、BBT和儿童ABILHAND数据呈正相关，但与JTHFT结果呈负相关。前后向加速度与JTHFT数据呈正相关，但与QUEST、BBT和儿童ABILHAND数据呈负相关。内外侧加速度与JTHFT结果呈正相关，但与QUEST、BBT和儿童ABILHAND的结果呈负相关。
在CP患儿中，通过TCMS和三轴加速度测量法测得的上肢功能测试数据与躯干控制能力呈现出中度到强的相关性。我们的结果表明，在评估此类患儿的上肢功能时，应评估其躯干控制能力。
