Brunton Laura K
Western University, London, Ontario, Canada.
Pediatr Phys Ther. 2018 Apr;30(2):135-141. doi: 10.1097/PEP.0000000000000490.
To describe the effect of fatigue and self-management practices for adolescents and young adults with cerebral palsy.
A survey of 124 people with cerebral palsy with the Fatigue Impact and Severity Self-Assessment.
Participants in Gross Motor Function Classification System (GMFCS) level I experienced little effect of fatigue, with high proportions of this group disagreeing to statements about fatigue impacting their general activities, mobility, and social activities. Participants in GMFCS levels II to V reported effect of fatigue on activities. Differences between groups were evident in questions related to fatigue interference with length of time for physical activity and with motivations to participate in social activities. All other items related to management of fatigue were not significantly different between groups.
Fatigue effect is greater for participants with more functional limitations. The lack of significant differences between groups, on the Management and Activity Modification subscale, indicates more research is needed regarding strategies for fatigue management.
描述疲劳及自我管理措施对患有脑瘫的青少年和青年的影响。
采用疲劳影响与严重程度自我评估对124名脑瘫患者进行调查。
粗大运动功能分类系统(GMFCS)I级的参与者受疲劳影响较小,该组中很大比例的人不同意关于疲劳影响其日常活动、 mobility和社交活动的说法。GMFCS II至V级的参与者报告了疲劳对活动的影响。在与疲劳干扰体育活动时间长度以及参与社交活动动机相关的问题上,各组之间的差异很明显。与疲劳管理相关的所有其他项目在各组之间没有显著差异。
功能受限较多的参与者受疲劳影响更大。在管理和活动调整子量表上,各组之间缺乏显著差异,这表明需要对疲劳管理策略进行更多研究。