痉挛型脑瘫患儿的躯干控制与功能
Trunk control and functionality in children with spastic cerebral palsy.
作者信息
Kallem Seyyar Gulce, Aras Bahar, Aras Ozgen
机构信息
a School of Health Sciences, Department of Physical Therapy and Rehabilitation , Dumlupinar University , Kutahya , Turkey.
出版信息
Dev Neurorehabil. 2019 Feb;22(2):120-125. doi: 10.1080/17518423.2018.1460879. Epub 2018 Apr 13.
PURPOSE
To investigate the relationship between trunk control in sitting and functionality in children with spastic cerebral palsy (CP).
METHODS
Fifty-eight children with spastic CP were included in the study. Functional abilities were evaluated with the Gross Motor Function Measurement-88 (GMFM-88) and the Pediatric Evaluation of Disability Inventory Functional Skills domain (PEDI-FSD). Trunk control in sitting was tested with the Trunk Control Measurement Scale (TCMS) and the Trunk Impairment Scale (TIS). The scores of the TCMS and TIS were compared with GMFM-88 and PEDI-FSD with Spearman correlation analysis.
RESULTS
The total score of GMFM-88 was significantly correlated with the total score of TCMS (r = 0.90, p < 0.01) and TIS (r = 0.78, p < 0.01). The total score of PEDI-FSD was also significantly correlated with the total score of TCMS (r = 0.76, p < 0.01) and TIS (r = 0.72, p < 0.01).
CONCLUSIONS
The evaluation of trunk control can provide valuable information for functional abilities of children with spastic CP.
目的
探讨痉挛型脑瘫（CP）患儿坐位时的躯干控制与功能之间的关系。
方法
58名痉挛型CP患儿纳入本研究。采用粗大运动功能测量量表-88（GMFM-88）和儿童残疾评定量表功能技能领域（PEDI-FSD）评估功能能力。采用躯干控制测量量表（TCMS）和躯干损伤量表（TIS）测试坐位时的躯干控制。通过Spearman相关性分析比较TCMS和TIS的得分与GMFM-88和PEDI-FSD的得分。
结果
GMFM-88总分与TCMS总分（r = 0.90，p < 0.01）和TIS总分（r = 0.78，p < 0.01）显著相关。PEDI-FSD总分也与TCMS总分（r = 0.76，p < 0.01）和TIS总分（r = 0.72，p < 0.01）显著相关。
结论
躯干控制评估可为痉挛型CP患儿的功能能力提供有价值的信息。
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