脊髓损伤儿童躯干控制节段性评估（SATCo）对变化的敏感性和反应性。
Sensitivity to change and responsiveness of the Segmental Assessment of Trunk Control (SATCo) in children with spinal cord injury.
作者信息
Argetsinger Laura C, Trimble Shelley A, Roberts MacKenzie T, Thompson Jennifer E, Ugiliweneza Beatrice, Behrman Andrea L
机构信息
a Frazier Rehab Institute , Louisville , KY , USA.
b Department of Pediatrics , University of Louisville , Louisville , KY , USA.
出版信息
Dev Neurorehabil. 2019 May;22(4):260-271. doi: 10.1080/17518423.2018.1475429. Epub 2018 May 22.
PURPOSE
The purpose of this study was to assess the sensitivity and responsiveness of the Segmental Assessment of Trunk Control (SATCo) for evaluating trunk control in children with spinal cord injury (SCI) receiving activity-based locomotor training (AB-LT).
METHODS
Prospective study of nine outcomes for consecutively enrolled children in outpatient AB-LT. To evaluate sensitivity to change, linear-mixed models were constructed and adjusted for covariates: age at and time since SCI. To evaluate responsiveness, standardized response means and 95% confidence intervals were estimated per outcome.
RESULTS
SATCo scores increased significantly (p < 0.05) regardless of chronicity, initial score, and injury level. The SATCo was the most responsive measure and the only outcome demonstrating a large effect size after 3 months of therapy.
CONCLUSIONS
Children with SCI receiving AB-LT improved trunk control regardless of chronicity, initial impairment, or prior experience. SATCo sensitivity and responsiveness support its usefulness in measuring trunk control in children with SCI.
目的
本研究旨在评估躯干控制分段评估（SATCo）在评估接受基于活动的运动训练（AB-LT）的脊髓损伤（SCI）儿童的躯干控制方面的敏感性和反应性。
方法
对连续纳入门诊AB-LT的儿童的九项指标进行前瞻性研究。为了评估对变化的敏感性，构建了线性混合模型，并对协变量进行了调整：SCI时的年龄和SCI后的时间。为了评估反应性，对每个指标估计了标准化反应均值和95%置信区间。
结果
无论病程、初始评分和损伤水平如何，SATCo评分均显著提高（p<0.05）。SATCo是反应性最强的指标，也是治疗3个月后唯一显示出大效应量的指标。
结论
接受AB-LT的SCI儿童的躯干控制能力得到改善，无论病程、初始损伤或既往经验如何。SATCo的敏感性和反应性支持其在测量SCI儿童躯干控制方面的实用性。
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