脑瘫患儿6分钟步行测试的发育轨迹和参考百分位数
Developmental Trajectories and Reference Percentiles for the 6-Minute Walk Test for Children With Cerebral Palsy.
作者信息
Fiss Alyssa LaForme, Jeffries Lynn, Bjornson Kristie, Avery Lisa, Hanna Steven, Westcott McCoy Sarah
机构信息
Department of Physical Therapy (Dr Fiss), Mercer University, Atlanta, Georgia; Department of Rehabilitation Science (Dr Jeffries), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; Developmental Medicine (Dr Bjornson), Seattle Children's Hospital, Seattle, Washington; Avery Information Services Ltd (Ms Avery), Orillia, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact (Dr Hanna), McMaster University, Hamilton, Ontario, Canada; Rehabilitation Medicine (Dr McCoy), University of Washington, Seattle, Washington.
出版信息
Pediatr Phys Ther. 2019 Jan;31(1):51-59. doi: 10.1097/PEP.0000000000000552.
PURPOSE
The purposes of this study were to document longitudinal developmental trajectories in 6-minute walk test (6MWT) distances and to develop age-specific reference percentiles for children across different Gross Motor Function Classification System (GMFCS) levels.
METHODS
A TOTAL OF: 456 children with cerebral palsy ages 3 to 12 years of, GMFCS levels I to III participated. Children's motor function was classified on the GMFCS, and children completed the 6MWT 2 to 5 times in 2 years.
RESULTS
Longitudinal developmental trajectories support that 6MWT distances increase with age followed by a tapering, as children approach their functional limit relative to their GMFCS level. Reference percentile graphs were created to monitor change over time.
CONCLUSIONS
The 6MWT longitudinal developmental trajectories, reference percentiles, and interpretation of percentile change should assist collaborative and proactive intervention planning relative to functional walking capacity for children with cerebral palsy.
目的
本研究的目的是记录6分钟步行测试（6MWT）距离的纵向发育轨迹，并为不同粗大运动功能分类系统（GMFCS）水平的儿童制定特定年龄的参考百分位数。
方法
共有456名3至12岁、GMFCS水平为I至III级的脑瘫儿童参与。根据GMFCS对儿童的运动功能进行分类，儿童在2年内完成2至5次6MWT测试。
结果
纵向发育轨迹表明，随着年龄增长，6MWT距离增加，随后随着儿童接近其相对于GMFCS水平的功能极限而逐渐变缓。创建了参考百分位数图表以监测随时间的变化。
结论
6MWT纵向发育轨迹、参考百分位数以及百分位数变化的解读应有助于针对脑瘫儿童功能性步行能力进行协作性和前瞻性干预规划。
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