脑瘫患儿从儿童期到成年期行走能力的变化：系统评价。

Changes in Walking Performance between Childhood and Adulthood in Cerebral Palsy: A Systematic Review.

机构信息

I-Shou University , Kaohsiung City, Taiwan.

The University of Sydney , Sydney, Australia.

出版信息

Dev Neurorehabil. 2020 Aug;23(6):343-348. doi: 10.1080/17518423.2019.1648579. Epub 2019 Jul 31.

DOI:10.1080/17518423.2019.1648579

PMID:31366265

Abstract

: To examine the changes in walking performance between childhood and adulthood in cerebral palsy. : Cohort studies were included if the participants were children with cerebral palsy at Gross Motor Function Classification System (GMFCS) Level I-IV, initial measurement of walking by 13 years of age and follow-up measurement by 30 years of age. : At GMFCS Level I+ II, 7% (95% CI 6-8) had declined to GMFCS Level III. At GMFCS Level III, 4% (95% CI 3-6) had declined to GMFCS Level IV and 31% (95% CI 27-34) had improved to GMFCS Level I+ II. At GMFCS Level IV, 2% (95% CI 1-4) had improved to GMFCS Level III and 3% (95% CI 2-4) had improved to GMFCS Level I+ II. : The results suggest that walking performance is stable from childhood to adulthood at either end of the spectrum of ability but is more changeable for intermediate walkers.

摘要

: 研究目的：探讨脑瘫患儿从儿童期到成年期步行能力的变化。 : 研究纳入了粗大运动功能分级系统（GMFCS）水平 I-IV 的脑瘫患儿，初始行走评估年龄为 13 岁，随访评估年龄为 30 岁。 : 在 GMFCS 水平 I+ II，7%（95%CI6-8）下降至 GMFCS 水平 III；在 GMFCS 水平 III，4%（95%CI3-6）下降至 GMFCS 水平 IV，31%（95%CI27-34）提升至 GMFCS 水平 I+ II；在 GMFCS 水平 IV，2%（95%CI1-4）提升至 GMFCS 水平 III，3%（95%CI2-4）提升至 GMFCS 水平 I+ II。 : 结果表明，能力谱两端的患儿从儿童期到成年期步行能力稳定，但中等步行能力的患儿变化更大。