脑瘫学龄儿童在高水平、以运动为重点的粗大运动评估中在 GMFCS 水平 I 和 II 的表现。
Performance of school-aged children with cerebral palsy at GMFCS levels I and II on high-level, sports-focussed gross motor assessments.
机构信息
School of Health & Rehabilitation Sciences, The University of Queensland, St Lucia, Australia.
CPL-Choice, Passion, Life, Brisbane, Australia.
出版信息
Disabil Rehabil. 2021 Apr;43(8):1101-1109. doi: 10.1080/09638288.2019.1650964. Epub 2019 Aug 21.
PURPOSE
To investigate performance of children with cerebral palsy (CP) at GMFCS Levels I-II on sports-focussed gross motor assessments; and concurrent validity of mainstream and CP-specific high-level assessment batteries and field tests.
METHODS
Fifty-four children (6-12 years) with CP at GMFCS I-II completed the Test of Gross Motor Development-second edition, Gross Motor Function Measure-Challenge Module, Muscle Power Sprint Test (MPST), 10 × 5 m Sprint Test (10 × 5 mST), Vertical Jump, Broad Jump, and Seated Throw. Correlations between measures, age and mobility level, and group differences between age and mobility level were examined and content analysis performed.
RESULTS
Children at GMFCS I demonstrated significantly higher gross motor assessment battery scores than children at GMFCS II ( = 73.5-109.0, < 0.001). Performance improved with age for children at Level I but not II. Children with higher overall motor scores scored higher on running (MPST, 10 × 5 mST, = -0.516 to -0.816, < 0.001), jumping (Vertical Jump, Broad Jump, = 0.499-0.774, < 0.001) and throwing (Seated Throw, = 0.341-0.500, = 0.012 < 0.001) field tests.
CONCLUSIONS
High-level gross motor assessments were achievable and appropriately challenging for children with CP at GMFCS I-II. Scores discriminated between performance and were associated with mobility level. Concurrent validity was established between gross motor assessment batteries, and locomotor field tests.IMPLICATIONS FOR REHABILITATIONFor children with cerebral palsy at GMFCS I-II, sports-focussed assessments should be used to assess high-level gross motor function.The Gross Motor Function Measure- and Test of Gross Motor Development demonstrate no ceiling for children with cerebral palsy at GMFCS I-II.Single-item running and jumping field tests provide targeted skill assessment and estimate sports skills for children with cerebral palsy.
目的
研究 GMFCS 水平 I-II 的脑瘫儿童在以运动为重点的粗大运动评估中的表现；以及主流和 CP 特定高级评估工具和现场测试的同时效度。
方法
54 名 GMFCS I-II 的脑瘫儿童（6-12 岁）完成了运动发育测试第二版、粗大运动功能测量挑战模块、肌肉力量冲刺测试（MPST）、10×5m 冲刺测试（10×5mST）、垂直跳跃、跳远和坐姿投掷。检查了测量值与年龄和移动水平之间的相关性，以及年龄和移动水平之间的组间差异，并进行了内容分析。
结果
GMFCS I 级儿童的粗大运动评估工具得分明显高于 GMFCS II 级儿童（ = 73.5-109.0， < 0.001）。一级儿童的表现随着年龄的增长而提高，但二级儿童没有。整体运动得分较高的儿童在跑步（MPST、10×5mST， = -0.516 至-0.816， < 0.001）、跳跃（垂直跳跃、跳远， = 0.499-0.774， < 0.001）和投掷（坐姿投掷， = 0.341-0.500， = 0.012 < 0.001）方面的得分更高。
结论
GMFCS I-II 的脑瘫儿童能够完成高级粗大运动评估，且具有适当挑战性。分数可区分表现，并与移动水平相关。粗大运动评估工具与运动领域测试之间建立了同时效度。
对康复的意义
对于 GMFCS I-II 的脑瘫儿童，应使用以运动为重点的评估来评估高水平的粗大运动功能。GMFCS I-II 的脑瘫儿童的《粗大运动功能测量》和《运动发育测试》没有上限。单项跑步和跳跃场测试提供了有针对性的技能评估，并估计了脑瘫儿童的运动技能。
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