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儿童脑瘫患者的坐站运动与《国际功能、残疾和健康分类》的关系:系统评价。

Sit-to-stand movement in childrenwith cerebral palsy and relationships with the International classification of functioning, disability and health: A systematic review.

机构信息

Federal University of Sao Carlos. Department of Physical Therapy. Laboratory of Analysis of Childhood Development. Rod Washington Luis, Km 235, 13565-905, São Carlos, SP, Brazil.

Federal University of Sao Carlos. Department of Physical Therapy. Laboratory of Analysis of Childhood Development. Rod Washington Luis, Km 235, 13565-905, São Carlos, SP, Brazil.

出版信息

Res Dev Disabil. 2020 Dec;107:103804. doi: 10.1016/j.ridd.2020.103804. Epub 2020 Nov 4.

DOI:10.1016/j.ridd.2020.103804
PMID:33160191
Abstract

BACKGROUND

Studying sit-to-stand (STS) in children with Cerebral Palsy addressing the domains of ICF allows determining the factors influencing STS in this population.

AIMS

To systematically review the literature on STS in children with CP, identifying which ICF domains have been assessed and how they relate to sit-to-stand.

METHODS AND PROCEDURES

A literature search was conducted in electronic databases by combining the keywords (child OR children OR adolescent) AND ("Cerebral Palsy") AND (sit-to-stand). We included cross-sectional articles published in English, that assessed STS movements in children with CP up to 18 years old.

OUTCOMES AND RESULTS

25 articles met the inclusion criteria. All of them assessed Body Functions and Structure. According to them, body alignment, muscle strength and postural sway affect STS movement. Six studies related Activity and Participation with STS, demonstrating that worse scores in scales that evaluate activities and participation are related to the poorer STS execution. Contextual factors were addressed in 15 studies: children's age, bench height, manipulation of sensory information and mechanical restriction impact the way children execute STS.

CONCLUSION AND IMPLICATIONS

Contextual factors and Body Functions and Structure impact the STS in children with CP. However, few studies have evaluated the participation of these children. Based on the theoretical framework of the ICF, it is important that future studies evaluate functional tasks in children with CP and the components that can affect them. The adoption of the biopsychosocial model strengthens the understanding of functioning, which can contribute to rehabilitation planning.

摘要

背景

研究脑瘫儿童的坐站转移(STS),从国际功能、残疾和健康分类(ICF)的角度来评估其影响因素。

目的

系统综述脑瘫儿童 STS 的相关文献,确定评估了 ICF 的哪些领域,以及它们与坐站转移的关系。

方法和程序

在电子数据库中组合关键词(儿童或青少年)和(脑瘫)和(坐站转移)进行文献检索。纳入评估脑瘫儿童至 18 岁 STS 运动的横断面研究,发表语言为英语。

结果

共 25 篇文章符合纳入标准,均评估了身体功能和结构。根据这些研究,身体姿势、肌肉力量和姿势摆动会影响 STS 运动。6 项研究将活动和参与与 STS 联系起来,表明评估活动和参与的量表得分越差,与较差的 STS 执行情况有关。15 项研究涉及环境因素:儿童的年龄、板凳的高度、感觉信息的处理以及机械限制都会影响儿童执行 STS 的方式。

结论和意义

环境因素和身体功能和结构会影响脑瘫儿童的 STS,但很少有研究评估这些儿童的参与情况。基于 ICF 的理论框架,未来的研究评估脑瘫儿童的功能性任务及其可能影响的因素非常重要。采用生物心理社会模式可以更好地理解功能,这有助于康复计划的制定。

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