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下肢骨科手术后脑瘫患儿的住院运动游戏:一项可行性研究。

Inpatient Exergames for Children with Cerebral Palsy following Lower Extremity Orthopedic Surgery: A Feasibility Study.

作者信息

Cardenas Analyssa, Warner Daniel, Switzer Lauren, Graham T C Nicholas, Cimolino Gabriele, Fehlings Darcy

机构信息

Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.

出版信息

Dev Neurorehabil. 2021 May;24(4):230-236. doi: 10.1080/17518423.2020.1858359. Epub 2021 Jan 8.

Abstract

: Evaluate the feasibility of implementing cycling-based exergames for children with cerebral palsy (CP) following lower extremity orthopedic surgery and explore its impact on pain and well-being.: Ten children with CP were recruited; the first five received physiotherapy (comparison) and next five received fifteen exergame sessions over 3 weeks and physiotherapy (case) (NCT0376907). Feasibility indicators evaluated recruitment, questionnaire and exergame completion. Faces Pain Scale-Revised (FPS-R), PROMIS Pediatric Pain Interference Scale (PPIS), and KIDSCREEN-27 were administered. Wilcoxon signed-rank and effect size () tests evaluated within-group differences and between-group differences were assessed using Mann-Whitney U tests.: All feasibility indicators were met. Large effects for improved case group pain were identified (FPS-R = 0.60, PPIS = 0.58), as well as significant improvement in KIDSCREEN-27 total (U = 0.50, = .05) and psychological well-being (U = 3.00, = .01) scores, favoring the case group.: Incorporating pediatric exergames is feasible and demonstrates potential for improving pain and well-being.

摘要

评估在下肢骨科手术后为脑瘫(CP)儿童实施基于骑行的运动游戏的可行性,并探讨其对疼痛和幸福感的影响。招募了10名CP儿童;前5名接受物理治疗(对照组),后5名在3周内接受15次运动游戏课程并同时接受物理治疗(病例组)(NCT0376907)。可行性指标评估了招募情况、问卷和运动游戏完成情况。使用了面部疼痛量表修订版(FPS-R)、患者报告结果测量信息系统儿童疼痛干扰量表(PPIS)和儿童生活质量量表27项版(KIDSCREEN-27)。采用Wilcoxon符号秩检验评估组内差异,采用Mann-Whitney U检验评估组间差异。所有可行性指标均达到。发现病例组疼痛改善有较大效果(FPS-R效应量=0.60,PPIS效应量=0.58),KIDSCREEN-27总分(U=0.50,P=.05)和心理健康(U=3.00,P=.01)得分也有显著改善,病例组更优。纳入儿童运动游戏是可行的,并显示出改善疼痛和幸福感的潜力。

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