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诱导或巩固化疗期间急性淋巴细胞白血病患儿的运动和基本认知功能。

Motor and Basic Cognitive Functions in Children with Acute Lymphoblastic Leukemia Undergoing Induction or Consolidation Chemotherapy.

机构信息

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Department of Child Hematology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

出版信息

Percept Mot Skills. 2021 Jun;128(3):1091-1106. doi: 10.1177/00315125211002065. Epub 2021 Mar 17.

Abstract

Children with acute leukemia (ALL) often suffer from several disease and treatment related side-effects during treatment. The aim of the present study was to determine the gross and fine motor functioning and basic cognitive performance of children (n = 25) with ALL who were undergoing induction or consolidation chemotherapy and to compare these characteristics to a normative group (n = 21) of age-matched typically developing children. We assessed the children's motor functions with the Bruininks-Oseretsky Test of Motor Proficiency Second Edition-Short Form and the Nine-hole Peg Test, and we used the Modified Mini-Mental State Exam (MMSE) to evaluate their cognitive performance. Compared to the normative group, children with ALL had lower scores on total motor proficiency and sub-tests scores of motor functions ( < .05), and on the Nine-hole Peg Test performance ( < .05); but their cognitive performance on the MMSE was not significantly different. Children with ALL would likely benefit from structured exercise and rehabilitative interventions during chemotherapy to prevent and/or ameliorate ALL-related motor dysfunction. We also suggest that their cognitive functioning should be further investigated with more extensive well-validated neurocognitive tests for children (e.g., the Wechsler intelligence scales).

摘要

患有急性白血病(ALL)的儿童在治疗期间经常会受到多种疾病和治疗相关副作用的影响。本研究旨在确定正在接受诱导或巩固化疗的 ALL 儿童的粗大运动和精细运动功能以及基本认知表现,并将这些特征与年龄匹配的正常发育儿童的参照组(n=21)进行比较。我们使用 Bruininks-Oseretsky 运动能力测试第二版-短式和九孔钉测试评估儿童的运动功能,并用改良的 Mini-Mental State 考试(MMSE)评估他们的认知表现。与参照组相比,ALL 患儿的总运动能力和运动功能的子测试评分较低(<0.05),九孔钉测试表现也较低(<0.05);但他们在 MMSE 上的认知表现并无显著差异。ALL 患儿在化疗期间可能受益于结构化的运动和康复干预,以预防和/或改善 ALL 相关的运动功能障碍。我们还建议进一步使用更广泛的经过良好验证的儿童神经认知测试(例如韦氏智力量表)来研究他们的认知功能。

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