使用儿童平衡量表，研究年龄、性别和运动能力水平对脑性瘫痪GMFCS I级、II级、III级儿童以及正常发育儿童平衡能力的影响。
Examination of the effects of age, sex, and motor ability level on balance capabilities in children with cerebral palsy GMFCS levels I, II, III and typical development using the Pediatric Balance Scale.
作者信息
Franjoine Mary Rose, Darr Nancy, Young Brenda, McCoy Sally Westcott, LaForme Fiss Alyssa
机构信息
Department of Physical Therapy, Daemen College, Amherst, New York, USA.
School of Physical Therapy, Belmont University, Nashville, Tennessee, USA.
出版信息
Dev Neurorehabil. 2022 Feb;25(2):115-124. doi: 10.1080/17518423.2021.1943033. Epub 2021 Jul 20.
PURPOSE
Explore effects of age, sex, and motor ability level on balance capabilities in preschoolers with and without Cerebral Palsy (CP).
METHOD
PBS was administered to 477 children 24 through 59 months: 258 with typical development (TD) and 219 with CP GMFCS levels I, II and III.
RESULTS
3-way ANOVA indicated PBS scores were significantly affected by age (F4,437=26.95, p<0.0001, η2p=0.198), motor ability level (F3,437=482.15, p<0.0001, ηp=0.768) and sex (F1,437=4.64, p<0.03, ηp=0.01) with significant interaction between motor ability level and age (F 12,437=5.25, p<0.001, ηp=0.126). Children's performance on individual items was analyzed by age, sex and motor ability level.
CONCLUSION
Children with TD outperformed children with CP GMFCS level I 36-59 months and children with CP GMFCS levels II and III 24-59 months. Expected performance values for children with TD and children with CP, ages 24-59 months, at GMFCS levels I, II and III are provided.
目的
探讨年龄、性别和运动能力水平对患有和未患有脑瘫（CP）的学龄前儿童平衡能力的影响。
方法
对477名24至59个月大的儿童进行了贝利婴儿发育量表（PBS）测试：258名发育正常（TD）儿童和219名GMFCS水平为I、II和III级的脑瘫儿童。
结果
三因素方差分析表明，PBS得分受年龄（F4,437=26.95，p<0.0001，η2p=0.198）、运动能力水平（F3,437=482.15，p<0.0001，ηp=0.768）和性别（F1,437=4.64，p<0.03，ηp=0.01）的显著影响，且运动能力水平和年龄之间存在显著交互作用（F 12,437=5.25，p<0.001，ηp=0.126）。通过年龄、性别和运动能力水平对儿童在各个项目上的表现进行了分析。
结论
发育正常的儿童在36 - 59个月时的表现优于GMFCS I级脑瘫儿童，在24 - 59个月时的表现优于GMFCS II级和III级脑瘫儿童。提供了24 - 59个月大、GMFCS水平为I、II和III级的发育正常儿童和脑瘫儿童的预期表现值。
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