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克拉皮纳-扎戈里县脑瘫儿童的功能分类。

FUNCTIONAL CLASSIFICATION OF CHILDREN WITH CEREBRAL PALSY IN KRAPINA-ZAGORJE COUNTY.

机构信息

1Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia; 2Josip Juraj Strossmayer University of Osijek, School of Medicine, Osijek, Croatia; 3Department of Neuropediatrics, Zagreb Children's Hospital, School of Medicine, University of Zagreb, Zagreb, Croatia.

出版信息

Acta Clin Croat. 2021 Jun;60(2):282-289. doi: 10.20471/acc.2021.60.02.15.

DOI:10.20471/acc.2021.60.02.15
PMID:34744279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8564855/
Abstract

The aim was to study functional abilities and to create functional classification of children with cerebral palsy (CP) in Krapina-Zagorje County, based on the classification of gross and fine motor skills and associated impairments. Classification was performed according to the SCPE (Surveillance of Cerebral Palsy in Europe) criteria. We used standardized and complementary functional classification systems for cerebral palsy to create a functional profile. Research included 44 children with CP in the age range of 4 to 18 years. The results showed that the majority of children had bilateral spastic CP (63.6%), followed by unilateral spastic (22.7%) while the representation of dyskinetic CP was 9.09% and ataxic CP 4.55%. Based on the classification of gross and fine motor skills, 43.2% of children had the ability to walk, 11% of children could walk with assistive mobility devices, while 45.4% of children had a low functional level. The study also analyzed the associated impairments where higher classification score of motor impairment correlated with the severity of impairment. The results showed that children with dyskinetic CP and severe motor impairment could have mild cognitive impairment. We systematically present the neuropsychological and functional profile according to the CP type.

摘要

目的是研究功能能力,并根据粗大运动和精细运动技能及相关障碍的分类,为克拉皮纳-扎戈里县的脑瘫儿童创建功能分类。分类是根据欧洲脑瘫监测(SCPE)标准进行的。我们使用标准化和补充的脑瘫功能分类系统来创建功能档案。研究包括 44 名 4 至 18 岁的脑瘫儿童。结果表明,大多数儿童患有双侧痉挛性脑瘫(63.6%),其次是单侧痉挛性脑瘫(22.7%),而不随意运动性脑瘫的比例为 9.09%,共济失调性脑瘫为 4.55%。根据粗大运动和精细运动技能的分类,43.2%的儿童有行走能力,11%的儿童可以使用辅助移动设备行走,而 45.4%的儿童功能水平较低。该研究还分析了相关障碍,运动障碍的分类评分越高,损伤程度越严重。结果表明,不随意运动性脑瘫和严重运动障碍的儿童可能存在轻度认知障碍。我们根据脑瘫类型系统地呈现神经心理学和功能档案。

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本文引用的文献

1
Quality of Life in Mothers of Children with Cerebral Palsy.脑瘫患儿母亲的生活质量
Acta Clin Croat. 2017 Jun;56(2):299-307. doi: 10.20471/acc.2017.56.02.14.
2
Hearing Loss in Pediatric Patients With Cerebral Palsy.脑瘫患儿的听力损失
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Communication ability in cerebral palsy: a study from the CP register of western Sweden.脑性瘫痪的沟通能力:来自瑞典西部脑性瘫痪登记处的一项研究。
Eur J Paediatr Neurol. 2013 Nov;17(6):568-74. doi: 10.1016/j.ejpn.2013.04.005. Epub 2013 May 11.
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Clinical prognostic messages from a systematic review on cerebral palsy.脑瘫系统评价的临床预后信息。
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10
Inter-relationships of functional status in cerebral palsy: analyzing gross motor function, manual ability, and communication function classification systems in children.脑性瘫痪患儿功能状态的相互关系:分析粗大运动功能、手功能和沟通功能分类系统。
Dev Med Child Neurol. 2012 Aug;54(8):737-42. doi: 10.1111/j.1469-8749.2012.04312.x. Epub 2012 Jun 20.