Department of Physiotherapy, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan.
Phys Occup Ther Pediatr. 2023;43(4):367-388. doi: 10.1080/01942638.2022.2162358. Epub 2023 Jan 1.
To summarize research findings on the determinants of Quality of Life (QoL) in children with cerebral palsy based on the International Classification of Functioning, Disability, and Health (ICF).
The protocol of the review was registered in the International Prospective Register of The Systematic Reviews PROSPERO (CRD42021261966). A PubMed, Web of Science, MEDLINE complete, and CINAHL Plus search was conducted between January 2020 and October 2021 to identify studies that examined determinants of QoL. Inclusion criteria for the studies were children between the ages of birth and 20 years with cerebral palsy. The data extraction and quality evaluation of studies were carried out independently by two reviewers.
A total of 664 studies were identified in the search, of which 23 studies were included in the review. The majority of the studies were conducted in high-income countries. According to the ICF, 48% of the studies examined body function determinants, 52% examined activities determinants, and 26% examined environmental determinants. In contrast, 13% of the studies examined determinants related to participation and 13% examined determinants related to personal factors.
Based on our findings, most of the determinants identified in the literature are related sequentially to functional activities, body functions and structures, and environmental factors. Researchers should focus on assessing the determinants of QoL related to participation and personal characteristics for children with cerebral palsy in order to improve their QoL.
根据《国际功能、残疾和健康分类》（ICF）总结脑瘫儿童生活质量（QoL）决定因素的研究结果。
本综述的方案已在国际前瞻性系统评价注册库 PROSPERO（CRD42021261966）中进行了注册。在 2020 年 1 月至 2021 年 10 月期间，通过 PubMed、Web of Science、MEDLINE complete 和 CINAHL Plus 进行了检索，以确定研究生活质量决定因素的研究。纳入研究的标准为年龄在出生至 20 岁之间患有脑瘫的儿童。两名评审员独立进行了研究数据提取和质量评估。
共在检索中确定了 664 项研究，其中 23 项研究纳入了本综述。大多数研究是在高收入国家进行的。根据 ICF，48%的研究考察了身体功能决定因素，52%考察了活动决定因素，26%考察了环境决定因素。相比之下，13%的研究考察了与参与有关的决定因素，13%的研究考察了与个人因素有关的决定因素。
根据我们的研究结果，文献中确定的大多数决定因素与功能活动、身体功能和结构以及环境因素顺序相关。研究人员应重点评估与脑瘫儿童参与和个人特征相关的生活质量决定因素，以提高他们的生活质量。
