Sel Sinem Asena, Günel Mintaze Kerem, Erdem Sabri, Tunçdemir Merve
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Antalya Bilim University, Antalya 07190, Turkey.
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara 06230, Turkey.
Children (Basel). 2023 Feb 22;10(3):424. doi: 10.3390/children10030424.
A home program is implemented as an evidence-based mode of delivering services for physiotherapy and rehabilitation. Telerehabilitation is a method applied in physiotherapy modalities for children. This study aims to determine the effectiveness of usual care plus a Telerehabilitation-Based Structured Home Program on preschool children with cerebral palsy (CP) compared to usual care. Forty-three children aged 3-6 years (mean age 4.66 ± 1.08 years) with CP were randomly assigned to the Telerehabilitation-Based Structured Home Program and usual care groups. Their motor function was assessed with the Gross Motor Function Measure (GMFM); performance and satisfaction were evaluated with the Canadian Occupational Performance Measure (COPM); goal achievement was assessed with the Goal Attainment Scale (GAS); and activity and participation were evaluated with Pediatric Evaluation of Disability Inventory (PEDI). Participants were evaluated at baseline, immediately post-intervention (12 weeks) and at follow-up (24 weeks). There was a statistically significant difference between pre- and post-test GMFM, COPM, GAS and PEDI scores in the intervention and control groups ( < 0.001). The Telerehabilitation-Based Structured Home Program showed statistically significant changes in activity, participation and goal achievement after 12 weeks of intervention ( < 0.001). However, significant results were not obtained in the usual care group. The Telerehabilitation-Based Structured Home Program may be an effective method for preschool children with CP. (Registration number: NCT04807790; no = KA-20124/26.01.2021).
家庭计划作为一种提供物理治疗和康复服务的循证模式得以实施。远程康复是应用于儿童物理治疗方式的一种方法。本研究旨在确定与常规护理相比，常规护理加基于远程康复的结构化家庭计划对患有脑瘫（CP）的学龄前儿童的有效性。43名年龄在3至6岁（平均年龄4.66±1.08岁）的脑瘫儿童被随机分配到基于远程康复的结构化家庭计划组和常规护理组。使用粗大运动功能测量量表（GMFM）评估他们的运动功能；使用加拿大职业表现测量量表（COPM）评估表现和满意度；使用目标达成量表（GAS）评估目标达成情况；使用儿童残疾评定量表（PEDI）评估活动和参与度。在基线、干预后即刻（12周）和随访（24周）时对参与者进行评估。干预组和对照组的GMFM、COPM、GAS和PEDI测试前和测试后得分之间存在统计学显著差异（<0.001）。基于远程康复的结构化家庭计划在干预12周后在活动、参与度和目标达成方面显示出统计学显著变化（<0.001）。然而，常规护理组未获得显著结果。基于远程康复的结构化家庭计划可能是一种治疗患有脑瘫的学龄前儿童的有效方法。（注册号：NCT04807790；编号 = KA - 20124/26.01.2021）
