de Andrade Michele Lacerda, Silva Soraia Micaela, de Moraes Janaina Ferreira, de Jesus Stephanie Cardoso, Dos Santos Pedro Emily, Corrêa João Carlos Ferrari, Corrêa Fernanda Ishida
From the Doctoral and Master's Rehabilitation Science Programs, Nove de Julho University, São Paulo, Brazil.
Am J Phys Med Rehabil. 2024 Mar 1;103(3):238-244. doi: 10.1097/PHM.0000000000002341. Epub 2023 Sep 27.
The aim of the study is to identify the predictors of social participation in Down syndrome adults from the biopsychosocial model of the International Classification of Functioning, Disability, and Health.
An exploratory, analytical, cross-sectional study was conducted with Down syndrome adults. The social participation was assessed using the Life Habits Assessment. The independent variables were determined using the International Classification of Functioning, Disability, and Health biopsychosocial model: body functions were assessed by body mass index, cognition function (Mini-Mental State Examination), and lower limbs muscle strength (Sit-to-Stand Test). Activities were assessed by the 8-Foot Up and Go Test. Environmental factors were assessed by the measure of the quality of the environment, and personal factors were assessed by age, sex, and education level.
The total Life Habits Assessment score indicates that individuals show moderate restriction in social participation, with major restriction in the education, employment, and responsibilities domains. The 8-Foot Up and Go Test was the best social participation predictor variable, followed by Mini-Mental State Examination, and the Sit-to-Stand Test. Contextual factors were not predictors of participation.
It was concluded that individuals with Down syndrome present the most restrictions to social participation in activities that involve social roles. The predictors influencing social participation are functional mobility, cognition, and lower limb muscle strength.
本研究旨在从《国际功能、残疾和健康分类》的生物心理社会模型中确定唐氏综合征成年人社会参与的预测因素。
对唐氏综合征成年人进行了一项探索性、分析性横断面研究。使用生活习惯评估来评估社会参与情况。使用《国际功能、残疾和健康分类》生物心理社会模型确定自变量：通过体重指数、认知功能（简易精神状态检查表）和下肢肌肉力量（坐立试验）评估身体功能。通过8英尺起立行走试验评估活动能力。通过环境质量测量评估环境因素，通过年龄、性别和教育水平评估个人因素。
生活习惯评估总分表明，个体在社会参与方面存在中度限制，在教育、就业和责任领域存在主要限制。8英尺起立行走试验是最佳的社会参与预测变量，其次是简易精神状态检查表和坐立试验。情境因素不是参与的预测因素。
得出的结论是，唐氏综合征个体在涉及社会角色的活动中社会参与受到的限制最大。影响社会参与的预测因素是功能性移动能力、认知和下肢肌肉力量。
