Postgraduate Program in Rehabilitation Sciences, University of Rio Grande do Norte/Faculty of Health Sciences of Trairi, Santa Cruz, Brazil.
Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.
Disabil Rehabil Assist Technol. 2024 Oct;19(7):2665-2678. doi: 10.1080/17483107.2023.2300052. Epub 2024 Jan 2.
To explore the feasibility of an intervention using modified ride-on cars in terms of acceptability and potential changes in goal attainment, mobility, social function, and participation of children with Congenital Zika Syndrome (CZS).
A pre- and post-intervention feasibility study was conducted with children with CZS, levels IV and V of the Gross Motor Function Classification System (GMFCS). The intervention consisted of 12 weeks of training (3 times a week for 40 min per session) and 4 weeks of follow-up. The primary outcomes included adherence, satisfaction, and learning in mobility. Secondary outcomes encompassed goal attainment, mobility, social/cognitive function, and participation. Descriptive statistics were performed. To explore potential individual changes with the intervention, Wilcoxon test was used to analyze Pediatric Evaluation of Disability Inventory - Computer Adaptive Test (PEDI-CAT) data and Young Children's Participation and Environment Measure (YC-PEM)/Participation and Environment Measure for Children and Youth (PEM-CY), along with standard error measurements of the PEDI-CAT domains.
Four children participated (median age 4.75 years; two females: three at level V on the GMFCS). Adherence was 75% of the total intervention time, and family members reported being satisfied or very satisfied. Children showed gains in learning the use of the modified ride-on cars and an increase in goal attainment after the intervention. Individual changes were observed in the PEDI-CAT domains (mobility and social/cognitive), but there were no significant changes in participation outcomes.
Children with CZS at GMFCS levels IV and V can learn to use motorized ride-on cars, attainment goals, and experience satisfaction.
探索使用改良骑乘玩具车进行干预的可行性，评估其在可接受性以及儿童目标达成、移动能力、社会功能和参与度方面的潜在变化，这些儿童患有先天性寨卡综合征（CZS）。
对患有 CZS 且粗大运动功能分级系统（GMFCS）为 IV 级和 V 级的儿童进行了一项干预前和干预后的可行性研究。干预包括 12 周的训练（每周 3 次，每次 40 分钟）和 4 周的随访。主要结局指标包括移动能力方面的依从性、满意度和学习情况。次要结局指标包括目标达成、移动能力、社会/认知功能和参与度。采用描述性统计分析。为了探索干预后的潜在个体变化，使用 Wilcoxon 检验分析小儿残疾评估量表-计算机自适应测试（PEDI-CAT）数据以及幼儿参与度和环境评估量表（YC-PEM）/儿童和青少年参与度和环境评估量表（PEM-CY），同时分析 PEDI-CAT 各领域的标准误差测量值。
共有 4 名儿童参与（中位年龄 4.75 岁；2 名女性：3 名 GMFCS 分级为 V 级）。干预总时间的依从性为 75%，且家庭成员报告满意度或非常满意。儿童在使用改良骑乘玩具车方面表现出学习能力的提高，并且在干预后目标达成度有所增加。在 PEDI-CAT 领域（移动能力和社会/认知）观察到个体变化，但参与度结果没有显著变化。
GMFCS 分级为 IV 级和 V 级的患有 CZS 的儿童可以学习使用电动骑乘玩具车，达成目标，并获得满足感。
