姿势控制的临床评估能否解释脑瘫患儿的运动身体功能、活动能力、自我护理及参与度？
Can Clinical Assessment of Postural Control Explain Locomotive Body Function, Mobility, Self-Care and Participation in Children with Cerebral Palsy?
作者信息
Vlčkova Blanka, Halámka Jiří, Müller Markus, Sanz-Mengibar Jose Manuel, Šafářová Marcela
机构信息
Department of Rehabilitation and Sports Medicine, 2nd Medical Faculty, Charles University and Motol University Hospital, 150 06 Prague, Czech Republic.
Physiotherapy Department, Evangelisches Krankenhaus Düsseldorf Sozialpädiatrisches Zentrum, 40217 Düsseldorf, Germany.
出版信息
Healthcare (Basel). 2024 Jan 1;12(1):98. doi: 10.3390/healthcare12010098.
UNLABELLED
Trunk control may influence self-care, mobility, and participation, as well as how children living with cerebral palsy (CP) move around. Mobility and Gross Motor performance are described over environmental factors, while locomotion can be understood as the intrinsic ontogenetic automatic postural function of the central nervous system, and could be the underlying element explaining the relationship between these factors. Our goal is to study the correlation among Trunk Control Measurement Scale (TCMS) and Pediatric Evaluation of Disability Inventory (PEDI) domains, as well as Locomotor Stages (LS).
METHODS
A feasibility observational analysis was designed including 25 children with CP who were assessed with these scales.
RESULTS
The strong correlation confirms higher levels of trunk control in children with better self-care, mobility and participation capacities. Strong correlations indicate also that higher LS show better levels of PEDI and TCMS domains.
CONCLUSIONS
Our results suggest that more mature LS require higher levels of trunk control, benefitting self-care, mobility and social functions.
未标注
躯干控制可能会影响自我护理、活动能力和参与度，以及脑瘫（CP）患儿的活动方式。活动能力和粗大运动表现是根据环境因素来描述的，而运动可以被理解为中枢神经系统内在的个体发育自动姿势功能，并且可能是解释这些因素之间关系的潜在要素。我们的目标是研究躯干控制测量量表（TCMS）与儿童残疾评估量表（PEDI）各领域以及运动阶段（LS）之间的相关性。
方法
设计了一项可行性观察性分析，纳入了25名使用这些量表进行评估的脑瘫患儿。
结果
强相关性证实，在自我护理、活动能力和参与能力较好的儿童中，躯干控制水平更高。强相关性还表明，更高的运动阶段显示出更好的儿童残疾评估量表和躯干控制测量量表各领域水平。
结论
我们的结果表明，更成熟的运动阶段需要更高水平的躯干控制，这有利于自我护理、活动能力和社会功能。
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