Barak Sharon, Brezner Amichai, Yissar Tamar, Eisenstein Etzyona, Ackerman-Laufer Shirley, Landa Jana
Department of Nursing, Faculty of Health Science, Ariel University, Ariel, Israel.
Department of Pediatric Rehabilitation, The Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel.
Front Sports Act Living. 2024 Jan 22;6:1284421. doi: 10.3389/fspor.2024.1284421. eCollection 2024.
Acquired brain injury (ABI) is a prevalent diagnosis in pediatric rehabilitation. Gross motor skills are often affected by ABI and limit the ability to participate in various physical activities. However, as ABI injury location is diverse, children and adolescents (youth) with localized ABI, such as ABI in the posterior fossa (ABI-PF) may present unique and different motor disabilities than youth with ABI on account of traumatic brain injury (TBI).
The aims of the study were: (1) to compare gross motor deficits in youth with TBI vs. ABI-PF; and (2) to compare two methods on scoring BOT2 to determine which is better for identifying motor deficits.
Participated in this study youth with TBI ( = 50) and ABI-PF ( = 30). Participants were tested on Bruininks-Oseretsky Test of Motor Proficiency-2nd Edition (BOT2) Upper-Limb Coordination, Balance, Strength, Running Speed and Agility, and Bilateral-Coordination subtests. Motor performance deficits were established using two-standard deviations (2SD) and age-equivalent methods. Between-group differences were assessed via independent -tests and receiver operating characteristic curves (ROC).
According to the 2SD method, motor deficits in the ABI-PF group ranged from 20% to 66.66%, whereas in the TBI group 8%-16%. According to the age-equivalent method, in the TBI and ABI-PF groups 40%-66.0% and 46.66%-76.66% of the youth presented motor deficits, respectively. Moreover, ROC analysis showed that motor performance deficits of both groups in all sub-scales except for Bilateral Coordination differed enough to result in medium area under the curve.
Motor deficits post-pediatric ABI are prevalent. In comparison to the TBI group, deficits are greater in the ABI-PF group. Moreover, compared to the 2SD method, the extent of motor deficiency is greater in the age-equivalent method. Therefore, using the later might provide a more valid classification of deficits in gross motor proficiency for youth post-ABI.
获得性脑损伤（ABI）是儿科康复中常见的诊断。粗大运动技能常受ABI影响，并限制参与各种体育活动的能力。然而，由于ABI损伤部位多样，患有局限性ABI的儿童和青少年（青年），如后颅窝ABI（ABI-PF），可能会出现与创伤性脑损伤（TBI）所致ABI的青年独特且不同的运动障碍。
本研究的目的是：（1）比较TBI青年与ABI-PF青年的粗大运动缺陷；（2）比较两种BOT2评分方法，以确定哪种方法更适合识别运动缺陷。
50名TBI青年和30名ABI-PF青年参与了本研究。参与者接受了Bruininks-Oseretsky运动技能测试第二版（BOT2）的上肢协调、平衡、力量、跑步速度和敏捷性以及双侧协调子测试。使用两个标准差（2SD）和年龄当量法确定运动表现缺陷。通过独立t检验和受试者操作特征曲线（ROC）评估组间差异。
根据2SD方法，ABI-PF组的运动缺陷范围为20%至66.66%，而TBI组为8%至16%。根据年龄当量法，TBI组和ABI-PF组分别有40%至66.0%和46.66%至76.66%的青年存在运动缺陷。此外，ROC分析表明，除双侧协调外，两组在所有子量表上的运动表现缺陷差异足够大，导致曲线下面积为中等。
儿科ABI后的运动缺陷很普遍。与TBI组相比，ABI-PF组的缺陷更大。此外，与2SD方法相比，年龄当量法中运动缺陷的程度更大。因此，使用后者可能为ABI后青年的粗大运动技能缺陷提供更有效的分类。
