Toward a More Comprehensive Assessment of School Age Children with Hemiplegic Cerebral Palsy.

IF 2.3 Q1 REHABILITATION Rehabilitation Process and Outcome Pub Date : 2021-04-27 eCollection Date: 2021-01-01 DOI:10.1177/11795727211010500
Catherine R Hoyt, Sarah K Sherman, Shelby K Brown, Dillan J Newbold, Ryland L Miller, Andrew N Van, Joshua S Shimony, Mario Ortega, Annie L Nguyen, Bradley L Schlaggar, Nico Uf Dosenbach
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引用次数: 2

Abstract

Background: Cerebral palsy (CP) is the leading cause of disability in children. While motor deficits define CP, many patients experience behavioral and cognitive deficits which limit participation. The purpose of this study was to contribute to our understanding of developmental delay and how to measure these deficits among children with CP.

Methods: Children 5 to 15 years with hemiplegic CP were recruited. Cognition and motor ability were assessed. The brain injury associated with observed motor deficits was identified. Accelerometers measured real-world bilateral upper extremity movement and caregivers completed behavioral assessments.

Results: Eleven children participated, 6 with presumed perinatal stroke. Four children scored below average intelligence quotient while other measures of cognition were within normal limits (except processing speed). Motor scores confirmed asymmetrical deficits. Approximately one third of scores indicated deficits in attention, behavior, or depression.

Conclusions: Our findings corroborate that children with CP experience challenges that are broader than motor impairment alone. Despite the variation in brain injury, all participants completed study procedures.

Implications: Our findings suggest that measuring behavior in children with CP may require a more comprehensive approach and that caregivers are amenable to using online collection tools which may assist in addressing the therapeutic needs of children with CP.

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对学龄儿童偏瘫性脑瘫进行更全面的评估。
背景:脑瘫(CP)是儿童致残的主要原因。虽然运动缺陷定义了CP,但许多患者经历了限制参与的行为和认知缺陷。本研究的目的是帮助我们了解发育迟缓和如何测量这些缺陷的CP儿童。方法:招募5至15岁的偏瘫CP儿童。评估认知和运动能力。脑损伤与观察到的运动缺陷相关。加速度计测量了真实世界的双侧上肢运动,护理人员完成了行为评估。结果:11名儿童参与,其中6名推定为围产期卒中。四个孩子的智商低于平均水平,而其他认知指标在正常范围内(处理速度除外)。运动得分证实了不对称缺陷。大约三分之一的分数表明注意力、行为或抑郁方面的缺陷。结论:我们的研究结果证实了CP患儿所经历的挑战比单纯的运动障碍更广泛。尽管脑损伤有所不同,但所有参与者都完成了研究程序。含义:我们的研究结果表明,测量CP儿童的行为可能需要更全面的方法,并且护理人员可以使用在线收集工具,这可能有助于解决CP儿童的治疗需求。
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审稿时长
8 weeks
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