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Advances in Rehabilitation Science and Practice (AdvRSP) Editorial: A Journal Showcasing Exciting Developments in the Field of Rehabilitation in Medical Conditions. 康复科学与实践进展(AdvRSP)社论:一本展示医疗条件下康复领域令人兴奋的发展的杂志。
Pub Date : 2022-11-29 eCollection Date: 2022-01-01 DOI: 10.1177/11795727221139517
Manoj Sivan
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引用次数: 1
A Proposal for Expansion of the Medical Specialty of Rehabilitation Medicine. 关于扩大康复医学专业的建议。
Pub Date : 2022-11-17 eCollection Date: 2022-01-01 DOI: 10.1177/11795727221137213
Manoj Sivan, Mahesh Cirasanambati, Elie Okirie, Faraz Jeddi, Matthew Smith, Bhaskar Basu, Sachin Watve, Renjith Bose, Sudha Balakrishnan, Abayomi Salawu, Yogendra Jagatsinh, Vicki Williams, Sreedhar Kolli, Robert Simpson, Simon Shaw, Shyam Swarna, Vijay Kolli

The workforce of the medical specialty of Rehabilitation Medicine (RM) in the UK is 10 times less than the European average for the specialty of Physical and Rehabilitation Medicine (PRM). This can be explained partly by the difference in the scope of practice within the specialty between the UK and other European countries and USA. This opinion paper aims to compare the rehabilitation needs in chronic medical conditions and compare the scope of practice between countries within Europe and other regions of the world. The potential advantages of a broader remit specialty to improve rehabilitation care for patients by involving rehabilitation physicians in various medical conditions is explored. Recommendations have been put forward in the Rehabilitation Medicine Expansion Proposal (RMEP), which is likely to make the medical specialty of RM/ PRM more satisfying for the doctors working in the specialty and a more attractive career choice for those entering training in the specialty. There is a need for an international universal framework for the scope of the specialty to have a greater impact on improving the lives of those with chronic medical conditions.

英国康复医学(RM)医学专业的劳动力比欧洲物理和康复医学(PRM)专业的平均水平少10倍。这可以部分地解释为英国和其他欧洲国家与美国之间专业实践范围的差异。本意见文件旨在比较慢性医疗条件下的康复需求,并比较欧洲和世界其他地区国家之间的实践范围。探讨了通过让康复医生参与各种医疗条件来提高患者康复护理的潜在优势。《康复医学扩展建议》(RMEP)提出了一些建议,这可能会使RM/ PRM医学专业对在该专业工作的医生更满意,对进入该专业培训的人更具吸引力。有必要建立一个国际通用框架,规定专科范围,以便对改善慢性病患者的生活产生更大的影响。
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引用次数: 0
Verification of the Integrative Model of Adjustment to Chronic Conditions by Mapping it Onto the World Health Organization's International Classification of Function, Disability and Health. 通过将慢性病适应综合模式与世界卫生组织的国际功能、残疾和健康分类相映射,对该模式进行验证。
Pub Date : 2022-10-18 eCollection Date: 2022-01-01 DOI: 10.1177/11795727221126891
Lis Dreijer Hammond, Alexander Paul Farrington, Manoj Sivan

Purpose: Literature regarding the WHO's International Classification of Function, Disability and Health (ICF) has called for research into psychosocial adjustment processes. This project aims to establish the relevance of the Integrative Model of Adjustment to Chronic Conditions (IMACC) as a framework for research and a clinical tool in rehabilitation by linking it with the ICF.

Methods: The study employed secondary analysis of data from the original IMACC grounded theory study, where 8 women and 2 men with type 2 diabetes mellitus participated. IMACC consists of 3 interconnected parts comprising a total of 13 components. Datasets used for the study consisted of the qualitative data underpinning each IMACC component. Meaningful concepts from each dataset were linked to ICF categories using the updated ICF linking rules.

Results: Results showed that all 13 IMACC components accommodate ICF category codes from all health and health related ICF components in patterns consistent with the theoretical conceptualisation of each separate IMACC component.

Conclusion: IMACC maps comprehensively to the ICF framework and provides a framework that may be useful for future ICF related research into biopsychosocial processes in psychosocial adjustment. IMACC provides a clinically applicable intervention for people with psychosocial adjustment difficulties consistent with the ICF framework.

目的:有关世界卫生组织《国际功能、残疾和健康分类》(ICF)的文献呼吁对社会心理适应过程进行研究。本项目旨在将慢性病适应综合模型(IMACC)与《国际功能、残疾和健康分类》联系起来,将其作为康复研究的框架和临床工具:本研究采用了对原始 IMACC 基础理论研究数据的二次分析,共有 8 名女性和 2 名男性 2 型糖尿病患者参与了这项研究。IMACC 由 3 个相互关联的部分组成,共有 13 个组成部分。研究使用的数据集包括 IMACC 各组成部分的定性数据。使用最新的 ICF 链接规则将每个数据集中有意义的概念与 ICF 类别进行链接:结果显示,所有13个IMACC组件都包含了来自所有健康和健康相关ICF组件的ICF类别代码,其模式与每个独立的IMACC组件的理论概念相一致:结论:IMACC全面映射了ICF框架,并提供了一个框架,该框架可能有助于未来对社会心理适应中的生物-心理-社会过程进行ICF相关研究。IMACC为有社会心理适应困难的人提供了一种符合ICF框架的临床适用的干预方法。
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引用次数: 0
TEleRehabilitation Nepal (TERN) for People With Spinal Cord Injury and Acquired Brain Injury: A Feasibility Study. 尼泊尔远程康复(TERN)为脊髓损伤和获得性脑损伤的人:可行性研究。
Pub Date : 2022-10-18 eCollection Date: 2022-01-01 DOI: 10.1177/11795727221126070
Raju Dhakal, Mandira Baniya, Rosie M Solomon, Chanda Rana, Prajwal Ghimire, Ram Hariharan, Sophie G Makower, Wei Meng, Stephen Halpin, Sheng Quan Xie, Rory J O'Connor, Matthew J Allsop, Manoj Sivan

Background: Spinal Cord Injury (SCI) or Acquired Brain Injury (ABI) leads to disability, unemployment, loss of income, decreased quality of life and increased mortality. The impact is worse in Low-and Middle-Income Countries (LMICs) due to a lack of efficient long-term rehabilitative care. This study aims to explore the feasibility and acceptability of a telerehabilitation programme in Nepal.

Methods: Prospective cohort feasibility study in a community setting following discharge from a specialist rehabilitation centre in Nepal. Patients with SCI or ABI who had previously accessed specialist rehabilitation were connected to a specialist Multidisciplinary Team (MDT) in the centre through a video conference system for comprehensive remote assessments and virtual individualised interventions. Data were captured on recruitment, non-participation rates, retention, acceptability (via end-of-study in-depth interviews with a subset of participants) and outcome measures including the Modified Barthel Index (MBI), Depression Anxiety Stress Scale (DASS) and EuroQol-5D (EQ-5D), completed pre- and post-programme.

Results: 97 participants with SCI (n = 82) or ABI (n = 15) discharged from the centre during an 18-month period were approached and enrolled on the study. The telerehabilitation programme facilitated the delivery of support around multiple aspects of rehabilitation care, such as spasticity treatments and pain management. Outcome measures indicated a significant improvement in functional independence (P < .001), depression, anxiety and stress (P < .001) and quality of life (P < .001). Qualitative interviews (n = 18) revealed participants found the programme acceptable, valuing regular contact and input from MDT professionals and avoiding expensive and lengthy travel.

Conclusion: This is the first study in Nepal to identify telerehabilitation as a feasible and acceptable approach to augment the provision of specialist rehabilitation. Future research is needed to assess the suitability of the programme for other conditions requiring specialist rehabilitation and determine the mechanisms underpinning improved outcomes for people with SCI or ABI.

Trial registration: ClinicalTrials.gov Identifier: NCT04914650.

背景:脊髓损伤(SCI)或获得性脑损伤(ABI)导致残疾、失业、收入损失、生活质量下降和死亡率增加。由于缺乏有效的长期康复护理,这种影响在低收入和中等收入国家更为严重。本研究旨在探讨尼泊尔远程康复方案的可行性和可接受性。方法:从尼泊尔一家专科康复中心出院后,在社区环境中进行前瞻性队列可行性研究。先前接受过专家康复治疗的脊髓损伤或ABI患者通过视频会议系统与中心的专家多学科小组(MDT)联系,进行全面的远程评估和虚拟个性化干预。数据包括招募、不参与率、保留、可接受性(通过研究结束时对一部分参与者的深度访谈)和结果测量,包括修改的Barthel指数(MBI)、抑郁焦虑压力量表(DASS)和EuroQol-5D (EQ-5D),完成项目前后。结果:在18个月内从中心出院的97名SCI (n = 82)或ABI (n = 15)参与者被纳入研究。远程康复方案促进了围绕康复护理的多个方面提供支持,例如痉挛治疗和疼痛管理。结果测量显示功能独立性显著改善(P P P结论:这是尼泊尔第一个确定远程康复作为一种可行和可接受的方法来增加专科康复服务的研究。未来的研究需要评估该方案对其他需要专业康复的条件的适用性,并确定支持SCI或ABI患者改善结果的机制。试验注册:ClinicalTrials.gov标识符:NCT04914650。
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引用次数: 1
Remote Delivery of Service: A Survey of Occupational Therapists' Perceptions. 远程提供服务:职业治疗师的认知调查。
Pub Date : 2022-09-06 eCollection Date: 2022-01-01 DOI: 10.1177/11795727221117503
Tehila Almog, Yafit Gilboa

Background: Telehealth has been declared an accepted method of occupational therapy (OT) service delivery and has been shown to be effective. However, studies done before the outbreak of coronavirus disease (COVID-19) show that most occupational therapists didn't use it.

Aim: The aim of this exploratory study was to examine the perceptions of occupational therapists regarding remote delivery of service following the COVID-19 outbreak.

Material and methods: An online survey, including 11-item five-point Likert scale, and 2 open-ended questions were distributed to occupational therapists.

Results: Responses were received from 245 Israeli occupational therapists. The majority of the participants (60%) strongly agreed that remote delivery allows an ecological and effective intervention, while 76% strongly agreed that an ideal treatment is one that would combine telehealth with in-person intervention. Qualitative findings indicated that the most significant advantage was providing care in the natural environment and improving accessibility to the service. The most salient barriers were limitations of the therapeutic relationship and threats on clinical reasoning.

Conclusion: The study results highlight the complexity of telehealth. Findings indicate that overall occupational therapists perceive remote care as an effective and legitimate service delivery method that cannot be used as an alternative to in-person treatment. These findings can help in developing intervention programs for remote treatment, and their implementation.

背景:远程医疗已被宣布为一种公认的职业治疗(OT)服务提供方法,并已被证明是有效的。然而,在冠状病毒病(COVID-19)爆发之前进行的研究表明,大多数职业治疗师没有使用它。目的:本探索性研究的目的是研究COVID-19爆发后职业治疗师对远程提供服务的看法。材料与方法:对职业治疗师进行在线调查,包括11项五点李克特量表和2个开放式问题。结果:收到245名以色列职业治疗师的回复。大多数参与者(60%)强烈同意远程交付可以实现生态和有效的干预,而76%的人强烈同意理想的治疗方法是将远程医疗与现场干预相结合。定性调查结果表明,最显著的优势是在自然环境中提供护理和改善服务的可及性。最突出的障碍是治疗关系的限制和对临床推理的威胁。结论:研究结果突出了远程医疗的复杂性。研究结果表明,整体职业治疗师认为远程护理是一种有效和合法的服务提供方法,不能用作面对面治疗的替代方法。这些发现有助于制定远程治疗的干预方案并加以实施。
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引用次数: 4
Association Between Self-Perceived General Human-Likeness During Walking and Walking Speed in Stroke Patients: A Preliminary Study. 脑卒中患者步行过程中自我感知的大致相似度与步行速度的关系:初步研究。
Pub Date : 2022-07-30 eCollection Date: 2022-01-01 DOI: 10.1177/11795727221114464
Kazuki Hayashida, Ryota Nakazono, Nami Yamamichi, Masa Narita, Koichiro Onishi, Shu Morioka

The difference between the walking speeds of stroke patients and the general population may influence the self-perception of patients, who perceive their walk as lacking general human-likeness. Perception toward human-likeness during walking is defined here as the feeling that one can walk as intended, just like healthy people. Such negative subjective experiences may curb their social participation. However, the perception associated with walking speed in stroke patients is poorly understood. The main purpose of this study was to investigate the relationship between walking speed and perception toward general human-likeness during walking in stroke patients. Thirty-two post-stroke patients were enrolled in this cross-sectional study. Patients performed 10-m walk tests at comfortable and fast speeds and answered questions about their perceived human-like walking after completing the walk ("How much did you feel your walking resembled the human-likeness during walking of general people?"). We found a significant positive correlation between perception toward human-likeness during walking and walking speed at both comfortable and fast speeds. To the best of our knowledge, this report is the first to suggest that walking speed may correlate with self-perception. Our findings may help understand the underlying mechanism in patients perceiving less human-likeness during walking.

中风患者的步行速度与一般人群之间的差异可能会影响患者的自我认知,他们认为自己的步行方式缺乏一般的人类特征。在步行过程中,对人类相似性的感知在这里被定义为一种感觉,即一个人可以像健康人一样随心所欲地行走。这种消极的主观体验可能会抑制他们的社会参与。然而,对中风患者行走速度的感知却知之甚少。本研究的主要目的是探讨脑卒中患者行走时行走速度与对一般人相似感的关系。32名中风后患者参加了这项横断面研究。患者以舒适和快速的速度进行10米步行测试,并在完成步行后回答有关他们感知到的像人走路的问题(“在走路时,你觉得自己的走路与普通人的相似程度有多大?”)。我们发现,在舒适和快速的步行速度下,步行时对人类相似性的感知与步行速度之间存在显著的正相关。据我们所知,该报告是第一个提出步行速度可能与自我感知有关的报告。我们的发现可能有助于理解患者在行走时感觉不像人类的潜在机制。
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引用次数: 1
Bioelectrical Impedance Vector Pattern and Biomarkers of Physical Functioning of Prostate Cancer Survivors in Rehabilitation. 前列腺癌康复患者生理功能的生物电阻抗矢量模式和生物标志物。
Pub Date : 2021-12-16 eCollection Date: 2021-01-01 DOI: 10.1177/11795727211064156
Alexander Stäuber, Marc Heydenreich, Peter R Wright, Steffen Großmann, Niklas Grusdat, Dirk-Henrik Zermann, Henry Schulz

Background: Knowledge of clinically established factors of physical function such as body composition, bioelectrical phase angle (PhA) and handgrip strength (HGS) with mortality predictive and health-related relevance is limited in prostate cancer survivors (PCS). Therefore, the aim of this study was to characterise and compare body composition data of PCS with extensive reference data as well as to analyse PhA and HGS and the prevalence of critical prognostic values at an early stage of cancer survivorship.

Methods: One hundred and forty-eight PCS were examined at the start (T1) and end (T2) of a 3-week hospitalised urooncological rehabilitation, which began median 28 days after acute cancer therapy. Examinations included a bioimpedance analysis and HGS test. Comparison of body composition between PCS and reference data was performed using bioimpedance vector analysis (BIVA).

Results: BIVA of the whole PCS group showed abnormal physiology with a cachectic state and a state of overhydration/oedema, without significant changes between T1 and T2. The age- and BMI-stratified subgroup analysis showed that PCS aged 60 years and older had this abnormal pattern compared to the reference population. HGS (T1: 38.7 ± 8.9 vs T2: 40.8 ± 9.4, kg), but not PhA (T1/T2: 5.2 ± 0.7, °), changed significantly between T1 and T2. Values below a critical threshold reflecting a potentially higher risk of mortality and impaired function were found for PhA in 20% (T1) and 22% (T2) of PCS and in 41% (T1) and 29% (T2) for HGS.

Conclusions: BIVA pattern and the prevalence of critically low HGS and PhA values illustrate the necessity for intensive continuation of rehabilitation and survivorship care especially in these 'at risk' cases. The routine assessment of body composition, PhA and HGS offer the opportunity to conduct a risk stratification for PCS and could help personalising and optimising treatment in rehabilitation and ongoing survivorship care.

背景:前列腺癌幸存者(PCS)对临床确定的身体功能因素,如身体成分、生物电相角(PhA)和握力(HGS)与死亡率预测和健康相关的知识有限。因此,本研究的目的是将PCS的身体成分数据与广泛的参考数据进行表征和比较,并分析PhA和HGS以及早期癌症生存期关键预后价值的流行情况。方法:148例PCS在急性肿瘤治疗后中位28天开始的为期3周的泌尿肿瘤住院康复治疗的开始(T1)和结束(T2)进行检查。检查包括生物阻抗分析和HGS测试。采用生物阻抗矢量分析(BIVA)将PCS与参考数据进行体成分比较。结果:整个PCS组BIVA均出现生理异常,表现为病毒质状态和过水合/水肿状态,T1与T2间无明显变化。年龄和bmi分层亚组分析显示,与参考人群相比,60岁及以上的PCS具有这种异常模式。HGS (T1: 38.7±8.9 vs T2: 40.8±9.4,kg), PhA (T1/T2: 5.2±0.7,°)在T1和T2之间变化不显著。20% (T1)和22% (T2)的PCS患者和41% (T1)和29% (T2)的HGS患者的PhA低于反映潜在更高死亡和功能受损风险的临界阈值。结论:BIVA模式和严重低HGS和PhA值的流行说明了加强康复和生存护理的必要性,特别是在这些“高危”病例中。对身体成分、PhA和HGS的常规评估提供了对PCS进行风险分层的机会,可以帮助个性化和优化康复治疗和持续的生存护理。
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引用次数: 1
Safety, Feasibility, and Acceptability of a New Virtual Rehabilitation Platform: A Supervised Pilot Study. 一种新型虚拟康复平台的安全性、可行性和可接受性:一项有监督的试点研究。
Pub Date : 2021-08-07 eCollection Date: 2021-01-01 DOI: 10.1177/11795727211033279
Ana María Escalante-Gonzalbo, Yoás Saimon Ramírez-Graullera, Herminia Pasantes, José Jonathan Aguilar-Chalé, Gloria Ixchel Sánchez-Castillo, Ximena Ameyalli Escutia-Macedo, Tania María Briseño-Soriano, Paulina Franco-Castro, Ana Lilia Estrada-Rosales, Sandra Elizabeth Vázquez-Abundes, David Andrade-Morales, Jorge Hernández-Franco, Lorena Palafox

Purpose: Stroke is the leading cause of disability in adults worldwide, with hemiparesis being the most prevalent consequence. The use of video games and movement sensors could contribute to improving patients' chances of recovery. We performed a supervised pilot study to validate the safety, feasibility, and acceptability of a new virtual rehabilitation platform in patients with chronic post-stroke upper limb hemiparesis.

Methods: The participants (n = 9) participated in 40 rehabilitation sessions, twice a week, for a period of 20 weeks. Their experiences with the platform were documented using a Likert-scale survey. Changes in motor function were evaluated using the Chedoke Arm and Hand Activity Inventory (CAHAI) and the Wolf Motor Function Test (WMFT).

Results and conclusions: All participants expressed that they enjoyed the experience and felt comfortable using the platform. Preliminary results showed significant motor recovery (P = .0039) according to the WMFT scores. Patients with significant impairment showed no improvement in upper limb task-oriented motor function after therapy.The new platform is safe and well-accepted by patients. The improvement in motor function observed in some of the participants should be attributed to the therapy since spontaneous functional recovery is not expected in chronic stroke patients.

目的:中风是全世界成年人致残的主要原因,其中偏瘫是最普遍的后果。视频游戏和运动传感器的使用有助于提高患者康复的机会。我们进行了一项有监督的试点研究,以验证一种新的虚拟康复平台在慢性卒中后上肢偏瘫患者中的安全性、可行性和可接受性。方法:9例患者共进行40次康复治疗,每周2次,为期20周。他们使用该平台的经历通过李克特量表调查记录下来。使用Chedoke手臂和手活动量表(CAHAI)和Wolf运动功能测试(WMFT)评估运动功能的变化。结果和结论:所有参与者都表示他们很享受这个体验,并且觉得使用这个平台很舒服。根据WMFT评分,初步结果显示运动恢复显著(P = 0.0039)。有明显损伤的患者在治疗后上肢任务导向运动功能没有改善。新平台安全可靠,深受患者欢迎。在一些参与者中观察到的运动功能的改善应归因于治疗,因为慢性卒中患者不期望自发功能恢复。
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引用次数: 6
The Potential of Computer Vision-Based Marker-Less Human Motion Analysis for Rehabilitation. 基于计算机视觉的无标记人体运动分析在康复中的潜力。
Pub Date : 2021-07-05 eCollection Date: 2021-01-01 DOI: 10.1177/11795727211022330
Thomas Hellsten, Jonny Karlsson, Muhammed Shamsuzzaman, Göran Pulkkis

Background: Several factors, including the aging population and the recent corona pandemic, have increased the need for cost effective, easy-to-use and reliable telerehabilitation services. Computer vision-based marker-less human pose estimation is a promising variant of telerehabilitation and is currently an intensive research topic. It has attracted significant interest for detailed motion analysis, as it does not need arrangement of external fiducials while capturing motion data from images. This is promising for rehabilitation applications, as they enable analysis and supervision of clients' exercises and reduce clients' need for visiting physiotherapists in person. However, development of a marker-less motion analysis system with precise accuracy for joint identification, joint angle measurements and advanced motion analysis is an open challenge.

Objectives: The main objective of this paper is to provide a critical overview of recent computer vision-based marker-less human pose estimation systems and their applicability for rehabilitation application. An overview of some existing marker-less rehabilitation applications is also provided.

Methods: This paper presents a critical review of recent computer vision-based marker-less human pose estimation systems with focus on their provided joint localization accuracy in comparison to physiotherapy requirements and ease of use. The accuracy, in terms of the capability to measure the knee angle, is analysed using simulation.

Results: Current pose estimation systems use 2D, 3D, multiple and single view-based techniques. The most promising techniques from a physiotherapy point of view are 3D marker-less pose estimation based on a single view as these can perform advanced motion analysis of the human body while only requiring a single camera and a computing device. Preliminary simulations reveal that some proposed systems already provide a sufficient accuracy for 2D joint angle estimations.

Conclusions: Even though test results of different applications for some proposed techniques are promising, more rigour testing is required for validating their accuracy before they can be widely adopted in advanced rehabilitation applications.

背景:包括人口老龄化和最近的冠状病毒大流行在内的几个因素增加了对具有成本效益、易于使用和可靠的远程康复服务的需求。基于计算机视觉的无标记人体姿态估计是一种很有前途的远程康复方法,目前是一个热门的研究课题。它引起了人们对详细运动分析的极大兴趣,因为它在从图像中捕获运动数据时不需要安排外部基准。这对康复应用很有希望,因为它们可以分析和监督客户的锻炼,减少客户亲自拜访物理治疗师的需求。然而,开发一种具有精确关节识别、关节角度测量和高级运动分析精度的无标记运动分析系统是一个开放的挑战。目的:本文的主要目的是对最近基于计算机视觉的无标记人体姿态估计系统及其在康复应用中的适用性进行综述。还提供了一些现有的无标记康复应用的概述。方法:本文对最近基于计算机视觉的无标记人体姿势估计系统进行了综述,重点介绍了与物理治疗要求和易用性相比,它们提供的关节定位精度。从测量膝关节角度的能力方面,对其精度进行了仿真分析。结果:当前的姿态估计系统使用基于2D、3D、多视图和单视图的技术。从物理治疗的角度来看,最有前途的技术是基于单一视图的3D无标记姿势估计,因为这些技术可以对人体进行高级运动分析,而只需要一个摄像机和一个计算设备。初步的仿真表明,所提出的一些系统已经为二维关节角估计提供了足够的精度。结论:尽管一些提出的技术的不同应用的测试结果很有希望,但在广泛应用于高级康复应用之前,需要进行更严格的测试来验证其准确性。
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引用次数: 22
Toward a More Comprehensive Assessment of School Age Children with Hemiplegic Cerebral Palsy. 对学龄儿童偏瘫性脑瘫进行更全面的评估。
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

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.

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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引用次数: 2
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Rehabilitation Process and Outcome
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