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Agreement Between Alberta Infant Motor Scale Assessment and Maternal Perception of Motor Development in Full-Term Infants 艾伯塔省婴儿运动量表评估与足月婴儿运动发育知觉的一致性
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-20 DOI: 10.1080/17518423.2022.2052373
Rosana Silva Dos Santos, Amanda Otília Oliveira de Lima Barreto, Maria Carolina Chapellem P Barbosa da Silva, Hugo Ormond Vianna Sá Nogueira, R. Peres, Márcia Gonçalves Ribeiro, H. C. Ferreira
ABSTRACT Objectives To verify the agreement between the Alberta Infant Motor Scale assessment and maternal perception of the motor development in full-term infants. Methods This is a cross-sectional study involving 161 infants and mothers. Children were assessed with the Alberta Infant Motor Scale (AIMS) for motor developmental classification. Mothers completed questionnaires aiming to identify maternal profiles and impressions about their children’s development. The kappa test was used to analyze the concordance between AIMS and mother perceptions. Results A total of 83.2% of the sample was classified as typically developing and 16.8% as suspected or delayed development. The maternal impression indicates that 77% of infants are developing typically, 19.9% perceived their infants’ development as advanced, and 3.1% delayed development. There was low agreement between the mothers’ perceptions and AIMS classifications (kappa = 0.153) Conclusions Maternal perception of their infant’s development was unsatisfactory for evaluation of motor development because their perceptions did not agree with the findings of the AIMS.
摘要目的验证阿尔伯塔省婴儿运动量表评估和母亲对足月婴儿运动发育的认知之间的一致性。方法这是一项涉及161名婴儿和母亲的横断面研究。使用艾伯塔省婴儿运动量表(AIMS)对儿童进行运动发育分类评估。母亲们完成了问卷调查,旨在确定母亲对孩子发展的概况和印象。kappa检验用于分析AIMS和母亲认知之间的一致性。结果83.2%的样本被归类为典型发育,16.8%的样本被分类为疑似或延迟发育。母体印象表明,77%的婴儿发育正常,19.9%的婴儿认为婴儿发育迟缓,3.1%的婴儿发育迟缓。母亲的认知与AIMS分类之间的一致性较低(kappa=0.153)。结论母亲对婴儿发育的认知不符合运动发育的评估,因为她们的认知不与AIMS的结果一致。
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引用次数: 0
Relationship among four functional classification systems and parent interpredicted intelligence level in children with different clinical types of cerebral palsy 不同临床类型脑瘫患儿四种功能分类系统与父母预测智力水平的关系
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-18 DOI: 10.1080/17518423.2022.2051629
Sefa Unes, M. Tunçdemir, Cemil Ozal, Ozge Cankaya, Kübra Seyhan Bıyık, K. Delioğlu, C. Gunbey, M. Kerem Gunel, B. Anlar
ABSTRACT Objective To investigate the relationships between four functional classification systems in children with cerebral palsy (CP) and parent-interpredicted intelligence level, and the functional status in clinical types of CP. Methods Two hundred and twenty-five children with CP ages between 2 and 18 (mean age 6.5 ± 4.4) years included using the Surveillance of CP in Europe (SCPE) database in Turkey. Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS) and Eating and Drinking Classification System (EDACS) levels were classified by clinical observation, and intelligence quotient (IQ) was determined by parent reports. Results Correlations were found between all functional levels; the strongest were between GMFCS-MACS (r = 0.784, p < .001), CFCS-EDACS (r = 0.772, p < .001). Strong correlations were found for the IQ-CFCS (r = 0.762, p < .001) and IQ-EDACS (r = 0.634, p < .001). Correlations were stronger in children with bilateral CP and IQ level <70. Conclusions Taken together, these four classification systems and reported IQ levels can adequately describe overall functioning for children with CP. Our results can guide clinicians in the rehabilitation of children with CP.
摘要目的探讨脑瘫患儿的四种功能分类系统与父母智力水平的关系,以及脑瘫临床分型的功能状况。方法使用土耳其欧洲CP监测(SCPE)数据库,纳入225名年龄在2至18岁(平均年龄6.5±4.4)岁之间的CP儿童。通过临床观察对总运动功能分类系统(GMFCS)、手动能力分类系统(MACS)、沟通功能分类系统和饮食分类系统(EDACS)水平进行分类,并通过家长报告确定智商。结果各功能水平之间存在相关性;GMFCS-MACS(r=0.784,p<.001)、CFCS-EDACS(r=0.772,p<0.001)之间的相关性最强。IQ-CFCS(r=0.762,p<-001)和IQ-EDACS(r=0.634,p<001)之间存在强相关性。双侧CP和IQ水平<70的儿童的相关性更强。结论综合来看,这四个分类系统和报告的智商水平可以充分描述儿童脑瘫的整体功能。我们的研究结果可以指导临床医生对儿童脑瘫的康复。
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引用次数: 3
Walking and Fatigue in People with Cerebral Palsy: Brief Report 脑瘫患者的步行与疲劳
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-15 DOI: 10.1080/17518423.2022.2053222
Sarrah Husain, J. Wrightson, Erika Johnson, L. Brunton, E. Condliffe
ABSTRACT The aim of this study was to examine the relationship between perceived fatigue and perceptions of walking abilities and difficulty in people with cerebral palsy (CP). Twenty individuals with CP (range 10–21y; mean age 14.8y) who usually walk in the community were recruited. Community mobility was assessed using the Functional Mobility Scale. Participants were asked about their walking ability and frequency, perceived effort during walking (using the Children’s Effort Rating Table), and perceived fatigue (using the Fatigue Impact and Severity Self-Assessment). Community mobility, frequency, and perceived effort during walking were significantly related to fatigue. No relationship was found between time spent walking (maximum walking time) and fatigue. Here we demonstrate that perceived fatigue is related to walking in people with CP.
摘要本研究旨在探讨脑瘫患者的疲劳感与行走能力和困难感之间的关系。招募了20名CP患者(年龄10-21岁;平均年龄14.8岁),他们通常在社区中行走。社区流动性采用功能流动量表进行评估。参与者被问及他们的行走能力和频率、行走过程中感知到的努力(使用儿童努力评分表)和感知到的疲劳(使用疲劳影响和严重程度自我评估)。社区流动性、频率和行走过程中感知到的努力与疲劳显著相关。步行时间(最长步行时间)与疲劳之间没有关系。在这里,我们证明了CP患者的感知疲劳与行走有关。
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引用次数: 0
Selecting assessment tools to characterize upper limb function of children with cerebral palsy: A mega-review of systematic reviews 选择评估工具表征脑瘫儿童上肢功能:系统评价的大型综述
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-12 DOI: 10.1080/17518423.2022.2046656
Leonardo Vinícius Thomé Teixeira da Silva, Milena Vegas, N. Aquaroni Ricci, Cristina S Cardoso de Sá, S. Alouche
ABSTRACT Aim A mega-review of published systematic reviews without restriction on year of publication was implemented to summarize available assessment tools of upper limb (UL) function in children with Cerebral Palsy (CP). Method A multi-prong search strategy was used to identify 12 systematic literature reviews for inclusion in the mega-review. Included reviews were coded by descriptive analyses, which included methodological and reported measurement property description. Methodological quality of the selected systematic reviews was evaluated with the AMSTAR-2. We synthetized the measurement properties of the revised assessment tools and their coverage within the International Classification of Functioning, Disability and Health (ICF) domains. Results The 12 systematic reviews addressed 84 assessment tools. Systematic reviews’ methodological quality varied between critically low to moderate. Suggested assessment tools covered ICF domains of body structure and function, and activities and participation. Measurement property data analysis was based mostly on reliability and validity. Interpretation Based on the findings of the mega-review, the ABILHAND-Kids, Assisting Hand Assessment (AHA) and Melbourne Assessment of Unilateral Upper Limb Function (MUUL) are the most suitable tools to evaluate children between 6 and 12 years of age with unilateral CP.
【摘要】目的对已发表的不受发表年份限制的系统综述进行大型综述,总结脑瘫(CP)患儿上肢(UL)功能的可用评估工具。方法采用多管齐下的检索策略,筛选出12篇系统性文献综述纳入大综述。纳入的评审通过描述性分析进行编码,其中包括方法学和报告的测量属性描述。采用AMSTAR-2评价所选系统评价的方法学质量。我们综合了修订后的评估工具的测量特性及其在国际功能、残疾和健康分类(ICF)领域中的覆盖范围。结果12项系统评价涉及84种评价工具。系统评价的方法学质量在极低到中等之间变化。建议的评估工具包括身体结构和功能以及活动和参与的ICF领域。测量性能数据分析主要基于信度和效度。基于大型综述的结果,ABILHAND-Kids、辅助手评估(AHA)和单侧上肢功能墨尔本评估(MUUL)是评估6 - 12岁单侧CP儿童最合适的工具。
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引用次数: 0
Examination of multiple birth as a predictor of autism symptom severity and developmental functioning in an early intervention sample 早期干预样本中多胞胎检查作为自闭症症状严重程度和发育功能的预测指标
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-03-06 DOI: 10.1080/17518423.2022.2047120
Esther Hong, Abigail Issarraras, J. Matson, Joshua J. Montrenes, Paige A. Weir
ABSTRACT Multiple birth is one of several perinatal factors associated with increased risk for autism spectrum disorder (ASD); however, complexity in its relationship to ASD symptoms and developmental functioning remains. The present study investigated perinatal risk factors for ASD, primarily focusing on birth status, within a large early intervention sample. In particular, the relationship between ASD, perinatal factors, and the effect of birth status on developmental functioning and ASD symptom severity were examined in youth with and without ASD classification who were born singly or were the product of a multiple birth. Overall, the presence of other perinatal risk factors, including prematurity, low birth weight, and advanced parental age, was primarily related to birth status and not to ASD classification, while severity of ASD symptoms and developmental impairments were primarily related to ASD classification and not to birth status. Study findings and implications for early screening of children with developmental delays are discussed.
多胞胎是与自闭症谱系障碍(ASD)风险增加相关的几个围产期因素之一;然而,它与ASD症状和发育功能之间的关系仍然很复杂。本研究在大量早期干预样本中调查了ASD的围产期危险因素,主要关注出生状况。特别是,研究了ASD、围产期因素以及出生状态对发育功能和ASD症状严重程度的影响之间的关系,研究对象是患有和不患有ASD分类的单独出生或多胞胎的青年。总的来说,其他围产期风险因素的存在,包括早产、低出生体重和父母高龄,主要与出生状态有关,而与ASD分类无关,而ASD症状和发育障碍的严重程度主要与ASD分级有关,而非出生状态。讨论了研究结果和对发育迟缓儿童早期筛查的意义。
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引用次数: 0
Participation restriction of children with cerebral palsy living in Thailand and influential factors: A cross-sectional study 泰国脑瘫儿童参与限制及其影响因素的横断面研究
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-02-28 DOI: 10.1080/17518423.2022.2047121
T. Ploypetch, C. Buasuk, K. Pajareya
ABSTRACT Objective To explore participation in daily activities of children with cerebral palsy(CP) in Thailand and influential factors. Methods A convenience sample of family-caregivers of 80 children with CP, 6–18 year-old, completed self-administered questionnaires (i.e., frequency of participation, Gross Motor Function Classification System-Family Report) during clinic visits at a university hospital. Results Family-caregivers reported that more than one-third of the children never participated in outdoor activities. The gap in the frequency of participation between groups with high versus low motor function was very high. Better gross motor and communication were strong predictors of participation. Caregiver’s education and family income were associated with participation in art/cultural, leisure and tourist activities. Conclusions Family-caregiver-report suggests that Thai-children with CP, especially those with severe impairments, have limited participation in daily activities. Increasing mobility and communication may promote the participation. Comprehensive intervention is needed to narrow the participation gap found between high and low functioning children.
摘要目的探讨泰国脑瘫儿童日常活动的参与情况及影响因素。方法对80名6-18岁CP儿童的家庭照顾者进行方便抽样,在大学医院就诊期间完成了自我管理问卷(即参与频率、毛运动功能分类系统家庭报告)。结果家庭照顾者报告说,超过三分之一的儿童从未参加过户外活动。高运动功能组与低运动功能组之间的参与频率差距很大。更好的总体运动和沟通是参与的有力预测因素。看护人的教育程度和家庭收入与参与艺术/文化、休闲和旅游活动有关。结论家庭照顾者报告表明,泰国CP儿童,尤其是严重残疾儿童,日常活动参与有限。增加流动性和沟通可能会促进参与。需要进行全面干预,以缩小高功能儿童和低功能儿童之间的参与差距。
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引用次数: 1
Goal-oriented locomotion in children with spastic diplegia: Anticipatory orienting strategies and trajectory formation 痉挛性双瘫儿童的目标定向运动:预期定向策略和轨迹形成
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-02-28 DOI: 10.1080/17518423.2022.2047122
Alexander Castilla, A. Berthoz, G. Cioni, V. Belmonti
ABSTRACT Goal-oriented locomotion (GOL) is a complex task integrating navigation and gait control. To our knowledge, this is the first study of GOL in subjects with Cerebral Palsy (CP). Thirteen subjects with spastic diplegia and 26 with typical development were enrolled in the study. Subjects performed a GOL task to reach luminous targets. Within-subject trajectory variability, maximal head deviation from trajectory and mean head anticipation over trajectory were analyzed. While all subjects showed gait impairment, only 8 of 13 subjects also showed navigation abnormalities as revealed by either: a) abnormal head orientation and trajectory formation, or b) abnormal head orientation with normal trajectory formation. Abnormal gait patterns do not account for and can be distinguished from navigation disorders in spastic diplegic CP. This distinction has important implications for novel rehabilitation methods that should specifically address navigation, not only gait.
摘要目标导向运动是一项集导航和步态控制于一体的复杂任务。据我们所知,这是首次对脑瘫患者进行GOL研究。13名痉挛性双瘫受试者和26名典型发育的受试者被纳入研究。受试者执行GOL任务以达到发光目标。在受试者的轨迹变异性内,分析了头部与轨迹的最大偏差和头部对轨迹的平均预期。虽然所有受试者都表现出步态障碍,但13名受试者中只有8名也表现出导航异常,表现为:a)头部方向和轨迹形成异常,或b)头部方向异常,轨迹形成正常。异常步态模式不能解释痉挛性双瘫CP的导航障碍,也可以与之区分。这种区别对专门针对导航而不仅仅是步态的新型康复方法具有重要意义。
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引用次数: 0
Clinical utilisation of the Infant Monitor of vocal Production (IMP) for early identification of communication impairment in young infants at-risk of cerebral palsy: a prospective cohort study. 临床应用婴儿发声监视器(IMP)早期识别有脑瘫风险的幼儿沟通障碍:一项前瞻性队列研究。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-02-01 Epub Date: 2021-07-09 DOI: 10.1080/17518423.2021.1942280
R Ward, N Hennessey, E Barty, C Elliott, J Valentine, R Cantle Moore

Aim: To report prospective longitudinal data of early vocaliszations of infants identified "at-risk" of cerebral palsy (CP) for early identification of communication impairment.

Method: This case-control longitudinal prospective cohort study reports on the assessment of 36 infants, 18 identified as at-risk of CP at the time of enrolment and 18 typically developing (TD) children, at three time points: 6 months, 9 months and 12 months of age, Data were obtained through criterion and norm referenced assessments of vocaliszation behaviors.

Results: Early vocal behaviors of infants identified as at-risk of CP did not differ from their age matched peers at 6 months of age, however, significant group differences emerged at 9 and 12 months when pre-canonical and canonical babble typically emerge. Generalized linear mixed models analysis showed that the rate of development of early language ability and more complex speech-related vocal behaviors was slower for infants at risk of CP when compared to TD infants, with over 75% of infants with CP showing below normal vocal production and impaired language by 12 months of age.

Interpretation: Our data suggest characteristics of infant vocalizations associated with pre-canonical and canonical babbling provide a strong evidence base for predicting communication outcomes in infants at risk of CP.

目的:报告脑瘫(CP)“高危”婴儿早期发声的前瞻性纵向数据,用于早期识别沟通障碍。方法:本病例对照纵向前瞻性队列研究报告了36名婴儿的评估,其中18名在入组时被确定为CP风险,18名典型发育(TD)儿童在6个月,9个月和12个月的三个时间点,通过发声行为的标准和规范参考评估获得数据。结果:在6个月大时,被确定为有CP风险的婴儿的早期发声行为与同龄婴儿没有差异,然而,在9个月和12个月时,当典型的前规范和规范牙牙学语出现时,显著的组间差异出现。广义线性混合模型分析显示,与TD婴儿相比,有CP风险的婴儿的早期语言能力和更复杂的言语相关发声行为的发展速度较慢,超过75%的CP婴儿在12个月大时表现出低于正常的发声能力和语言障碍。解释:我们的数据表明,婴儿发声与前规范和规范牙牙学语相关的特征为预测有CP风险的婴儿的沟通结果提供了强有力的证据基础。
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引用次数: 6
Examination of the effects of age, sex, and motor ability level on balance capabilities in children with cerebral palsy GMFCS levels I, II, III and typical development using the Pediatric Balance Scale. 应用小儿平衡量表探讨年龄、性别、运动能力水平对脑瘫儿童GMFCS I、II、III级及典型发育平衡能力的影响
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-02-01 Epub Date: 2021-07-20 DOI: 10.1080/17518423.2021.1943033
Mary Rose Franjoine, Nancy Darr, Brenda Young, Sally Westcott McCoy, Alyssa LaForme Fiss

Purpose: Explore effects of age, sex, and motor ability level on balance capabilities in preschoolers with and without Cerebral Palsy (CP).

Method: PBS was administered to 477 children 24 through 59 months: 258 with typical development (TD) and 219 with CP GMFCS levels I, II and III.

Results: 3-way ANOVA indicated PBS scores were significantly affected by age (F4,437=26.95, p<0.0001, η2p=0.198), motor ability level (F3,437=482.15, p<0.0001, η2p=0.768) and sex (F1,437=4.64, p<0.03, η2p=0.01) with significant interaction between motor ability level and age (F 12,437=5.25, p<0.001, η2p=0.126). Children's performance on individual items was analyzed by age, sex and motor ability level.

Conclusion: Children with TD outperformed children with CP GMFCS level I 36-59 months and children with CP GMFCS levels II and III 24-59 months. Expected performance values for children with TD and children with CP, ages 24-59 months, at GMFCS levels I, II and III are provided.

目的:探讨年龄、性别和运动能力水平对有、无脑瘫(CP)学龄前儿童平衡能力的影响。方法:对477例24 ~ 59月龄儿童进行PBS治疗,其中典型发育(TD)患儿258例,CP GMFCSⅰ、ⅱ、ⅲ级患儿219例。结果:3-way方差分析显示,PBS评分受年龄(f4437 =26.95, p2p=0.768)和性别(f1437 =4.64, p2p=0.01)的显著影响,运动能力水平与年龄的交互作用显著(f12437 =5.25, p2p=0.126)。儿童在单项项目上的表现按年龄、性别和运动能力水平进行分析。结论:TD患儿表现优于CP GMFCS I级患儿36-59个月,CP GMFCS II、III级患儿24-59个月。提供了24-59月龄TD患儿和CP患儿GMFCS I、II和III级的预期表现值。
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引用次数: 4
Utility of the Ages and Stages Questionnaires 3rd Edition for Developmental Screening in Children with Surgically Repaired Congenital Heart Disease. 年龄和阶段问卷第三版在手术修复先天性心脏病患儿发育筛查中的应用
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2022-02-01 Epub Date: 2021-08-08 DOI: 10.1080/17518423.2021.1960918
Julien Lépine, Karine Gagnon, Joëlle Prud'homme, Marie Claude Vinay, Amélie Doussau, Solène Fourdain, Sarah Provost, Véronique Belval, Catherine Bernard, Anne Gallagher, Nancy Poirier, Marie-Noëlle Simard

Aim: This study sought to evaluate the accuracy of the Ages and Stages Questionnaires 3rd Edition (ASQ-3) in identifying developmental delay (DD) in children with congenital heart disease (CHD) born at term who underwent surgical repair.Methods: Participants had to complete ASQ-3 and Bayley Scales of Infant and Toddler Development 3rd Edition (BSID-III) at 12 and 24 months. A child was considered at risk of DD for a ASQ-3 domain when he scored below the cutoff (≤-1SD or ≤-2SD). A child had a DD in a BSID-III domain when the score was ≤-1SD. The validity for each ASQ-3 domain and for overall ASQ-3 was measured.Results: At 12 months (n = 64), overall ASQ-3 (≤-2SD) sensitivity was 88%, specificity 74%. At 24 months (n = 82), overall ASQ-3 (≤-2SD) sensitivity was 74%, specificity 88%.Conclusion: The results support the utility of the ASQ-3 for screening the overall risk of DD in children with CHD.

目的:本研究旨在评估年龄和阶段问卷第三版(ASQ-3)在识别接受手术修复的足月先天性心脏病(CHD)患儿发育迟缓(DD)方面的准确性。方法:参与者在12个月和24个月时完成ASQ-3和Bayley婴幼儿发展量表第三版(BSID-III)。当一个孩子在ASQ-3域中得分低于临界值(≤-1SD或≤-2SD)时,他被认为有DD的风险。当得分≤-1SD时,患儿在BSID-III域中存在DD。测量每个ASQ-3域和整体ASQ-3的效度。结果:12个月时(n = 64),总体ASQ-3(≤-2SD)敏感性为88%,特异性为74%。在24个月时(n = 82),总体ASQ-3(≤-2SD)敏感性为74%,特异性为88%。结论:本研究结果支持ASQ-3在筛查CHD患儿DD总体风险中的应用。
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引用次数: 3
期刊
Developmental Neurorehabilitation
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