Kaiorisa N. Doctor, Shreekanth D Karnad, Shyam Krishnan, A. Narayan, Akshatha Nayak
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引用次数: 0
摘要
一组与胎儿或新生儿大脑发育过程中的非进行性问题有关的神经肌肉系统异常被称为脑瘫(CP)。这些异常的典型表现是姿势和运动发育不良,从而限制了功能活动的执行。因此,为了达到与发育正常的同龄人相同的目标,CP 患儿会采用各种补偿姿势和技巧。鉴于坐姿和活动能力对功能的发挥至关重要,因此有必要单独评估这两项技能以及它们之间的关系。本研究旨在确定儿童的功能性活动能力是否会影响他们的坐姿能力。20 名 6-12 岁的 CP(粗大运动功能分类系统 [GMFCS] I 级和 II 级)儿童参与了研究。研究表明,坐姿的质量对功能活动能力有很大影响,因为坐姿量表(LSS)水平之间的mTUG持续时间存在显著差异(P < 0.001),而且在同一GMFCS水平内进行分析时,这种差异依然存在(P = 0.007)。为了改善CP儿童的功能活动能力,我们可以利用这些证据来设计一个包含躯干控制的、有充分依据的特定干预计划。
Is functional mobility associated with quality of sitting in cerebral palsy? A cross-sectional study
A group of neuromuscular system anomalies associated with non-progressive issues in the developing fetal or newborn brain are known as cerebral palsy (CP). These abnormalities are typified by poor posture and motor development, which limits the execution of functional activities. Consequently, to achieve the same goals as peers who are typically developing, children with CP employ a variety of compensatory postures and techniques. Given that both sitting and mobility are essential for functioning, assessing each skill alone and in relation to the other is necessary. This study aims to determine if a child’s functional mobility affects their sitting ability.
Twenty CP (Gross Motor Function Classification System [GMFCS] levels I and II) children, aged 6–12, were enrolled in the research. The level of sitting scale (LSS) and the modified timed up and go (mTUG) test were utilized to evaluate sitting and functional mobility, respectively.
The quality of sitting was shown to have a substantial effect on functional mobility, as a significant difference in mTUG durations was established between LSS levels (P < 0.001) and persisted when analyzed within the same GMFCS level (P = 0.007).
The importance of trunk control in functional mobility can be inferred from the link between sitting quality and mobility. To improve children with CP’s functional mobility, this evidence may be utilized to design a well-informed and specific intervention program incorporating trunk control.