Functional changes during inpatient rehabilitation for children with musculoskeletal diagnoses.
Functional changes during inpatient rehabilitation for children with musculoskeletal diagnoses.
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DOI：
10.1097/00001577-200214020-00004
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发表时间：
2002-01-01
期刊：
影响因子：
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通讯作者：
Steva, Barbara J
中科院分区：
文献类型：
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作者：
Dumas, Helene M;Haley, Stephen M;Steva, Barbara J
目得：本研究的目的是描述功能性自我保健和流动性的变化，儿童与肌肉骨骼诊断住院rehabilitation.METHODS：一个回顾性记录审查完成了50名儿童和青年年龄3至20岁的住院康复后，创伤性肌肉骨骼损伤或整形外科手术后，因为预先存在的肌肉骨骼或神经肌肉疾病。采用配对t检验和效应量系数对总组和两个诊断亚组的儿科残疾评估量表（PEDI）功能技能和护理人员协助自我护理和活动量表的总量表评分的入院至出院变化进行检查。独立的t检验被用来确定变化分数之间的差异为subgroup.RESULTS：平均PEDI功能技能自我护理和流动性量表评分显着较高的总组出院。对于亚组，功能技能和护理人员流动性量表评分在出院时显著较高，但只有创伤组在护理人员协助量表上的自我护理方面发生了显著变化。体积系数在0.23到1.76之间。创伤组表现出显着更大的变化比术后组在这两个领域的两个规模在both domain.CONCLUSIONS：在住院康复，儿童肌肉骨骼诊断表现出显着的功能改善。创伤性损伤的儿童在整形外科手术后比已有疾病的儿童获得更大的收益。这些结果支持PEDI作为一个响应措施的变化，在住院康复的儿童肌肉骨骼诊断。
PURPOSE: The purpose of this study was to describe functional self-care and mobility changes of children with musculoskeletal diagnoses during inpatient rehabilitation.METHODS: A retrospective record review was completed for 50 children and youth aged three to 20 years admitted to inpatient rehabilitation after a traumatic musculoskeletal injury or after orthopedic surgery because of a preexisting musculoskeletal or neuromuscular disorder. Admission to discharge changes in summary scaled scores on the Pediatric Evaluation of Disability Inventory's (PEDI) Functional Skills and Caregiver Assistance Self-Care and Mobility scales for the total group and two diagnostic subgroups were examined using paired t tests and effect-size coefficients. Independent t tests were used to determine differences between change scores for the subgroups.RESULTS: Mean PEDI Functional Skills Self-Care and Mobility scaled scores were significantly higher at discharge for the total group. For the subgroups, both Functional Skills and Caregiver Mobility scaled scores were significantly higher at discharge, but only the trauma group made a significant change in Self-Care, on the Caregiver Assistance scale. Effect-size coefficients ranged from 0.23 to 1.76. The trauma group demonstrated significantly greater changes than the postsurgical group on both scales in both domains.CONCLUSIONS: During inpatient rehabilitation, children with musculoskeletal diagnoses demonstrated significant functional improvements. Children with traumatic injuries made greater gains than children with preexisting conditions after orthopedic surgery. These results support the PEDI as a responsive measure of change during inpatient rehabilitation for children with musculoskeletal diagnoses.