A pilot study on the impact of occupational therapy home programming for young children with cerebral palsy
A pilot study on the impact of occupational therapy home programming for young children with cerebral palsy
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DOI：
10.5014/ajot.61.4.463
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发表时间：
2007-07-01
影响因子：
2.9
通讯作者：
Lowe, Kevin
中科院分区：
文献类型：
--
作者：
Novak, Iona;Cusick, Anne;Lowe, Kevin
职业治疗家庭计划是用于为脑瘫儿童提供干预措施的常用方法，但很少有证据表明此类计划的有效性。这项单组前测-后测设计的试点研究评估了对20名痉挛性偏瘫型脑瘫儿童（年龄2-7岁，平均3.8岁）实施的家庭作业治疗计划的影响。我们使用目标实现量表（GAS）、儿科残疾评估量表（PEDI）和上肢技能质量测试（QUEST）来衡量影响。我们通过家长自我报告日志测量参与量。干预后GAS、PEDI功能技能和护理人员协助量表以及QUEST评分发生了显著变化，但使用相同的措施未发现参与量与结果之间存在关系。这些令人鼓舞的结果表明，进一步调查的影响，家庭作业治疗计划是必要的。
Occupational therapy home programs are a common approach used to provide interventions for children with cerebral palsy, but there is little evidence to demonstrate the effectiveness of such programs. This single-group pretest-posttest design pilot study evaluated the impact of an occupational therapy home program implemented with 20 children who had spastic hemiplegic cerebral palsy (ages 2-7 years, mean 3.8). We measured impact using Goal Attainment Scaling (GAS), the Pediatric Evaluation of Disability Inventory (PEDI), and the Quality of Upper Extremity Skills Test (QUEST). We measured participation amount through a parent self-report log. Significant changes following intervention occured in scores on the GAS, the PEDI Functional Skills and Caregiver Assistance Scales, and the QUEST, but has found no relationship between participation amount and outcome using the same measures. These promising results suggest that further investigation of the impact of occupational therapy home programs is warranted.