Head Control Changes After Headpod Use in Children With Poor Head Control: A Feasibility Study
Head Control Changes After Headpod Use in Children With Poor Head Control: A Feasibility Study
复制标题
头部控制不良的儿童使用 Headpod 后头部控制发生变化：可行性研究
DOI：
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发表时间：
2018
影响因子：
1.6
通讯作者：
Kelli J Brizzolara
中科院分区：
文献类型：
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作者：
Julie Brown;M. Thompson;Kelli J Brizzolara
目的：确定使用 Headpod 来改善粗大运动功能分类系统 V 级脑瘫儿童头部控制的可行性。方法：对头部控制较差的儿童（3-11 岁）在使用 Headpod 3 个月和 6 个月之前和之后进行视频记录。不使用 Headpod 时的头部控制通过儿童保持头部直立的活动时间和 5 分钟内摇头的次数来衡量。结果：14 名儿童入学，流失率为 43%。虽然平均活动时间增加，但平均头部摆动减少，并且活动时间显着改善，但头部摆动没有明显改善。与 3 个月和基线相比，6 个月时的活动时间更长。接受调查的家长表示，这些变化是显而易见的，支持了巨大的定量治疗效果。结论：使用 Headpod 六个月（每天 45 分钟）似乎是可行的，对主动头部控制有很大影响，值得进行更大规模的随机对照试验。
Purpose: To determine the feasibility of Headpod use to improve head control in children with cerebral palsy classified as Gross Motor Function Classification System level V. Methods: Children (3-11 years) with poor head control were video recorded before and after 3 and 6 months of Headpod use. Head control without Headpod was measured by active time children could hold head upright and number of head bobs in 5 minutes. Results: Fourteen children enrolled with 43% attrition rate. While average active time increased, average head bobs decreased and there were significant improvements in active time, but not head bobs. Active times were higher at 6 months compared with 3 months and baseline. Surveyed parents reported that the changes were apparent, supporting the large quantitative treatment effect. Conclusions: Six months of Headpod use, 45 minutes per day, appears to be feasible, has a large effect on active head control, and merits a larger randomized controlled trial.