Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
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DOI：
10.1371/journal.pone.0254899
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Nitta O
中科院分区：
文献类型：
--
作者：
Kusumoto Y;Takaki K;Matsuda T;Nitta O
手动能力被认为是可以预测日常生活活动中功能独立性的因素之一。为了评估自我护理等个人任务，儿科残疾评估量表（PEDI）包括/介绍/提供了一套有用的措施，有助于提高脑瘫儿童和青少年的自我护理能力。本研究旨在探讨影响痉挛型脑性瘫痪儿童及青少年自我照顾能力及表现的相关因素。这是一项横断面研究。对76名痉挛性CP儿童和青少年（5至18岁）进行了分析，这些儿童和青少年代表粗大运动功能分类系统-扩展和修订版（GMFCS）的I至IV级。多元线性回归分析与逐步向前选择，以探讨哪些因素与自我照顾能力和性能。自变量为年龄、CP类型、GMFCS、手动能力分类系统、箱块测试、优势手和非优势手的握力。因变量为PEDI功能技能量表和PEDI护理人员协助量表的评分。多元回归分析结果显示，PEDI功能技能量表得分与优势手的方块测验和GMFCS相关（校正R2 = 0.69）。PEDI照顾者协助量表评分与优势手、GMFCS和年龄的框块测试相关（校正R2 = 0.71）。在考虑痉挛型CP儿童和青少年的自我护理时，除了GMFCS外，还需要考虑上肢功能障碍的评估。
Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful measures that assist in enhancing the capability for self-care among children and adolescents with cerebral palsy (CP). The aim of this study was to investigate the relevant factors of self-care capability and performance in children and adolescents with spastic CP. This was a cross-sectional study. Seventy-six children and adolescents with spastic CP (between 5 and 18 years of age), representing levels I to IV of the Gross Motor Function Classification System-Expanded & Revised version (GMFCS), were analyzed. Multiple linear regression analysis with forward stepwise selection was conducted to examine which determinants were related to self-care capability and performance. Independent variables were age, CP type, GMFCS, Manual Ability Classification System, Box and Block Test, and grip strength in the dominant and non-dominant hands. Dependent variables were scores for the PEDI Functional Skills Scale and the PEDI Caregiver Assistance Scale. Results of the multiple regression analysis showed that the PEDI Functional Skills scale scores were correlated with the Box and Block Test in the dominant hand and GMFCS (Adjusted R2 = 0.69). The PEDI Caregiver Assistance Scale scores were correlated with the Box and Block Test in the dominant hand, GMFCS, and age (adjusted R2 = 0.71). When considering self-care of children and adolescents with spastic CP, it is necessary to consider the evaluation of upper limb dysfunction in addition to GMFCS.
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