Comparing functional profiles of children with hemiplegic and diplegic cerebral palsy in GMFCS Levels I and II: are separate classifications needed?
Comparing functional profiles of children with hemiplegic and diplegic cerebral palsy in GMFCS Levels I and II: are separate classifications needed?
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比较 GMFCS I 级和 II 级偏瘫和双瘫脑瘫儿童的功能特征：是否需要单独分类？
DOI：
10.1111/j.1469-8749.2006.tb01226.x
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发表时间：
2006
影响因子：
3.8
通讯作者：
Sarah Rogers
中科院分区：
文献类型：
--
作者：
D. Damiano;M. Abel;M. Romness;D. Oeffinger;C. Tylkowski;G. Gorton;A. Bagley;D. Nicholson;Douglas Barnes;J. Calmes;R. Kryscio;Sarah Rogers
目的是使用多种经验证的结果工具，在粗大运动功能分类系统（GMFCS）水平内比较偏瘫儿童与双侧偏瘫儿童。具体而言，我们提出，偏瘫儿童将有更好的步态和粗大运动功能的水平，而上肢功能较差。数据收集了422名患有脑瘫的非卧床儿童：261名双侧瘫痪和161名偏瘫，分布在7个中心。与双瘫患者相比，每个级别的偏瘫患者在步态或下肢功能方面的表现显着且持续更好，而上肢和学校功能较差。在GMFCS II级中，偏瘫组行走速度更快（p=0.017），粗大运动功能测量的维度E得分高6.6分（p=0.017），儿科结局数据收集仪器的上肢功能子量表得分低6.7分，Weekly自我护理得分低9.1分（p=0.002）。单纯以GMFCS水平判断运动预后可能低估偏瘫儿童的下肢技能，而高估双瘫儿童的下肢技能。
The goal was to compare children with hemiplegia with those with diplegia within Gross Motor Functional Classification System (GMFCS) levels using multiple validated outcome tools. Specifically, we proposed that children with hemiplegia would have better gait and gross motor function within levels while upper extremity function would be poorer. Data were collected on 422 ambulatory children with cerebral palsy: 261 with diplegia and 161 with hemiplegia, across seven centers. Those with hemiplegia in each level performed significantly and consistently better on gait or lower extremity function and poorer on upper extremity and school function than those with diplegia. In GMFCS Level II, the group with hemiplegia walked faster (p=0.017), scored 6.6 points higher on Dimension E of the Gross Motor Function Measure (p=0.017), 6.7 points lower on Upper Extremity subscale of the Pediatric Outcomes Data Collection Instrument, and 9.1 points lower on WeeFIM self‐care (p=0.002). Basing motor prognosis on GMFCS level alone may underestimate lower extremity skills of children with hemiplegia, and overestimate those of children with diplegia.
影响因子：
120.7
作者：
Rosenbaum, PL;Walter, SD;Galuppi, BE
通讯作者：
Galuppi, BE