The effects of motor and intellectual functions on the effectiveness of comprehensive rehabilitation in young children with cerebral palsy
The effects of motor and intellectual functions on the effectiveness of comprehensive rehabilitation in young children with cerebral palsy
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DOI：
10.1177/0300060514558897
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发表时间：
2015-02
影响因子：
1.6
通讯作者：
Hongbo Zhang;Bo Zhang;F. Jia;Dong Liang;Haibo Li;Yinbo Chen;Libin Yang;Pengfei Ge;Jianmin Liang
中科院分区：
文献类型：
--
作者：
Hongbo Zhang;Bo Zhang;F. Jia;Dong Liang;Haibo Li;Yinbo Chen;Libin Yang;Pengfei Ge;Jianmin Liang
目的探讨运动和智能功能对脑性瘫痪(CP)患儿综合康复效果的影响。方法这项纵向队列研究纳入了确诊为慢性支气管炎的儿科患者。使用粗大运动功能分类系统对基线粗大运动功能进行分类。通过Gesell发展量表，使用发育商(DQ)评估基线智力水平。治疗3个月后采用粗大运动功能量表、精细运动功能量表和DQ评定患儿的运动和智力功能。计算与基线相比的变化。结果48例脑性瘫痪患儿进入本研究。运动功能的较大改善与较低的智能损害基线水平相关。在12个月前开始治疗，脑性瘫痪儿童的运动和智能功能有明显改善。结论运动功能障碍基线水平与认知功能障碍的疗效之间可能存在密切的互动关系。早期干预对提高脑性瘫痪患儿的预后具有重要意义。
Objective To determine the effects of motor and intellectual functions on the effectiveness of comprehensive rehabilitation (CR) in young children with cerebral palsy (CP). Methods This longitudinal cohort study recruited paediatric patients with a confirmed diagnosis of CP. Baseline gross motor function was classified using the Gross Motor Function Classification System. Baseline intellectual level was evaluated using the Developmental Quotient (DQ) via the Gesell Development Scale. Children underwent CR for 3 months and then their motor and intellectual functions were assessed using the Gross Motor Function Measure, Fine Motor Function Measure and DQ. The changes from baseline were calculated. Results Forty-eight children with CP were recruited to this study. Greater improvements in motor function were associated with a lower baseline level of intellectual impairment. Motor and intellectual function in children with CP was significantly improved when treatment was started before 12 months of age. Conclusion There might be a close and reciprocal relationship between the baseline levels of impairment of motor and intellectual function with regard to the effectiveness of CR. Early intervention is important to gain a good outcome in children with CP.