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Activity and Participation in Ambulatory Cerebral Palsy

动态脑瘫的活动和参与

基本信息

批准号：
8468941
负责人：
KRISTIE F BJORNSON
金额：
$ 12.09万
依托单位：
SEATTLE CHILDREN'S HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-06-01 至 2014-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8468941
关键词：
Address Adipose tissue Adolescent Adult Advisory Committees Age Algorithms Ankle Award Biomechanics Body Composition Body Size Body Weight Braces-Orthopedic appliances Cerebral Palsy Child Childhood Classification Clinic Clinic Activity Clinical Research Clinical Trials Cross-Sectional Studies Crossover Design Data Demographic Factors Development Doctor of Philosophy Education Effectiveness Energy Metabolism Fatty acid glycerol esters Foundations Friends Gait Genetic Crossing Over Goals Grant Guidelines Habits Health Height Hip region structure Housing Impairment Instruction International Intervention Intervention Studies Knee Knowledge Language Leadership Length Life Life Experience Life Style Little&apos s Disease Longevity Measurement Measures Mentors Methodology Methods Modeling Motor Movement Nursery Schools Orthotic Devices Outcome Outcome Measure Participant Pattern Pediatrics Performance Persons Pharmaceutical Preparations Physical activity Play Principal Investigator Publishing Randomized Recreation Relative (related person)Reporting Research Research Institute Research Personnel Rotation Running Sampling Schools Solid Structure Testing Toes Training Programs Triceps Brachii Muscle Typology Universities Walking Washington Weight Work Writing Youth arm base career clinical practice cohort design disability foot improved intervention program medical schools muscle strength novel orthotics patient oriented professor programs rehabilitation strategy skills social standardize measure two-dimensional

项目摘要

The candidate, Kristie Bjornson, PhD, PT, is a pediatric physical therapist and Assistant Professor of Pediatrics, University of Washington School of Medicine/Seattle Children's Research Institute. This award will establish her as an independent investigator in a patient-oriented clinical research program of interventions focused on improving the activity and social participation of persons with cerebral palsy (CP). This overarching goal will be accomplished through a five-year program of training, mentoring and research with the following specific objectives: 1) Develop knowledge and skill in the measurement of body composition, energy expenditure, ambulatory and physical activity performance and social participation within context of daily life. 2) Employ skills in a cross-sectional descriptive study testing the relationship of the ICF components. 3) Enhance understanding of orthotic prescription and biomechanics. 4) Develop methodology and pilot within a cross-sectional orthotic intervention study. 5) Expand knowledge of clinical trials methods, study management/leadership, grant development and scholarly writing. Her sponsor is an established pediatric researcher and career mentor, while her co-sponsor and advisory committee represent clinical and research expertise directly related to the study populationand career developmentplan. The research plan focuses first on defining the relationships of activity,participation (ICF) and body composition in a descriptive cross-sectional study of ambulatory children with CP. The extent outcomes at various levels of the ICF relate requires clarification in order for the ICF to be a useful framework for clinical research and practice. Secondarily, the ICF component relationships will be tested within a randomized cross-over clinical trial of solid ankle foot orthoses (SAFO) on daily ambulatory/physical activity performance and social participation on ambulatory children with cerebral palsy with novel ambulatory accelerometry measures. There is no published data defining the impact of SAFO on physical and ambulatoryactivity performance and participation in day to day life. This information will facilitate the development of a life span orthotic management algorithm for ambulatory persons with CP. RELEVANCE (See instructions): We will explore the connection between what a child with cerebral palsy does physicallyduring motor testing to what they 'actually' do during their day to day lives. The project will also test whether ankle braces help children with cerebral palsy do what they want to do when they want to do it. This information will be used to develop ankle bracing guidelines for persons with, cerebral palsy across the life span.

候选人Kristie Bjornson博士，PT，是一名儿科物理治疗师和助理教授，儿科，华盛顿大学医学院/西雅图儿童研究所。这个奖项将使她成为一名独立的研究者，参与一项以患者为导向的临床研究计划，干预措施侧重于改善脑瘫患者的活动和社会参与（CP）。这一总体目标将通过一个为期五年的培训、指导和研究与以下具体目标：1）发展的知识和技能，在测量身体成分、能量消耗、步行和身体活动表现以及社会参与在日常生活中。2)在一项横断面描述性研究中使用技能， ICF组件。3)加强对矫形处方和生物力学的理解。4)发展方法和试点内的横断面矫正干预研究。5)扩大临床知识试验方法，研究管理/领导，赠款开发和学术写作。她的赞助商是一个成立儿科研究员和职业导师，而她的共同赞助商和咨询委员会代表与研究人群和职业发展计划直接相关的临床和研究专业知识。的研究计划的重点首先是确定活动，参与（ICF）和身体成分的关系在一项描述性横断面研究中，各级成果的程度需要澄清ICF的相关内容，以便ICF成为临床研究的有用框架，实践其次，将在随机交叉临床试验中检验ICF组分之间的关系。固体踝足矫形器（SAFO）对日常步行/体力活动能力和社会影响的试验采用新型动态加速度测量法对脑性瘫痪儿童的参与性研究。目前尚无已发表的数据定义SAFO对身体和步行活动能力的影响，参与日常生活。这一信息将有助于发展的寿命矫正非卧床CP患者的管理算法。相关性（参见说明）：我们将探讨脑瘫儿童在运动过程中的身体活动与运动之间的联系，测试他们在日常生活中“实际”做的事情。该项目还将测试脚踝是否小儿脑瘫的治疗方法有哪些？小儿脑瘫的治疗方法有哪些？将被用于制定踝关节支撑指南的人，大脑性瘫痪的整个生命周期。