Measuring changes of manual ability with ABILHAND-Kids following intensive training for children with unilateral cerebral palsy
Measuring changes of manual ability with ABILHAND-Kids following intensive training for children with unilateral cerebral palsy
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DOI：
10.1111/dmcn.13338
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发表时间：
2017-05-01
影响因子：
3.8
通讯作者：
Arnould, Carlyne
中科院分区：
文献类型：
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作者：
Bleyenheuft, Yannick;Gordon, Andrew M.;Arnould, Carlyne
AimABILHAND-Kids 是一份家长报告的问卷，用于测量脑瘫 (CP) 儿童的动手能力。其心理测量特性已确定，但此处检查的反应性除外。 方法 在这项队列研究中，98 名患有单侧 CP 的儿童（46 名男性，52 名女性；范围 6-19 岁，平均 11 岁，标准差 [SD] 3.3 岁）接受了三项上肢功能评估：基线时（T1）；经过80至90小时的强化训练（T2）；以及随访时（T3）。使用两个时间段（T1-T2 和 T2-T3）期间的全局、组（基于年龄和手动能力分类系统 [MACS] 级别）和个人方法来分析反应能力。效应大小用于量化变化的幅度。结果整体方法显示 T1 和 T2 之间有显着改善 (p0.8)，较大儿童的变化较小（13-19 岁，n=46，平均变化=0.71 logit，效应大小 >0.4）。 MACS II 级的儿童比 MACS I 或 III 级的儿童表现出更大的变化。 解释 ABILHAND-Kids 在强化训练后表现出检测变化的反应能力。因此，该量表可能有助于临床试验中评估单侧脑瘫儿童的功能状态。
AimABILHAND-Kids is a parent-reported questionnaire measuring manual ability in children with cerebral palsy (CP). Its psychometric properties have been established, with the exception of responsiveness, which is examined here.MethodIn this cohort study, 98 children (46 males, 52 females; range 6-19y, mean 11y, standard deviation [SD] 3.3y) with unilateral CP underwent three assessments of upper extremity function: at baseline (T1); after 80 to 90 hours of intensive training (T2); and at follow-up (T3). The responsiveness was analyzed using global, group (based on age and on Manual Ability Classification System [MACS] level), and individual approaches during two time periods (T1-T2 and T2-T3). Effect size was used to quantify magnitude of changes.ResultsThe global approach showed significant improvements between T1 and T2 (p0.8) and small changes in the older children (13-19y, n=46, mean change=0.71 logit, effect size >0.4). Children in MACS level II demonstrated larger changes than children in MACS level I or III.InterpretationThe ABILHAND-Kids exhibited responsiveness in detecting changes after intensive training. Therefore, this scale is potentially useful in assessing the functional status of children with unilateral CP in clinical trials.