Activity and Participation in Ambulatory Cerebral Palsy

候选人克里斯蒂·比约森(Kristie Bjornson)是一名儿科物理治疗师和 华盛顿大学医学院/西雅图儿童研究所儿科。本奖项 将使她成为以患者为导向的临床研究项目的独立研究员 干预措施侧重于改善脑瘫患者的活动和社会参与度 (CP)。这一总体目标将通过一项为期五年的培训、指导和 研究的具体目标如下：1)发展身体测量方面的知识和技能 组成、能量消耗、活动和体力活动表现以及社会参与 在日常生活的背景下。2)在横断面描述性研究中使用技能来测试 ICF组件。3)提高对矫形处方和生物力学的认识。4)发展 横断面矫形器干预研究中的方法学和先导。5)拓展临床知识 试验方法、研究管理/领导、拨款发展和学术写作。她的赞助人是一位 资深儿科研究员和职业导师，而她的共同赞助人和咨询委员会代表 临床和研究方面的专业知识直接关系到研究人群和职业发展计划。这个 研究计划首先侧重于确定活动、参与(ICF)和身体成分的关系 在一项对患有脑瘫的儿童的描述性横断面研究中。在不同层面上的程度结果 ICF的关系需要澄清，以使ICF成为临床研究的有用框架和 练习一下。其次，ICF组件关系将在随机交叉临床试验中进行测试 实心踝足矫形器(SAFO)对日常步行/体力活动能力和社交能力的影响 采用新的动态加速度法对脑性瘫痪儿童的参与。 目前还没有公布的数据定义Safo对身体和步行活动性能的影响，以及 参与日常生活。这些信息将有助于生命周期矫形器的开发 CP门诊患者的管理算法。 相关性(请参阅说明)： 我们将探索脑瘫儿童在运动过程中的生理行为之间的联系 测试他们在日常生活中“实际”做了什么。该项目还将测试脚踝是否 牙套帮助脑瘫儿童在他们想做的时候做他们想做的事情。此信息 将被用来为终生脑性瘫痪患者制定脚踝支撑指南。

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.