巴西脑儿童的功能分类系统:功能水平之间的可靠性和关联
Kennea Martins Almeida Ayupe1, Amanda Larissa Oliveira Lima2, Gabrielly Cristine de Alcântara Gomes1
1School of Physical Therapy, Faculdade de Ceilândia, Universidade de Brasília, Brasília, Brazil.
Developmental neurorehabilitation
|September 23, 2024
概括
脑儿童分类系统可靠且相互连接. 总运动功能分类系统 (GMFCS),手动能力分类系统 (MACS) 和通信功能分类系统 (CFCS) 在巴西儿童中显示出强烈的关联.
科学领域:
- 儿科 儿科 儿科
- 康复医学 康复医学 康复医学
- 发育神经科学的发展神经科学.
背景情况:
- 脑 (CP) 是一种复杂的疾病,影响儿童的运动和姿势.
- 标准化分类系统对于理解功能能力和指导干预至关重要.
- 现有的系统包括总运动功能分类系统 (GMFCS),手动能力分类系统 (MACS),通信功能分类系统 (CFCS),饮食能力分类系统 (EDACS) 和视觉功能分类系统 (VFCS).
研究的目的:
- 在巴西患有脑膜炎的儿童中,评估五种分类系统的评级者间可靠性.
- 调查不同分类级别之间的关联.
- 确认这些工具在特定人群中的临床实用性.
主要方法:
- 100名巴西儿童 (3-17岁) 患有脑脊髓炎被物理治疗师使用GMFCS,MACS,CFCS,EDACS和VFCS进行分类.
- 两位独立审查员在60名参与者的子集上使用类内相关系数 (ICC) 评估了评价者之间的可靠性.
- 用斯皮尔曼的相关系数来分析分类级别之间的关联.
主要成果:
- 发现所有分类系统的评分间可靠性都很好或很好 (ICC 0.89-0.99).
- 在多个分类系统之间观察到显著的关联,特别是GMFCS/MACS (r=0.81),GMFCS/CFCS (r=0.70) 和MACS/CFCS (r=0.73).
- 在GMFCS/VFCS,MACS/VFCS,CFCS/EDACS,CFCS/VFCS和EDACS/VFCS之间也发现了相关性 (p < 0.05).
结论:
- 在巴西的儿童中,GMFCS,MACS,CFCS,EDACS和VFCS显示出高的可靠性.
- 这些分类系统有着显著的关联,表明了一定程度的功能相互依赖.
- 这些发现支持这些分类系统的可靠使用和相互联系,用于评估患有CP的儿童,特别是GMFCS,MACS和CFCS.
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