在患有关节结症多重症先天的幼儿中实现里程碑:发育特征和相关因素
Ahlam Zidan1,2, Sophia C Pasia2,3, Emmanouil Rampakakis4,5
1School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.
概括
患有先天性多发性关节炎 (AMC) 的儿童表现出显著的延迟,特别是在粗运动技能方面. 早期,协调干预对于这些儿童的发展里程碑的实现至关重要.
科学领域:
- 儿科发展 儿科发展
- 肌肉骨系统疾病 肌肉骨系统疾病
- 先天性疾病:先天性疾病.
背景情况:
- 对于5岁以下的多发性先天性关节炎 (AMC) 儿童的发展里程碑数据有限.
- AMC会影响多个关节,可能会影响儿童的整体发育.
研究的目的:
- 描述AMC的幼儿的发育状况.
- 在这个人群中确定与发展里程碑的实现相关的因素.
主要方法:
- 这是一项来自儿童AMC注册表的143名儿童 (0-66个月) 的多站点,横截面研究.
- 使用年龄和阶段问卷,第三版 (ASQ-3) 评估在五个领域的发展.
- 对人口,围产,临床和家长因素的分析.
主要成果:
- 毛发动机功能是受影响最严重的领域 (超过90%低于截止值).
- 个人-社会和精细运动领域也显示出显著的局限性 (53.1%低于截止值).
- 沟通和解决问题是相对较强的优势;新生儿重症监护室停留和关节收缩与较差的结果相关.
结论:
- 在AMC中,发育成就受到肌肉骨,围产和家庭因素的影响.
- 早期,协调的骨科,发育和以家庭为中心的干预是必不可少的.
- 解决特定的联合合同和支持家庭是改善结果的关键.
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