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首页> 外文期刊>BMC Pediatrics >Association between gross motor function and postural control in sitting in children with Cerebral Palsy: a correlational study in Spain
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Association between gross motor function and postural control in sitting in children with Cerebral Palsy: a correlational study in Spain

机译：大脑性瘫痪患儿的总运动功能与姿势控制之间的关联：西班牙的一项相关研究

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Background Cerebral palsy (CP) is one of the causes of physical disability in children. Sitting abilities can be described using the Level of Sitting Scale (LSS) and the Gross Motor Function Classification System (GMFCS). There is growing interest in the sitting posture of children with CP owing to a stable sitting position allows for the development of eye-hand coordination, functions of the upper extremities and functional skills. Besides, in recent years researchers have tried to develop a new terminology to classify the CP as performed by the Surveillance of Cerebral Palsy in Europe (SCPE), in order to improve the monitoring of the frequency of the PC, providing a framework for research and service planning. The aim of this study was to analyse the relationship between GMFCS and LSS. The second purpose was to describe how the SCPE relates to sitting abilities with the GMFCS and LSS. Methods The study involved 139 children with CP (range 3–18?years) from 24 educational centres. Age, gender, CP classification according to SCPE, GMFCS and LSS levels were recorded by an experienced physiotherapist. Results A significant inverse relationship between GMFCS and LSS score levels was found (r s =??0.86, p?=?0.00). 45.3?% of the children capable of leaning in any direction and of re-erecting the trunk (level VIII on the LSS) could walk without limitation (level I on the GMFCS). There were differences in the distribution of the GMFCS (χ2 (4):50.78) and LSS (χ2 (7): 37.15) levels and CP according to the distribution of the spasticity (p Conclusions There was a negative correlation between both scales and a relation between sitting ability and the capacity to walk with or without technical devices. GMFCS and the LSS are useful tools for describing the functional abilities and limitations of children with CP, specially sitting and mobility. Classification based on the distribution of spasticity and the gross motor function provides clinical information on the prognosis and development of children with CP.
机译：背景脑瘫（CP）是儿童身体残疾的原因之一。可以使用就座量表（LSS）和大运动功能分类系统（GMFCS）来描述就座能力。由于稳定的坐姿可以促进眼手协调能力，上肢功能和功能技能，因此对CP儿童的坐姿越来越感兴趣。此外，近年来，研究人员试图开发一种新的术语来对CP进行分类，如欧洲脑瘫监测（SCPE）所执行的，以改善对PC频率的监控，从而为研究和研究提供框架。服务计划。这项研究的目的是分析GMFCS和LSS之间的关系。第二个目的是描述SCPE与GMFCS和LSS的坐姿能力之间的关系。方法该研究涉及来自24个教育中心的139名CP儿童（3-18岁）。由经验丰富的理疗师记录了根据SCPE，GMFCS和LSS水平分类的年龄，性别，CP分类。结果发现GMFCS与LSS得分水平之间存在显着的反比关系（r s =Δ0.86，pΔ=Δ0.00）。 45.3％的儿童可以向任意方向倾斜并重新竖起躯干（在LSS上为VIII级）可以不受限制地行走（在GMFCS上为I级）。 GMFCS（χ 2 （4）：50.78）和LSS（χ 2 （7）：37.15）水平和CP的分布存在差异（p结论结论两种量表之间的负相关性与坐姿能力与有无技术设备的行走能力之间的关系呈负相关。GMFCS和LSS是描述CP儿童的功能能力和局限性的有用工具，根据痉挛的分布和总体运动功能进行分类，可提供有关CP儿童预后和发展的临床信息。

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