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International classification of functioning, disability and health in children with cerebral palsy

机译：脑瘫儿童功能，残疾和健康的国际分类

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Purpose: We intended to describe how concepts from recent models of disability have been studied for evaluation of children with cerebral palsy (CP) and their clinical implications. Method: We revised studies that focused on the components of the International Classification of Functioning, Disability and Health (ICF) in children with CP. Results: Researchers have reported that children with CP exhibit impairments in various body functions/structures, limitations in functional activities performance and experience poorer participation outcomes than their typical peers. Moreover, it has been showed that participation of children with CP was affected by environmental factors. Conclusion: Therefore, evaluation and rehabilitation processes should be focused on the quality of life improvement by emphasizing what a child can and wants to execute within the environment. Also, environmental factors should be recognized so that barriers could be minimized and adaptations to the environment achieved. However, few studies have verified the interrelationship between contextual factors and the functioning and disability domains in children with CP. This would allow us to know about approaches specifically designed for these children's needs. Implications for Rehabilitation Cerebral palsy is a disabling disease which impacts in body structures and functions, functional activities performance and social participation. ICF is a model of disability that focuses on the integration of these three dimensions. The knowledge about the concepts of ICF applied in children with CP allows an evidence-based practice.
机译：目的：我们打算描述如何研究最近残疾模型的概念以评估儿童脑瘫（CP）及其临床意义。方法：我们修订了研究，重点研究了CP儿童的国际功能，残疾与健康分类（ICF）的组成部分。结果：研究人员报告说，患有CP的儿童与典型的同龄人相比，在各种身体功能/结构上受损，在功能活动表现方面受到限制，并且参与结果较差。而且，已经表明，患有CP的儿童的参与受到环境因素的影响。结论：因此，评估和康复过程应着重于生活质量的改善，强调儿童在环境中可以和想要执行的事情。另外，应该认识到环境因素，以便可以将障碍降到最低并实现对环境的适应。然而，很少有研究证实情境因素与CP儿童的功能和残疾领域之间存在相互关系。这将使我们了解专门为这些孩子的需求而设计的方法。康复的意义脑瘫是一种致残性疾病，会影响身体的结构和功能，功能活动的表现以及社会参与度。 ICF是一种残疾模型，专注于这三个方面的整合。有关在患有CP的儿童中应用ICF概念的知识允许进行循证实践。

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