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首页> 外文期刊>Critical reviews in physical and rehabilitation medicine >Relationships among Strength, Body Composition, and Measures of Activity In Ambulatory Children with Cerebral Palsy: A Cross-Sectional Study
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Relationships among Strength, Body Composition, and Measures of Activity In Ambulatory Children with Cerebral Palsy: A Cross-Sectional Study

机译：动态性脑瘫患儿的力量，身体成分和活动方式之间的关系：跨部门研究

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摘要

The objective of this work was to quantitatively describe the relationships among overall lower extremity strength and body composition with measures of activity in ambulatory children with cerebral palsy (CP). The design was a prospective, multicenter cohort, cross-sectional study among seven pediatric orthopedic facilities. The participants included children ages eight to 18 years (n = 392; 249 male, 143 female), GMFCS levels I-III (I = 155; II = 160; III = 77) with diplegia (n = 280, mean age 12.9 +- 2.7 years) and hemi-plegia (n = 112, mean age 12.6 ± 2.9 years). Main outcome measures include lower extremity strength, body composition, and activity. Quantitative relationships among variables were reported using Pearson correlation coefficients with p<= 0.001. Results show strength had fair to moderate correlations with GMFM-66 and PODCI global function, sports and physical function, and transfer and basic mobility scores for children with diplegia. Children with hemiplegia demonstrated a fair correlation between strength and GMFM-66 score. For children with diplegia and hemiplegia, BMI was not correlated with measures of function or activity. Body fat percentage demonstrated a fair correlation with PODCI global function scores for children with hemiplegia. Body composition measures had a fair correlation to overall strength for both those with hemiplegia and diplegia. Stronger relationships among measures were observed in higher functioning children. It is concluded that a positive relationship exists between lower extremity strength and measures of activity in ambulatory children with CP. There are multiple factors influencing activity in children with CP, and strength and body composition should not be ignored.
机译：这项工作的目的是定量描述动态性脑瘫（CP）儿童的总体下肢力量与身体成分之间的关​​系以及活动度。该设计是对七个儿科骨科设施进行的一项前瞻性，多中心队列研究。参与者包括8至18岁的儿童（n = 392;男性249，女性143），GMFCS I-III级（I = 155; II = 160; III = 77），伴有截瘫（n = 280，平均年龄12.9 + -2.7岁）和半截瘫（n = 112，平均年龄12.6±2.9岁）。主要结局指标包括下肢力量，身体成分和活动能力。使用p <= 0.001的Pearson相关系数报告变量之间的定量关系。结果显示，力量与GMFM-66和PODCI整体功能，运动和身体功能以及截瘫儿童的转移能力和基本活动能力得分具有中等至中等的相关性。偏瘫儿童表现出力量与GMFM-66得分之间的合理相关性。对于患有截瘫和偏瘫的儿童，BMI与功能或活动的测量值无关。偏瘫儿童的体脂百分比与PODCI总体功能评分显示出合理的相关性。偏瘫和截瘫患者的身体成分测量值与总体力量具有相当的相关性。在功能较高的儿童中，各项措施之间的关系更密切。结论是，门诊非卧床患儿下肢力量与活动量之间存在正相关关系。影响CP儿童活动的因素有很多，因此不应忽略力量和身体成分。

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