ABSTRACT

Purpose

This cross-sectional study aimed to identify determinants of manual abilities of children with cerebral palsy (CP), as measured by the Manual Ability Classification System (MACS), in terms of intrinsic (child-related) and extrinsic (service-related) variables.

Methods

The participants were 106 children with a confirmed diagnosis of CP (aged 4–16 years). Two ordinal logistic regression models were conducted to identify intrinsic and extrinsic determinants of manual abilities.

Results

Four child-related (intrinsic) variables were found to be significant determinants of manual abilities: bimanual ability, ability to maintain and assume chair sitting, presence of seizures, and gross motor function, and only one service-related (extrinsic) significant variable was identified, which was receiving spasticity medications.

Discussion

The results highlight several determinants that should be considered when assessing and intervening to improve manual abilities of children with CP. The findings are discussed in relation to the intervention approach, contextual modification, and assistive device prescription

中文翻译：

---

脑瘫儿童手部能力的决定因素：一项基于国家登记的研究

摘要

目的

这项横断面研究旨在确定脑性瘫痪 (CP) 儿童手部能力的决定因素，由手部能力分类系统 (MACS) 衡量，包括内在（儿童相关）和外在（服务相关）变量.

方法

参与者是 106 名确诊为 CP 的儿童（年龄 4-16 岁）。进行了两个序数逻辑回归模型来确定手动能力的内在和外在决定因素。

结果

四个与儿童相关的（内在）变量被发现是手动能力的重要决定因素：双手能力、维持和坐椅子的能力、癫痫发作和粗大运动功能，只有一个与服务相关的（外在）显着变量是确定，正在接受痉挛药物。

讨论

结果强调了在评估和干预以提高 CP 儿童的手工能力时应考虑的几个决定因素。讨论了与干预方法、情境修改和辅助设备处方相关的研究结果