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Goals of children with unilateral cerebral palsy in a brain stimulation arm rehabilitation trial
Developmental Medicine & Child Neurology ( IF 3.8 ) Pub Date : 2020-12-24 , DOI: 10.1111/dmcn.14763
Megan J Metzler 1, 2 , Eva Haspels 2, 3 , Laura Brunton 4 , John Andersen 5, 6 , Lesley Pritchard 7, 8 , Mia Herrero 1 , Jacquie Hodge 9, 10 , Adam Kirton 2, 9, 10, 11, 12
Affiliation  

AIM To explore relationships between category classifications for children's rehabilitation goals, outcomes, and participant characteristics. METHOD Children with hemiparetic cerebral palsy due to perinatal stroke rated self-selected goals with the Canadian Occupational Performance Measure (COPM) and completed the Assisting Hand Assessment (AHA) and Box and Block Test (BBT), at baseline and 6 months, in a randomized, controlled 10-day neuromodulation rehabilitation trial using repetitive transcranial magnetic stimulation. Goals were classified with the Canadian Model of Occupational Performance and Engagement and the International Classification of Functioning, Disability and Health. Analysis included standard linear regression. RESULTS Data for 45 participants (mean age 11y 7mo, SD 3y 10mo, range 6-19y, 29 males, 16 females) on 186 goals were included. Self-care goal percentage corresponded with baseline BBT by age (standardized ß=-0.561, p=0.004). Leisure goal percentage corresponded with baseline BBT (standardized ß=0.419, p=0.010). AHA change corresponded with productivity goals (standardized ß=0.327, p=0.029) and age (standardized ß=0.481, p=0.002). COPM change corresponded with baseline COPM and age by AHA change (p<0.05). INTERPRETATION Younger children with lower motor function were more likely to select self-care goals while those with better function tended to select leisure goals. Functional improvement corresponded with older age and productivity goals. COPM change scores reflected functional improvement among older children. Children chose functionally and developmentally appropriate goals. Consequently, children should be free to set goals that matter to them.

中文翻译:

单侧脑瘫儿童在脑刺激臂康复试验中的目标

目的 探索儿童康复目标、结果和参与者特征的类别分类之间的关系。方法 围产期卒中导致的偏瘫脑瘫儿童使用加拿大职业绩效测量 (COPM) 评定自选目标,并在基线和 6 个月内完成辅助手评估 (AHA) 和盒块测试 (BBT)使用重复经颅磁刺激的随机对照 10 天神经调节康复试验。目标按照加拿大职业表现和参与模式以及国际功能、残疾和健康分类进行分类。分析包括标准线性回归。结果 45 名参与者的数据(平均年龄 11 岁 7 个月,SD 3 岁 10 个月,范围 6-19 岁,29 名男性,16 名女性)参与了 186 个进球。自我护理目标百分比与按年龄划分的基线 BBT 相对应(标准化 ß=-0.561,p=0.004)。休闲目标百分比对应于基线 BBT(标准化 ß=0.419,p=0.010)。AHA 变化与生产力目标(标准化 ß=0.327,p=0.029)和年龄(标准化 ß=0.481,p=0.002)相对应。COPM 变化对应于基线 COPM 和 AHA 变化的年龄(p<0.05)。解释 运动功能较低的幼儿更可能选择自我照顾目标,而功能较好的儿童则倾向于选择休闲目标。功能改善与年龄和生产力目标相对应。COPM 变化评分反映了年龄较大儿童的功能改善。孩子们选择了功能上和发展上合适的目标。最后,
更新日期:2020-12-24
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