Effect of rehabilitation treatment based on the ICF-CY Core Sets on activities of daily living in children with cerebral palsy: a prospective randomized controlled study
YANG Lei, LI San-Song, ZHANG Guang-Yu, WANG Ming-Mei, CHEN Gong-Xun, ZHU Deng-Na
Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Abstract Objective To study the effect of rehabilitation treatment based on the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) Core Sets on activities of daily living in children with cerebral palsy. Methods The children with cerebral palsy were divided into an observation group (n=63) and a control group (n=59) using a random number table. The children in the observation group were evaluated using the brief ICF-CY Core Sets for children under 6 years to identify intervention targets and develop rehabilitation plans and goals, and then specific methods were selected for rehabilitation treatment. The children in the control group were evaluated and treated with the traditional rehabilitation mode. The scores of the Functional Independence Measure for Children (WeeFIM) and the Infants-Junior Middle School Students' Social-Life Abilities Scale were assessed for both groups before treatment and after three courses of treatment. The intervention of environmental factors was compared between the two groups. Results There was no significant difference in the scores of the WeeFIM and Social-Life Abilities scales between the two groups before treatment (P > 0.05). After treatment, both groups had significant increases in the scores of the WeeFIM and Social-Life Abilities scales (P < 0.001). The observation group had significantly higher scores of WeeFIM and Social-Life Abilities scales than the control group after treatment (P < 0.05). There was no significant difference in the use rate of orthosis between the two groups (P > 0.05), but the use rate of assistive devices for self-help, transfer and communication, the rate of facility renovation, and the rate of family rehabilitation guidance in the observation group were significantly higher than those in the control group (P < 0.05). Conclusions The rehabilitation treatment regimen for cerebral palsy based on the CF-CY Core Sets pays more attention to the influence of environmental factors in the process of rehabilitation and can effectively improve the activities of daily living of children with cerebral palsy.
YANG Lei,LI San-Song,ZHANG Guang-Yu et al. Effect of rehabilitation treatment based on the ICF-CY Core Sets on activities of daily living in children with cerebral palsy: a prospective randomized controlled study[J]. CJCP, 2021, 23(6): 608-612.
YANG Lei,LI San-Song,ZHANG Guang-Yu et al. Effect of rehabilitation treatment based on the ICF-CY Core Sets on activities of daily living in children with cerebral palsy: a prospective randomized controlled study[J]. CJCP, 2021, 23(6): 608-612.
Booth ATC, Buizer AI, Meyns P, et al. The efficacy of functional gait training in children and young adults with cerebral palsy:a systematic review and meta-analysis[J]. Dev Med Child Neurol, 2018, 60(9):866-883. DOI:10.1111/dmcn.13708. PMID:29512110.
[3]
Novak I, Morgan C, Adde L, et al. Early, accurate diagnosis and early intervention in cerebral palsy:advances in diagnosis and treatment[J]. JAMA Pediatr, 2017, 171(9):897-907. DOI:10.1001/jamapediatrics.2017.1689. PMID:28715518.
[4]
Schiariti V, Klassen AF, Cieza A, et al. Comparing contents of outcome measures in cerebral palsy using the International Classification of Functioning (ICF-CY):a systematic review[J]. Eur J Paediatr Neurol, 2014, 18(1):1-12. DOI:10.1016/j.ejpn.2013.08.001. PMID:24051208.
Haberfehlner H, Goudriaan M, Bonouvrié LA, et al. Instrumented assessment of motor function in dyskinetic cerebral palsy:a systematic review[J]. J Neuroeng Rehabil, 2020, 17(1):39. DOI:10.1186/s12984-020-00658-6. PMID:32138731.
Schiariti V, Selb M, Cieza A, et al. International Classification of Functioning, Disability and Health Core Sets for children and youth with cerebral palsy:a consensus meeting[J]. Dev Med Child Neurol, 2015, 57(2):149-158. DOI:10.1111/dmcn.12551. PMID:25131642.
Trabacca A, Russo L, Losito L, et al. The ICF-CY perspective on the neurorehabilitation of cerebral palsy:a single case study[J]. J Child Neurol, 2012, 27(2):183-190. DOI:10.1177/0883073811415852. PMID:21911416.
Jin LH, Yang SS, Choi JY, et al. The effect of robot-assisted gait training on locomotor function and functional capability for daily activities in children with cerebral palsy:a single-blinded, randomized cross-over trial[J]. Brain Sci, 2020, 10(11):801. DOI:10.3390/brainsci10110801. PMID:33143214.
