脑性瘫痪儿童功能特点分析与个别化康复策略设计——基于ICF-CY理论与方法

doi:10.3969/j.issn.1006-9771.2017.10.001

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (10): 1117-1122.doi: 10.3969/j.issn.1006-9771.2017.10.001

• 专题 ICF研究与应用 • 下一篇

脑性瘫痪儿童功能特点分析与个别化康复策略设计——基于ICF-CY理论与方法

杨桃^{1, 2}, 王国祥^{1, 2}, 邱卓英^{1, 2, 3}, 黄珂^{1, 2, 3}, 孙慧珍^{1, 2}, 殷荣宾^{1, 2}

1.苏州大学体育学院,残疾功能评定与运动康复研究中心,江苏苏州市 215021;
2.中国康复研究中心康复信息研究所,世界卫生组织国际分类家族中国合作中心,北京市 100068;
3.中国智力和发展性残疾分级、评估和康复(运动)重点实验室,郑州大学,河南郑州市450001

收稿日期:2017-06-13 修回日期:2017-10-09 出版日期:2017-10-25 发布日期:2017-11-03
通讯作者: 王国祥、邱卓英。E-mail: kwang63@163.com (王国祥);qiutiger@hotmail.com (邱卓英)。
作者简介:杨桃(1994-),女,汉族,江苏宿迁市人,硕士研究生,主要研究方向：运动康复。
基金资助:
中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No.2017CZ-7)

Analysis of Functioning and Disability, and Design of Individualized Rehabilitation Strategies for Children with Cerebral Palsy Using ICF-CY

YANG Tao^{1, 2}, WANG Guo-xiang^{1, 2}, QIU Zhuo-ying^{1, 2, 3}, HUANG Ke^{1, 2, 3}, SUN Hui-zhen^{1, 2}, YIN Rong-bin^{1, 2}

1. School of Physical Education and Sport Sciences, Research Center of Disability Evaluation and Sport Rehabilitation, Soochow University, Suzhou, Jiangsu 215021, China;
2. Research Institute of Rehabilitation Information, China Rehabilitation Research Centre, WHO Family of International Classifications Collaborating Center in China, Beijing 100068, China;
3. China Key Laboratory of Classification, Evaluation and Rehabilitation (Sport) of Intellectual and Developmental Disability, Zhengzhou University, Zhengzhou, Henan 450001, China

Received:2017-06-13 Revised:2017-10-09 Published:2017-10-25 Online:2017-11-03
Contact: WANG Guo-xiang, QIU Zhuo-ying. E-mail: kwang63@163.com (WANG Guo-xiang); qiutiger@hotmail.com (QIU Zhuo-ying)

摘要/Abstract

摘要： 目的应用ICF-CY对脑瘫儿童主要功能障碍及康复策略进行系统研究。方法使用脑性瘫痪ICF-CY的核心分类集,并综述相关文献,分析脑瘫儿童的身体结构和功能、活动和参与状况,特别是运动功能障碍。基于ICF-CY的理论架构,根据儿童发展的理论,探讨脑瘫儿童的康复策略。结果脑瘫儿童主要功能障碍在身体结构和功能方面表现为脑结构的异常以及脑功能障碍,运动功能障碍;在活动和参与方面,认知、活动、自理等存在障碍,参与游戏、休闲和教育活动有局限,并受到环境因素的影响。脑瘫儿童的康复策略要从身体结构和功能、活动和参与以及环境因素考虑,制定符合个人特点的方案。结论应用ICF-CY分析脑瘫儿童的功能障碍,构建个别化的康复策略,促进脑瘫儿童全面康复。

关键词: 脑性瘫痪, 功能状态, 康复策略, 国际功能、残疾和健康分类(儿童和青少年版)

Abstract: Objective To explore the functioning and disability and individualized rehabilitation strategies for children with cerebral palsy using ICF-CY.Methods ICF-CY core set for children with cerebral palsy was used, and literatures of functioning and disability (motor function) and physical activity and exercise rehabilitation for children with cerebral palsy were reviewed systematically. Based on the theoretical framework of ICF-CY and the theories of children's development, the rehabilitation strategies for children with cerebral palsy were discussed.Results The main functioning and disability for children with cerebral palsy were impairment of brain structure and nerve systemand motor function at body level; activity limitation and participation restriction in cognition, mobility and self-care, and restriction in participation in games, leisure and educational activities at individual level and related environmental factors. The rehabilitation strategies of children with cerebral palsy should be based on the physical structure and function, activities and participation, as well as environmental factors, to develop programs that met the characteristics of the individual.Conclusion The characteristics of functioning and disability for children with cerebral palsy were analyzed using ICF-CY. Individualized rehabilitation strategies should be developed to promote the overall developments for children with cerebral palsy.

Key words: cerebral palsy, functioning, rehabiliation strategies, International Classification of Functioning, Disability and Health-Children and Youth Version

中图分类号:

杨桃, 王国祥, 邱卓英, 黄珂, 孙慧珍, 殷荣宾. 脑性瘫痪儿童功能特点分析与个别化康复策略设计——基于ICF-CY理论与方法[J]. 《中国康复理论与实践》, 2017, 23(10): 1117-1122.

YANG Tao, WANG Guo-xiang, QIU Zhuo-ying, HUANG Ke, SUN Hui-zhen, YIN Rong-bin. Analysis of Functioning and Disability, and Design of Individualized Rehabilitation Strategies for Children with Cerebral Palsy Using ICF-CY[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(10): 1117-1122.

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脑性瘫痪儿童功能特点分析与个别化康复策略设计——基于ICF-CY理论与方法

Analysis of Functioning and Disability, and Design of Individualized Rehabilitation Strategies for Children with Cerebral Palsy Using ICF-CY

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