《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (5): 542-552.doi: 10.3969/j.issn.1006-9771.2021.05.007

• 综述 • 上一篇    下一篇

基于ICF-CY残疾儿童青少年身体活动与功能康复的系统综述

崔德刚1,邱芬2(),李中浩2,邱服冰3,4,朱肖肖2,史文文5   

  1. 1.武汉大学体育部,湖北 武汉市 430072
    2.武汉理工大学体育部,湖北 武汉市 430070
    3.深圳大学体育部,广东 深圳市 518052
    4.中国ICF研究院,山东 潍坊市 261000
    5.湖北休闲体育发展研究中心,湖北 武汉市 430062
  • 收稿日期:2021-03-18 修回日期:2021-04-06 出版日期:2021-05-25 发布日期:2021-05-26
  • 通讯作者: 邱芬 E-mail:qfen0813@126.com
  • 作者简介:崔德刚(1972-),男,汉族,山东威海市人,博士,副教授,主要研究方向:体育与健康促进|邱芬(1979-),女,湖北随州市人,博士,教授,主要研究方向:运动心理与健康促进。
  • 基金资助:
    教育部人文社会科学研究青年基金项目(19YJC890033);湖北休闲体育发展研究中心开放基金课题重点项目(2020Z003);中央高校基本科研业务费专项资金项目(2019VI012)

Physical Activity and Functional Rehabilitation for Children and Youth Based on ICF-CY: A Systematic Review

De-gang CUI1,Fen QIU2(),Zhong-hao LI2,Fu-bing QIU3,4,Xiao-xiao ZHU2,Wen-wen SHI5   

  1. 1.Department of Physical Education, Wuhan University, Wuhan, Hubei 430072, China
    2.Department of Physical Education, Wuhan University of Technology, Wuhan, Hubei 430070, China
    3.Department of Physical Education, Shenzhen University, Shenzhen, Guangdong 518052, China
    4.China Academy of ICF, Weifang, Shandong 261000, China
    5.Leisure Sports Development Research Center of Hubei, Wuhan, Hubei 430062, China
  • Received:2021-03-18 Revised:2021-04-06 Published:2021-05-25 Online:2021-05-26
  • Contact: Fen QIU E-mail:qfen0813@126.com
  • Supported by:
    Ministry of Education Humanities and Social Science Project(19YJC890033);Leisure Sports Development Research Center of Hubei Province Open Fund (Key)(2020Z003);Fundamental Research Funds for the Central Universities(2019VI012)

摘要: 目的

基于《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)的理论与方法,建立残疾儿童青少年身体活动和康复体育活动范畴和结构,对残疾儿童青少年的身体活动和康复体育活动文献进行系统综述。

方法

采用主题检索方式,检索中国知网、万方数据、Web of Science、PubMed数据库与残疾儿童青少年身体活动和功能康复相关的文献,时间范围建库至2020年12月31日,提取文献内容,包括作者、国家、发表时间、发表期刊、研究目的、研究对象和年龄、数据收集工具以及主要研究结果和结论。

结果

共返回文献1920篇,最终纳入26篇,来自11个国家,主要来源于医学、公共健康、残疾人康复、身体锻炼等领域期刊,发表时间主要集中在2010年后。研究方法主要为问卷调查、实验和测量。涉及的身体活动类型有体适能类活动、技能类活动和运动项目类活动3类,主要有日常生活中的身体活动、娱乐和休闲活动、体育活动、学校体育课程和康复训练等。根据ICF-CY架构,身体活动促进残疾儿童青少年功能康复主要体现在b身体功能,包括b1精神功能,b2感觉功能和疼痛,b4心血管、血液、免疫和呼吸系统功能,b5消化、代谢和内分泌系统功能,b7神经肌肉骨骼和与运动有关的功能;d活动与参与,包括d2一般任务和要求,d4活动,d5自理,d6家庭生活,d7人际交往和人际关系,d8主要生活领域,d9社区、社会和公民生活;具体为改善粗大运动功能、肌力、平衡协调、步行、跑步、手的灵巧性和功能性、心肺健康、身体成分,减轻疼痛等方面,可提高生活质量、幸福感、社会支持和运动自我效能,积极参与各种休闲活动和身体活动、增加活动范围等。影响残疾儿童青少年身体活动参与的因素主要有环境因素和个人因素,包括e1产品和技术,e2自然环境和对环境的人为改变,e3支持和相互关系,e4态度,e5服务、体制和政策以及个人因素等;具体有物理和建筑环境、辅助技术、活动设施、交通、社区休闲娱乐活动的物理可达性和可用性、运动能力、家庭活动定位、家庭环境等。

结论

身体活动对残疾儿童青少年功能康复的作用主要体现在改善身体功能和促进活动与参与;影响因素主要有环境因素和个人因素。

关键词: 身体活动, 康复运动, 国际功能、残疾和健康分类(儿童青少年版), 儿童, 青少年, 系统综述

Abstract: Objective

To systematically review and develop the categories in the fields of recreational physical activities and rehabilitation exercise for the children and youth with disabilities based on the theory and method of International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY).

Methods

The literatures about physical activities and rehabilitation exercise for children and youth with disabilities were retrieved with subject retrieval method, from the database of CNKl, Wanfang Data, PubMed and Web of Science, until December 31st, 2020. The authors, countries, published time, published journals, research objectives, object of the study and their ages, data collection tool, and the key findings were extracted.

Results

A total of 1920 literatures were returned, and 26 of them were enrolled, which were published in eleven countries, and mainly from the journals of medicine, public health, exercise and rehabilitation for people with disabilities, and mainly published after 2010. The researches mainly used questionnaire survey, experimentation and measurement methods. There were three typical recreational physical activities: physical fitness activities, skills activities and sports activities, mainly including physical activities in daily life, recreational and leisure activities, sports activities, school physical education courses and rehabilitation training, etc. According to the framework of ICF-CY, physical activities might promote functional recovery for children and youth with disabilities, in b body functions, including bl mental function; b2 sensory function and pain; b4 cardiovascular, blood, the function of the immune system and respiratory system; b5 digestion, metabolism and function of the endocrine system; and b7 nerve musculoskeletal function related to movement; and d activities and participation, including d2 the general tasks and requirements; d4 activity; d5 self-care; d6 family life; d7 interpersonal communication and interpersonal relationship; d8 main area of life and d9 community, social and civic life. The evidences showed benefits of improvement in the fields of gross motor function, muscle strength, balance coordination, walking, running, dexterity and functioning of hand, cardio-respiratory fitness, body composition, and pain relief. Further more, there were gains at improvement of the quality of life, well-being, social support and self-efficacy, taking an active part in all kinds of leisure activities and physical activity, increasing the range of activities, etc. The environmental and personal factors might affect the participation and performance in physical activities for children and youth, including e1 products and technologies, e2 natural environment and man-made changes to the environment, e3 support and interpersonal relationships, e4 attitude, e5 service system and policy, including physical and built environment, assistive technology, activity facilities, transportation, physical accessibility and availability of community leisure and recreational activities, athletic ability, orientation of family activities, family environment, etc.

Conclusion

The physical activities may promote the recovery of body function, and activities and participation for children and youth with disabilities. The environmental and personal factors may affect the participation and performance in physical activities.

Key words: physical activity, rehabilitation exercise, International Classification of Functioning, Disability and Health-Children and Youth Version, children, youth, systematic review

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