专题 ICF研究与应用

功能导向的脑性瘫痪儿童个别化体育活动与运动康复研究——基于ICF-CY的分析

  • 黄珂 ,
  • 杨桃 ,
  • 胡乔 ,
  • 王国祥 ,
  • 邱卓英 ,
  • 田宝 ,
  • 李欣 ,
  • 施红梅 ,
  • 孙慧珍
展开
  • 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、评估和康复重点实验室,郑州大学,河南郑州市 450001
黄珂(1981-),女,汉族,湖北黄石市人,硕士研究生,主要研究方向:康复管理。

收稿日期: 2017-10-11

  网络出版日期: 2017-11-03

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)

Functioning Oriented Individualized Physical Activities and Exercise Rehabilitation for Children with Cerebral Palsy-Based on ICF-CY

  • HUANG Ke ,
  • YANG Tao ,
  • HU Qiao ,
  • WANG Guo-xiang ,
  • QIU Zhuo-ying ,
  • TIAN Bao ,
  • LI Xin ,
  • SHI Hong-mei ,
  • SUN Hui-zhen
Expand
  • 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 date: 2017-10-11

  Online published: 2017-11-03

摘要

目的 应用《国际功能、残疾和健康分类 (儿童和青少年版)》(ICF-CY)对脑瘫儿童的体育活动和运动康复进行系统研究方法 基于ICF-CY的理论架构以及对脑瘫儿童的临床诊断标准和功能特点的分析,根据儿童发展的理论,探讨针对脑瘫儿童以功能导向为基础的个别化体育活动与运动康复策略。结果 体育活动和运动康复有利于脑瘫儿童改善身体功能,包括认知功能和运动功能等,并提升认知、活动、自理、沟通交流等活动能力,促进儿童全面发展。根据ICF-CY对其功能状态分析,可以制定个别化体育活动和运动康复方案,促进脑瘫儿童的整体发展。结论 应用ICF-CY构建功能导向的体育活动和运动康复个别化方案,可改善身体功能,提升整体活动水平,促进脑瘫儿童全面发展。

本文引用格式

黄珂 , 杨桃 , 胡乔 , 王国祥 , 邱卓英 , 田宝 , 李欣 , 施红梅 , 孙慧珍 . 功能导向的脑性瘫痪儿童个别化体育活动与运动康复研究——基于ICF-CY的分析[J]. 中国康复理论与实践, 2017 , 23(10) : 1130 -1136 . DOI: 10.3969/j.issn.1006-9771.2017.10.003

Abstract

Objective To explore the physical activity and exercise rehabilitation for children with cerebral palsy using International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY).Methods Based on the theoretical framework of ICF-CY and the theories of children's development, the paper discussed the physical activities and exercise rehabilitation strategies for children with cerebral palsy.Results There were important roles of physical activity and exercise rehabilitation to improve the motor function and cognitive function, and enhance cognition, mobility, self-care, and communication function, and promote the overall development for children with cerebral palsy. The individualized physical activity and exercise rehabilitation program for children with cerebral palsy could be developed with the analysis of functioning and disability with ICF-CY.Conclusion Children with cerebral palsy could improve their functioning and get overall development with individualized physical activity and exercise rehabilitation program based on ICF-CY.

参考文献

[1] Rosenbaum P, Paneth N, Leviton A, et al. Definition and classification document [J]. Dev Med Child Neurol, 2007, 49(109): 8-14.
[2] 李晓捷,唐久来,马丙祥,等. 脑性瘫痪的定义、诊断标准及临床分型[J]. 实用儿科临床杂志, 2014, 29(19): 1520.
[3] 邱卓英,李沁燚,陈迪,等. ICF-CY理论架构、方法、分类体系及其应用[J]. 中国康复理论与实践, 2014, 20(1): 1-5.
[4] 邱霞,姜志梅,张霞,等. 脑性瘫痪《国际功能、残疾和健康分类(儿童与青少年版)》核心分类组合介绍[J]. 中国康复医学杂志, 2016, 31(2): 222-227.
[5] 邱卓英,李欣,刘冯铂,等.基于ICF的智力残疾模式、测量方法及社会支持系统研究[J].中国康复理论与实践, 2016, 22(4): 373-377.
[6] Kaech MV, Escorpizo R, Portmann BR, et al. Validation of the Comprehensive ICF Core Set for vocational rehabilitation from the perspective of physical therapists: an international Delphi survey [J]. Phys Ther, 2016, 96(8): 1262-1275.
[7] Preston N, Weightman A, Gallagher J, et al. A pilot single-blind multicentre randomized controlled trial to evaluate the potential benefits of computer-assisted arm rehabilitation gaming technology on the arm function of children with spastic cerebral palsy [J]. Clin Rehabil, 2016, 30(10): 1004-1015.
[8] Andersen LB. Physical activity and health [J]. Paediatric Exercise Physiology, 2007, 32(4): 314-363.
[9] 杨文轩,杨霆. 体育概论[M]. 北京:高等教育出版社, 2005: 19-20.
[10] 覃章平. 肌力训练对痉挛型CP患儿粗大功能的影响[J]. 中国医学工程, 2009, 17(4): 271-273.
[11] 苗欣. 不同速度离心力量训练对下肢肌肉快速力量的影响[D]. 北京:北京体育大学, 2010.
[12] Steinbok P. Selection of treatment modalities in children with spastic cerebral palsy [J]. Neurosurg Focus, 2006, 21(2): 4.
[13] Hägglund G, Wagner P. Development of spasticity with age in a total population of children with cerebral palsy [J]. BMC Musculoskelet Disord, 2008, 6(9): 150.
[14] Flett PJ. Rehabilitation of spasticity and related problems in childhood cerebral palsy [J]. J Paediatr Child Health, 2003, 39(1): 6-14.
[15] Altmann VC, Hart AL, Van LJ, et al. Improvement of the classification system for wheelchair rugby: athlete priorities [J]. Adapt Phys Activ Q, 2014, 31(4): 377-389.
[16] Ferland C, Moffet H, Maltais DB. Locomotor tests predict community mobility in children and youth with cerebral palsy [J]. Adapt Phys Activ Q, 2012, 29(3): 266.
[17] 王国祥,梁兵,陶蓉,等. 基于ICF-CY的脑性瘫痪儿童运动功能评定及水疗方案[J]. 中国康复理论与实践, 2017, 23(2): 146-150.
[18] Fragala-Pinkham M, O'Neil ME, Haley SM. Summative evaluation of a pilot aquatic exercise program for children with disabilities [J]. Disabil Health J, 2010, 3(3): 162-170.
[19] Kim HM, Kim SH, Park SG, et al. Developing and applying a community dance program to improve gross and fine motor skills, concentration, and peer play interactions in intellectually disabled children [J]. 88??????????????????, 2016, 8: 280.
[20] Cook O, Frost G, Twose D, et al. CAN-flip: a pilot gymnastics program for children with cerebral palsy [J]. Adapt Phys Activ Q, 2015, 32(4): 349-370.
[21] 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.
[22] 邱卓英.《国际功能、残疾和健康分类》研究总论[J]. 中国康复理论与实践, 2003, 9(1): 7-10.
[23] Schiariti V, Sauve K, Klassen AF, et al. 'He does not see himself as being different': the perspectives of children and caregivers on relevant areas of functioning in cerebral palsy [J]. Dev Med Child Neurol, 2014, 56(9): 853-861.
[24] 于素红. 美国个别化教育计划的立法演进与发展[J]. 中国特殊教育, 2011(2): 3-8.
[25] American Body and Child Law Center. Individualized Education Plans (IEPs) and Cerebral Palsy[DB/OL]. https://www.abclawcenters.com/practice-areas/types-of-birth-injuries/developmental-delays-and-learning-disabilities/2017-10-8.
[26] Kelly LE. Designing and Implementing Effective Adapted Physical Education Programs [M]. Champaign: Sagamore Publishing LLC, 2011: 1-18.
[27] Feldman RS. 儿童发展心理学费尔德曼带你开启孩子的成长之旅[M]. 6版.苏彦捷,译. 北京:机械工业出版社, 2015: 3.
[28] Felfe C, Lechner M, Steinmayr A. Sports and child development [J]. PLoS One, 2016, 11(5): e0151729.
[29] 陳張榮. 生態評量法在適應體育個別化教學方案課程設計之應用[J]. 中華體育季刊, 2010, 24(4): 184-191.
[30] Leineweber MJ, Wyss D, Dufour SK, et al. The effects of acute intense physical exercise on postural stability in children with cerebral palsy [J]. Adapt Phys Activ Q, 2016, 33(3): 271.
[31] Hayakawa K, Kobayashi K. Physical and motor skill training for children with intellectual disabilities [J]. Percept Mot Skills, 2011, 112: 573-580.
[32] 李晓捷. 实用小儿脑性瘫痪康复治疗技术[M]. 2版. 北京:人民卫生出版社, 2016: 100-506.
[33] 黄金华,吴建贤,王静,等. 医院-社区-家庭康复模式对脑瘫患儿粗大运动功能的影响[J]. 中华物理医学与康复杂志, 2008, 30(2): 105-108.
[34] 朱俞岚,孙莉敏,张备,等. 康复网络下康复训练和个性化辅具适配对脑瘫患儿功能的影响[J]. 中国康复医学杂志, 2015, 30(1): 35-37.
[35] Verschuren O, Takken T. Aerobic capacity in children and adolescents with cerebral palsy [J]. Res Dev Disabil, 2010, 31: 1352-1357.
[36] Balemans AC, Van Wely L, De Heer SJ, et al. Maximal aerobic and anaerobic exercise responses in children with cerebral palsy [J]. Med Sci Sports Exerc, 2013, 45: 561-568.
[37] Nooijen C, Slaman J, van der Slot W, et al. Health-related physical fitness of ambulatory adolescents and young adults with spastic cerebral palsy [J]. J Rehabil Med, 2014, 46: 642-647.
[38] Nieuwenhuijsen C, van der Slot WM, Beelen A, et al. Inactive lifestyle in adults with bilateral spastic cerebral palsy [J]. J Rehabil Med, 2009, 41: 375-381.
[39] Bjornson KF, Belza B, Kartin D, et al. Ambulatory physical activity performance in youth with cerebral palsy and youth who are developing typically [J]. Phys Ther, 2007, 87: 248-257.
[40] Carlon SL, Taylor NF, Dodd KJ, et al. Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review [J]. Disabil Rehabil, 2013, 35: 647-655.
[41] Eek MN, Tranberg R, Beckung E. Muscle strength and kinetic gait pattern in children with bilateral spastic CP [J]. Gait Posture, 2011, 33: 333-337.
[42] Blair SN, Cheng Y, Holder JS. Is physical activity or physical fitness more important in defining health benefits? [J]. Med Sci Sports Exerc, 2001, 33: s379-s399.
[43] Ortega FB, Silventoinen K, Tynelius P, et al. Muscular strength in male adolescents and premature death: cohort study of one million participants [J]. BMJ, 2012, 345: e7279.
[44] Verschuren O, Peterson MD, Balemans ACJ, et al. Exercise and physical activity recommendations for people with cerebral palsy [J]. Devel Med Child Neurol, 2016, 58(8): 798-808.
[45] Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise [J]. Med Sci Sports Exerc, 2011, 43: 1334-1359.
[46] Verschuren O, Ketelaar M, Gorter JW, et al. Exercise training program in children and adolescents with cerebral palsy: a randomized controlled trial [J]. Arch Pediatr Adolesc Med, 2007, 161: 1075-1081.
[47] Morton JF, Brownlee M, McFadyen AK. The effects of progressive resistance training for children with cerebral palsy [J]. Clin Rehabil, 2005, 19: 283-289.
[48] Engsberg JR, Ross SA, Collins DR. Increasing ankle strength to improve gait and function in children with cerebral palsy: a pilot study [J]. Pediatr Phys Ther, 2006, 18: 266-275.
[49] Faigenbaum AD, Kraemer WJ, Blimkie CJ, et al. Youth resistance training: updated position statement paper from the national strength and conditioning association [J]. J Strength Cond Res, 2009, 23: S60-S79.
[50] Verschuren O, Peterson MD, Leferink S, et al. Muscle activation and energy-requirements for varying postures in children and adolescents with cerebral palsy [J]. J Pediatr, 2014, 165: 1011-1016.
文章导航

/