《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (5): 542-552.doi: 10.3969/j.issn.1006-9771.2021.05.007
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De-gang CUI1,Fen QIU2(),Zhong-hao LI2,Fu-bing QIU3,4,Xiao-xiao ZHU2,Wen-wen SHI5
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:
CLC Number:
De-gang CUI,Fen QIU,Zhong-hao LI,Fu-bing QIU,Xiao-xiao ZHU,Wen-wen SHI. Physical Activity and Functional Rehabilitation for Children and Youth Based on ICF-CY: A Systematic Review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 542-552.
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分析架构与类别 | 内容定义 | |
---|---|---|
身体活动形式 | 体适能类 | 肌肉力量体适能活动,如哑铃、深蹲、纵跳、引体向上等;肌肉耐力体适能活动,如长跑、游泳、自行车等;心肺耐力体适能活动,如健步走、慢跑等各类有氧活动;柔韧性体适能活动,如瑜伽、普拉提、舞蹈等 |
技能类 | 粗大/精细技能活动,如举起、拾起、推、拉、搬运、抓住等;基本动作技能活动,如走、跑、跳、投掷、爬等;移动/转移技能活动,如步行、移动自身、交通往来等 | |
运动项目类 | 包括竞技类和休闲类。竞技类包括篮球、足球、排球、网球、乒乓球、羽毛球、游泳、自行车、举重、拳击、滑冰等;休闲类包括徒步、瑜伽、普拉提、舞蹈、健身体操、太极拳、跑步、飞镖、毽球、台球、保龄球、高尔夫、骑马、户外活动、日常生活活动等 | |
身体活动益处 | 身体功能 | ICF-CY身体功能包括8个领域:精神功能,感觉和疼痛功能,发音和言语功能,心血管、血液、免疫和呼吸系统功能,消化、代谢和内分泌系统的功能,泌尿生殖和生育功能,神经骨骼肌肉和运动有关的功能,皮肤和有关结构的功能 |
活动和参与 | ICF中活动和参与包括9个领域:学习和应用知识,一般任务与要求,交流,活动,自理,家庭生活,人际交往和人际关系,主要生活领域,社区、社会和公民生活 | |
影响因素 | 用品和技术 | 参与身体活动所需的器材辅具,如公共建筑和设施、交通工具、活动场地、器材、设施、辅助用具、运动场地、各类球和球拍、瑜伽垫、哑铃、杠铃、护腕、护膝 |
自然环境和对环境的人为改变 | 参与身体活动的运动环境,包括自然地理环境、空气质量、气候条件和开展活动项目的周围环境,常包括社区、单位、家庭等各种活动所涉及的场所和场地 | |
态度 | 参与身体活动的心理环境,包括家人、同伴、朋友社区成员、同事等的态度,社会观念,参与积极性,自我认知,自信,安全感,紧张,焦虑等 | |
支持和相互关系 | 参与身体活动的社会环境,常包括家人、同伴、朋友社区成员、同事等的支持及相互关系等 | |
服务、体制和政策 | 参与身体活动的社会环境,常包括体制和政策的完善、相关制度的建立、社区活动场所的开发与使用、社会关注、社会态度、信息传播与推广、资金管理与投资等 | |
个人因素 | 性别、年龄、种族、教育、生活方式、锻炼习惯等 |
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第一作者 | 发表年 | 国家 | 研究对象 | 方法与工具 | 活动方式 | 改善的功能 | 影响因素 |
---|---|---|---|---|---|---|---|
Wright[ | 2005 | 加拿大 | 脑瘫儿童(智力残疾;肢体残疾) | 实验干预 粗大运动功能测量;上肢技能测试质量;Peabody运动发育量表;儿童残疾评估量表 | 引导式教育的体育课程 | 大肌肉运动功能、上肢技能(b7) | 未涉及 |
Law[ | 2007 | 加拿大 | 肢体残疾的儿童和青少年(肢体残疾) | 问卷调查 Craig医院环境因素目录 | 娱乐和休闲活动 | 未涉及 | 物理和建筑环境(e2) 机构和政府政策、服务和援助(e5) 态度和社会支持(e3、e4) 个人因素:年龄、社会经济地位、身体机能水平、行为困难 |
Freivogel[ | 2008 | 德国 | 脑损伤、脊髓损伤、脑卒中所致步行功能受损的儿童青少年(肢体残疾) | 实验干预 功能性步行分级;10米步行测试;运动指数;Berg平衡量表;改良Ashworth量表;Rivermead活动性指数 | 电动步态设备LokoHelp和减重步态训练 | 步行能力、下肢肌力、平衡、活动性(b7) | 未涉及 |
Majnemer[ | 2008 | 加拿大 | 脑瘫学龄儿童(智力残疾;肢体残疾) | 问卷调查 儿童参与和享受度评估 | 休闲活动 | 积极参与各种休闲活动(d9) | 父母压力(e3、e4) 康复服务(e5) 个人因素:动机、认知和行为困难、活动受限 |
Fragala-Pinkham[ | 2009 | 美国 | 脑瘫、幼年特发性关节炎、Prader-Willi综合征儿童(智力残疾;肢体残疾) | 实验干预 | 水上和陆上的物理疗法 | 功能活动、肌力(b7) 步行耐力(b4) 疼痛(b2) 活动范围(d4) | 未涉及 |
Buffart[ | 2010 | 美国 | 肢体残疾青少年(肢体残疾) | 实验干预 自我报告体力活动,次极量6分钟步行或轮椅测试 | 体力活动,有氧体适能 | 有氧体适能(b4) 体力活动(d4) | 未涉及 |
Majnemer[ | 2010 | 加拿大 | 脑瘫学龄儿童(智力残疾;肢体残疾) | 问卷调查 | 积极体育活动,休闲活动,娱乐活动 | 参与社交、娱乐活动和自我完善活动(d2、d9) | 个人因素:年龄、动机、功能能力 |
Fong[ | 2011 | 中国 | 发育协调障碍儿童(肢体残疾) | 问卷调查 儿童参与和享受评估;儿童运动评定成套测验第2版 | 校外活动 | 未涉及 | 个人因素:年龄、性别、体质量、运动能力 |
Palisano[ | 2011 | 加拿大 | 脑瘫青少年(智力残疾;肢体残疾) | 问卷调查 儿童参与和享受评估;家庭环境量表;应对问卷;护理过程测量;服务问卷 | 休闲娱乐活动 | 未涉及 | 辅助技术,活动设施,交通(e1) 家庭活动方向(e3) 社区休闲娱乐活动的物理可达性和可用性(e5) |
dos Santos[ | 2013 | 巴西 | 脑瘫儿童(智力残疾;肢体残疾) | 实验干预 下肢等速测力仪;粗大运动功能测量;计时起立-行走测试 | 功能性力量训练 | 髋、膝和踝肌力(b7) | 未涉及 |
Shikako-Thomas[ | 2013 | 加拿大 | 脑瘫青少年(肢体残疾) | 问卷调查 儿童参与和享受评估;青少年自我知觉问卷;掌握维度问卷;优势与困难问卷;家庭环境量表;欧洲儿童环境问卷;儿童活动偏好问卷 | 休闲活动 | 未涉及 | 支持和相互关系(e3):家庭环境 服务、体制和政策(e5):经济状况,学校类型 个人因素:功能特征,态度,掌握动机,自我知觉和行为,活动偏好 |
Brandao[ | 2014 | 比利时 | 单侧痉挛型脑瘫儿童(肢体残疾) | 实验干预 Jebsen-Taylor手功能测试;辅助手评估 | 结构化训练和非结构化的强化双手训练 | 手的灵巧性和功能 (b7) | 未涉及 |
Slaman[ | 2014 | 荷兰 | 痉挛性脑瘫青少年(肢体残疾) | 实验干预 心肺能力;肌力;身体成分 | 体能训练,以身体行为和运动参与为主的咨询课程 | 心肺健康和身体成分(b4、b5) | 未涉及 |
Du[ | 2015 | 中国 | 极年幼先天性心脏病儿童(肢体残疾,发育迟缓所致) | 实验干预 Peabody运动发育量表-II | 被动运动和主动锻炼 | 运动功能(b7) | 未涉及 |
Slaman[ | 2015 | 荷兰 | 痉挛性脑瘫青少年(肢体残疾) | 实验干预 疲劳;社会参与;生活质量;粗大运动功能 | 体能训练,以身体行为和运动参与为主的咨询课程 | 疲劳程度(b7) 疼痛和心理健康(b1、b2) 生活质量(d2、d4、d5、d6、d9、e8) 社会支持(d7) | 未涉及 |
Knights[ | 2016 | 加拿大 | 双侧痉挛性脑瘫青少年(肢体残疾) | 实验干预 粗大运动功能分类系统Ⅲ级特定的穿梭跑试验(SRT-III);健康相关的生活质量;6分钟步行试验;Wingate手臂弯曲试验和拟人化测量 | 网络平台运动自行车训练 | 穿梭跑(b7) 心血管健康状况(b4) | 未涉及 |
Maher[ | 2016 | 澳大利亚 | 脑瘫青少年(肢体残疾) | 问卷调查 青少年身体活动问卷;粗大运动功能分类系统;生活质量指数;幸福感 | 身体活动 | 生活质量和幸福感(b1) | 未涉及 |
Cleary[ | 2016 | 澳大利亚 | 脑瘫青少年(智力残疾;肢体残疾) | 实验干预 | 有氧运动 | 心血管功能(b4) 参与积极的身体活动(d2、d4、d9) | 未涉及 |
Ahmed[ | 2018 | 加拿大 | 肢体缺失儿童(肢体残疾) | 半结构化访谈 | 体育活动 | 未涉及 | 假肢的功能(e1) 社会环境(e5) 个人因素:热爱运动,能做的运动 |
Gibson[ | 2018 | 澳大利亚 | 脑瘫儿童(肢体残疾) | 实验干预 目标达成量表;高水平移动性评估工具;儿童和青年参与环境测量 | 跑步 | 跑步(b7) 参与学校活动(d8) | 未涉及 |
Germain[ | 2019 | 澳大利亚 | 脑瘫儿童(肢体残疾) | 实验干预 肌力;平衡;功能性肌力;功能性移动;粗大运动功能测量;心率;享受度;不良反应;运动范围;痉挛 | 适应性蹦床训练 | 肌力、平衡和功能活动(b2、b7) 坚持性和享受性(b1、d9) | 未涉及 |
Glowinski[ | 2020 | 波兰 | 神经功能障碍儿童(肢体残疾) | 实验干预 对比分析膨胀器和重力等 | 使用SPIDER进行平衡协调练习 | 活动能力、平衡协调能力(b2、b7) | 未涉及 |
Ko[ | 2020 | 韩国 | 痉挛型脑瘫患儿(肢体残疾) | 实验干预 粗大运动功能测量;Bruininks-Oseretsky运动熟练度第2版;残疾儿童评定量表 | 团体任务导向训练 | 粗大和精细运动功能(b7) 社会功能(d9) | 未涉及 |
Mattern[ | 2020 | 美国 | 痉挛型脑瘫患儿(肢体残疾) | 实验干预 粗大运动功能测量;每天步数;Peabody运动发育量表;儿童残疾指数活动量表;功能活动量表 | 低强度和高强度跑步机训练 | 独立行走,步行(b7、d4) | 未涉及 |
Milicevic[ | 2020 | 塞尔维亚 | 脑瘫青少年(智力残疾;肢体残疾) | 问卷调查 儿童和青少年参与和环境措施 | 家庭活动 | 未涉及 | 实体布局(e1) 服务、信息、财务(e5) 个人因素:身体和认知需求 |
王超[ | 2016 | 中国 | 残疾青少年(智力残疾;肢体残疾) | 问卷调查 运动自我效能;加速度计 | 日常身体活动 | 运动自我效能(b1) | 未涉及 |
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