基于ICF-CY平衡姿态悬吊治疗方案的设计

doi:10.3969/j.issn.1006-9771.2023.11.009

Abstract

Abstract:

Objective To develop a rehabilitation program of nature posture treatment (NPT) suspension therapy based on the International Classification of Functioning, Disability and Health-Children and Youth version (ICF-CY) framework, and apply it to neurodevelopmental disorders.

Methods The ICF-CY theoretical group (group A) and NPT suspension therapy group (group B) were established. Group A searched literature from common databases, to extract high-frequency words related to suspension therapy and match with categories of ICF-CY, to develop ICF-CY theoretical framework of the NPT suspension therapy. Group B developed specific rehabilitation procedures and training items based on the framework to compose the training pool. A total of 110 children aged less than six years with neurodevelopmental disorders and associated motor impairments were selected from outpatient or inpatient of the First Affiliated Hospital of Xinxiang Medical University, between October, 2019 and October, 2022. They were randomly divided into control group (n= 55) and clinical group (n= 55), who received routine neurodevelopmental therapy and NPT suspension therapy program based on ICF-CY, respectively, for a week. The incidence of satisfaction, acceptance and adverse events were observed.

Results Two cases in the control group and four cases in the clinical group dropped down. For the clinical group, the incidence of satisfaction was 98% (50/51), with acceptance of 96% (49/51), and one adverse event occurred. For the control group, the incidence of both the satisfaction and acceptance was 100%, and no adverse event occurred. There was no significant difference in the incidence of satisfaction, acceptance and the adverse event (P> 0.05).

Conclusion The NPT suspension therapy program based on the ICF-CY framework is safe and acceptable for children with neurodevelopmental disorders.

Key words: children, neurodevelopmental disorders, suspension therapy, nature posture treatment, International Classification of Functioning, Disability and Health-Children and Youth version

CLC Number:

R748

WANG Yuchang, WU Yue, FU Kuijie, WANG Zhenghui, WANG Yazhou, GUO Xuejun, PANG Wei. Development of a nature posture treatment suspension therapy based on ICF-CY[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1316-1326.

Figures/Tables 20

References 44

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ICF分类	一级水平	二级水平	三级水平
身体功能(b)	精神功能(b1)	b110、b114、b130、b140、b156	b1100、b1101、b1141、b1144、b1300、b1301、b1400、b1560、b1561、b1564、b1565
	感觉功能(b2)	b210、b235、b240	b2100、b2350、b2351、b2352、b2401、b2402
	发音与言语功能(b3)	b310、b330	b3100、b3300
	呼吸功能(b4)	b455	b4550
	神经肌肉骨骼和运动有关功能(b7)	b715、b720、b730、b735、b740、b760	b7151、b7201、b7303、b7304、b7305、b7306、b7350、b7401、b7602、b7603
身体结构(s)	与运动有关结构(s7)	s720、s730、s740、s750、s760	s7200、s7201、s7202、s7203、s7208、s7209、s7300、s7301、s7302、s7308、s7309、s7400、s7401、s7402、s7403、s7408、s7409、s7500、s7501、s7502、s7508、s7509、s7600、s7601、s7602、s7608、s7609
活动与参与(d)	一般任务与要求(d2)	d210、d220	d2100、d2200
活动与参与(d)	活动(d4)	d410、d415、d420、d430、d445、d450、d455、d880	d4100、d4101、d4102、d4103、d4104、d4105、d4106、d4107、d4108、d4109、d4150、d4151、d4152、d4153、d4154、d4155、d4158、d4159、d4200、d4201、d4202、d4208、d4209、d4300、d4450、d4458、d4502、d4503、d4550、d4551、d8800
环境因素(e)	产品与技术(e1)	e115、e120	-
	支持与相互联系(e3)	e310、e355	-
	态度(e4)	e410	-

代码	条目名称	ICF-CY编码
a	骨盆的结构：骨盆回旋	s740
b	肌肉力量功能：伸髋肌群训练	b7303
c	肌肉力量功能：腹肌力量训练	b7301、b7305、d4150、d4158、d4458
d	肌肉力量功能：侧屈肌群训练	b7305、d4158、d4458
e	头控移动训练	d4100、d4155、b7305
f	翻身移动训练	d4107、b7304、b7305
g	坐位移动训练	d4103、d4150、d4153、b7300、b7305
h	膝立位移动训练	d4102、d4152、d4302、b7304、b7305
i	坐立移动训练	d4103、d4104、d4154、d4401、d4450、b7300、b7303、b7305、b7306
j	蹬踏训练	d4106、d4154、b7303、b7305
k	跪立位移动训练	d4102、d4106、d4152、d4154、b7303、b7305
l	大鹏展翅	d8800、d4201、d4452、b7304、b7305
m	单侧肢体够物	d8800、d4150、d4455、b7301、b7304、b7305
n	空中踏步	d8800、d4108、d4154、d4155、d4455、b7303、b7305、b7401、b7600
o	攀爬游戏	d8800、d4104、d4106、d4153、d4154、d4208、d4401、d4551、b7304、b7305、b7401、b7602、b7603
p	医疗环境干预	e355
q	家庭态度干预	e310、e410
r	个人辅助支具干预	e115

障碍类型	障碍频率/n	匹配训练条目代码	障碍类型	障碍频率/n	匹配训练条目代码
蹲伏步态	8	b/g/h/j/p/q/r	剪刀步态	2	a/i/j/p/q/r
躯干肌张力障碍	7	l/p/q/r	蹒跚步态	2	j/k/p/q/r
步态廓清障碍	7	n/p/q	上肢够物障碍	2	l/m/p/q
跑跳困难	5	o/p/q/r	爬行障碍	1	b/c/m/p/q
高危患儿	4	e/f/g/h/p/q	挺腹步态	1	c/d/p/q/r
立位平衡障碍	3	b/c/i/n/o/p/q/r	骨盆带分离障碍	1	a/r/k
直跪行障碍	3	a/b/c/d/p/q/	前庭功能障碍	1	l/n/o/p/q
膝关节内外翻障碍	3	n/p/q

组别	n	满意	接受	不良事件
对照组	53	53	53	0
观察组	51	50	49	1
χ²值		5.459	2.119	1.049
P值		0.065	0.145	0.306

Development of a nature posture treatment suspension therapy based on ICF-CY

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