The aim of this study was to explor

The aim of this study was to explore motor development in children with cerebral palsy (CP) using developmental curves for CP, subtypes, and the five severity levels of the Gross Motor Function Classification System (GMFCS). The Gross Motor Function Measure (GMFM) and the GMFCS were applied to 317 children (145 females, 172 males) with CP, aged between 1 and 15 years. The CP type distribution was spastic diplegia in 157 (49%), spastic hemiplegia in 101 (33%), spastic tetraplegia in 11 (3%), dyskinesia in 38 (12%), and ataxia in 10 (3%). Forty-five physiotherapists were trained in the GMFM and intra- and interrater reliability was tested. The GMFM was measured prospectively every 6 months up to the age of 4 years and once a year thereafter. Developmental curves were constructed for 258 children with spastic CP. About three-quarters of the children at GMFCS Level I reached 90% of the maximum GMFM score at 5 years of age. The performance peaked at 7 years of age. Children at GMFCS Level II reached 90% at a median age of 5 years, which was also the upper limit, reached by about three-quarters at 7 years of age. The majority of children at GMFCS Level III reached 80% of the GMFM by 7 years of age and most of the children at GMFCS Level IV reached 30% at 5 years and remained there. The median score for children at GMFCS Level V was 20%. The intra- and interrater reliability for the GMFM 88 among physiotherapists were Spearman's rank correlation coefficient 0.91 and 0.99 respectively. There were 931 measurements with a median of 2 (1-11) per child. The gross motor development was demonstrated for the five GMFCS levels in children with spastic CP. These kind of curves may be useful for monitoring and predicting motor development, for planning treatment, and for evaluating outcome after interventions. © 2007 Blackwell Publishing Ltd.

結果 (繁體中文) 1:

這項研究的目的是探討腦癱（CP）使用的發展曲線CP，亞型和粗大運動功能分級系統（GMFCS）的五個嚴重性級別：兒童運動發育。的粗大運動功能測試（GMFM）和GMFCS施用於兒童317（雌性145，172名男性）與CP，年齡1和15歲之間。CP類型分佈痙攣性雙癱在157（49％），在101（33％）痙攣性偏癱，在11（3％）痙攣性四肢癱瘓，運動障礙在38（12％），並在10（3％）共濟失調。四十五個物理治療師在GMFM被訓練和幀內及間信進行了測試。該GMFM前瞻性測量每6個月至4歲和此後每年一次。發展曲線，構建了258兒童痙攣型腦癱。在GMFCS一級的兒童中，大約四分之三在5歲以下的達到90％的最高得分GMFM的。性能達到高峰，7歲的年齡。在GMFCS二級孩子在年齡中位數為5年，這也是上限，7歲的約四分之三達到達到90％。大多數在GMFCS三級兒童達到GMFM的80％，7歲，在大多數GMFCSⅣ級的孩子，5年達到30％，並在那裡停留。平均分數在GMFCSⅤ類兒童為20％。為GMFM 88理療師之間的細胞內和間信分別斯皮爾曼等級相關係數為0.91和0.99。共有931測量與2（1-11）每名兒童中位數。粗大運動的發展被證明為痙攣型腦癱患兒的五個GMFCS水平。這些類型的曲線可能是用於監視和預測電機的開發，規劃治療，以及干預後評估的結果。©2007 Blackwell出版有限公司

結果 (繁體中文) 2:

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結果 (繁體中文) 3:

本研究的目的是探討腦癱（CP）兒童的運動發育，包括腦癱的發展曲線，腦癱的亞型，以及腦癱的五個嚴重程度。對317名1～15歲CP兒童（145名女性，172名男性）進行了總運動功能測定（GMFM）和GMFCS。CP型分佈為痙攣性雙癱157例（49%），痙攣性偏癱101例（33%），痙攣性四肢癱11例（3%），運動障礙38例（12%），共濟失調10例（3%）。對45名理療師進行了GMFM訓練，並測試了水內和水間的可靠性。從4歲開始，每6個月量測一次GMFM，此後每年量測一次。對258例痙攣性腦癱患兒進行了發育曲線測定，其中約四分之三的GMFCSⅠ級患兒在5歲時達到GMFM最高評分的90%。演出在7歲時達到頂峰。GMFCS二級兒童在5歲時達到90%，這也是上限，7歲時達到約四分之三。GMFCS三級的大多數兒童在7歲時達到GMFM的80%，GMFCS四級的大多數兒童在5歲時達到30%，並留在那裡。GMFCS五級兒童的中位數為20%。GMFM 88在理療師中的水內和水間信度分別為Spearman秩相關係數0.91和0.99。共有931次量測，每個孩子的中位數為2（1-11）。痙攣性腦癱患兒的5個GMFCS水准顯示了總體運動發育，這類曲線可用於監測和預測運動發育、規劃治療和評估干預後的結果。版權所有2007布萊克威爾出版有限公司。