基于ICF-CY儿童脑性瘫痪MACE康复体系的探究
目的：本研究旨在深入探究基于《国际功能、残疾和健康分类（儿童和青少年版）》（International Classification of Functioning, Disability and Health - Children and Youth Version，ICF - CY）的儿童脑性瘫痪（脑瘫）“Multidisciplinary Assessment - Centered Evaluation，MACE” 康复体系，评估该康复体系对脑瘫儿童功能改善的有效性，为脑瘫儿童康复提供更具针对性和综合性的方案。方法：选取2022年10月至2023年12月温州医科大学附属第二医院康复科收治的66例确诊为脑性瘫痪的儿童作为研究对象，随机分为实验组和对照组各33例。实验组接受基于 “MACE” 康复体系的综合康复干预，对照组接受传统康复治疗。评估比较两组干预后的身体结构与功能，采用改良 Ashworth 量表，关节活动度儿童功能独立性测量（Functional Independence Measure，WeeFIM），粗大运动功能评估量表（Gross Motor Function Measure，GMFM）和精细运动功能评估量表（FMFM）等。结果：实验组儿童在改良 Ashworth 量表评分上较干预前显著降低（P < 0.05），实验组儿童主要关节的关节活动度较干预前明显增加（P < 0.05），而对照组关节活动度增加幅度较小。实验组儿童的 WeeFIM 评分较干预前显著提高（P < 0.05），GMFM 和 FMFM 评分显示，实验组儿童的粗大和精细运动功能在干预后均有显著发展（P < 0.05）。结论：基于 ICF - CY 的儿童脑性瘫痪 “MACE” 康复体系能够有效改善脑瘫儿童的身体结构与功能、活动和参与能力。关键词：ICF-CY；儿童脑性瘫痪；MACE康复体系
Objective: This study aims to explore the MACE rehabilitation system for children with cerebral palsy (cerebral palsy) based on the International Classification of Functioning, Disability and Health (Children and Adolescents Edition) (ICF-CY), evaluate the effectiveness of the rehabilitation system for children with cerebral palsy, and provide more targeted and comprehensive rehabilitation programs for children with cerebral palsy. Methods: A total of 66 children diagnosed with cerebral palsy admitted to the Rehabilitation Department of the Second Affiliated Hospital of Wenzhou Medical University from October 2022 to December 2023 were selected as the study objects, and randomly divided into the experimental group and the control group with 33 cases each. The experimental group received comprehensive rehabilitation intervention based on the MACE rehabilitation system, and the control group received traditional rehabilitation treatment. The body structure and function of the two groups were evaluated and compared after the intervention, using the modified Ashworth scale, the Childrens Functional Independence Measurement of joint motion (WeeFIM), the gross Motor Function Assessment Scale (GMFM) and the fine Motor Function Assessment Scale (FMFM), and using the self-made family and community environment support scale. Results: The scores of the modified Ashworth scale in the experimental group were significantly decreased compared with those before intervention （P < 0.05）, and the joint motion of the main joints in the experimental group was significantly increased compared with that before intervention （P < 0.05）, while the joint motion of the control group was slightly increased. The WeeFIM scores of the experimental group were significantly higher than those before intervention（P < 0.05）, and GMFM and FMFM scores showed that the gross and fine motor functions of the experimental group were significantly developed after intervention （P < 0.05）. Conclusion: The MACE rehabilitation system based on ICF-CY can effectively improve the physical structure, function, activity and participation ability of children with cerebral palsy.Key words: ICF-CY; Cerebral palsy in children; MACE rehabilitation system
赵素凡
儿科学医学研究方法
ICF-CY儿童脑性瘫痪MACE康复体系
ICF-CYerebral palsy in childrenMACE rehabilitation system
赵素凡.基于ICF-CY儿童脑性瘫痪MACE康复体系的探究[EB/OL].(2024-10-23)[2025-08-03].https://www.biomedrxiv.org.cn/article/doi/bmr.202503.00029.点此复制
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