نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی کارشناسی ارشد کاردرمانی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران
2 دانشیار گروه کاردرمانی، گروه کاردرمانی و مرکز تحقیقات توانبخشی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران
3 استادیار گروه کاردرمانی، عضو هیئت علمی گروه کاردرمانی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aim: The aim of the present study was comparison of participation of 4-6 year-old children with cerebral palsy in area of occupations (self-care, home participation, play, leisure, social participation, and educational environments) according to gross motor function level.
Materials and Methods: In the current cross-sectional study, samples were randomly selected and to the two assessment strategies were used for sampling include: Gross Motor Function Classification System (GMFCS) and Persian version of Children participation questionnaire version (CPQ-P). Data analysis was performed using SPSS software (V. 21) and independent t-tests were used to evaluate significant differences with the significance point set at 0.05.
Results: The mean age of CP children in the study was 5 (min. 4 and max. 6 years) and 39 were male (78%) and 11 female (22%). The difference between participation mean of CP children in areas of occupations (self-care, participation at home, play, social participation, and educational environments) and levels of gross motor function (GMF) (1st and 2nd level) was found to be significant (P<0.05). On the other hand, between participation mean of CP children in leisure area and levels of GMF no statistically significant difference was found (P> 0.05). It was also found that no significant difference exists between participation and GMF, according to diversity and intensity dimensions (P> 0.05), but a significant difference was observed in the other dimensions of participation, including assistance, enjoyment, and parents satisfaction (P<0.05).
Conclusion: According to the results, our study indicated that participation of CP children in area of occupations according to GMF level was trivial and had no noticeable efficacy; thus, in the evaluation and treatment of CP children, it should be noted that children's participation in occupations as an ultimate goal of rehabilitation cannot be achieved only by putting emphasis on improvment and motor function.
کلیدواژهها [English]
10. Dehghan L, Dalvand H, Abdolvahab M, Bagheri H, Faghihzade S. Inter rater reliability of Persian version gross motor function classification system expanded & revised in patients with cerebral palsy. Bimonthly Official Publication Medical Daneshvar. 2011;18(91):37-44. ##
11. Rosenberg L, Jarus T, Bart O. development and initial validation of the children participation questionnaire(CPQ). Disability and Rehabilitation,2010;32(20): 1633-1644. ##
12. Malek Amini, Afsoon Hassani Mehraban, Omid Rostamzade. Translation, cultural adaptation, and face, content, and convergent validity of children participation questionnaire into Persian. J Rehab Med. 2016; 5(2): 151-157. ##
13. NuraniGharaborghe S, Sarhady M, Hosseini SMS, Mortazavi SS. Quality of Life and Gross Motor Function in Children with Cerebral Palsy (aged 4-12).Iranian Rehabilitation Journal. 2015;13(3):58-62. ##
14. RostamZadeh O, Amini M, HasaniMehraban A. [Comparison of Participation of Children With Cerebral Palsy Aged 4 to 6 in Occupations With Normal Peers (Persian)]. Journal of Rehabilitation. 2016; 17(3):192-199. ##
15. Pashmdarfard M, Amini M, HassaniMehraban A. Participation of Iranian Cerebral Palsy Children in Life Areas: A Systematic Review. Iran J Child Neurol. Winter 2017; 17(1):1-12.
16. F. Bjornson K, Zhou C, Stevenson R, Dimitri A. Capacity to Participation in Cerebral Palsy: Evidence of an Indirect Path Via Performance. Arch Phys Med Rehabil.2013 ; 94(12): 2365–2372. ##
17. HassaniMehraban A, Hassani M, Amini M, The Comparison of Participation in School-Aged Cerebral Palsy Children and Normal Peers: A Preliminary Study. Iranian Journal of Pediatrics.Iran J Pediatr. 2016 June; 26(3):e5303. doi: 10.5812/ijp.5303##
18. Kristie F. Bjornson PT, et al. Capacity to Participation in Cerebral Palsy: Evidence of an Indirect Path ViaPerformance.ArchPhys M# Rehabil. 2013 December ; 94(12): 2365–2372. doi:10.1016/j.apmr.2013.06.020. ##
19. Orlin MNPT, et al. Participation in home, extracurricular, and community activities among children and young people with cerebral palsy. Dev Med Child Neurol. 2010 Feb;52(2):160-6. doi: 10.1111/j.1469-8749.2009.03363.x. Epub 2009 Jun 22. ##
20. Chiarello LA1, et al. Determinants of participation in family and recreational activities of young children with cerebral palsy. DisabilRehabil.2016 Feb 15:1-14.[Epub ahead of print]. ##
21. Rabinovich RV, Patel NV, Gates PE, OtsukaNY.The Relationship between the School Function Assessment (SFA) and the Gross Motor Function Classification System (GMFCS) in Ambulatory Patients with Cerebral Palsy.BullHospJt Dis (2013). 2015 Jul;73(3):204-9. ##
22. Palisano RJ, et al. Determinants of intensity of participation in leisure and recreational activities by youth with cerebral palsy. Arch Phys Med Rehabil. 2011 Sep;92(9):1468-76. doi: 10.1016/j.apmr.2011.04.007. ##
23. Katie P.Wu, et al. Predictors of participation change in various areas for preschool children with cerebral palsy: a longitudinal study. Res DevDisabil. 2015 Feb;37:102-11. doi: 10.1016/j.ridd.2014.11.005. Epub 2014 Nov 27. ##