基于ICF-CY残疾儿童青少年运动功能评价量表内容和心理测量指标的Scoping综述

目的 基于《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)的理论与方法,分析儿童青少年常用运动功能评估工具的内容和心理测量指标。方法 基于ICF-CY分类架构和编码系统,应用ICF编码规则、匹配原则,选择4种儿童青少年常用的功能评估工具,分析其运动功能测量方法和心理测量指标。结果 最终纳入11篇文献,其中英文9篇,中文2篇,来自韩国、西班牙、中国、巴西,主要发表在临床医学、神经科学、公共健康、康复科学等领域期刊,发表时间为2011年至2021年。研究对象的年龄为0～16岁,涉及的总样本量为987,健康情况为痉挛型脑瘫、神经发育障碍等。纳入文献中,采用粗大运动功能测试(GMFM-88) 6篇,精细运动功能测试(FMFM) 2篇,Peabody运动发育评定量表(PDMS-2) 2篇,残疾儿童能力评定量表-功能技能量表(PEDI-FSS) 2篇,残疾儿童能评定量表(PEDI) 3篇;测量方式为客观评估、主观评估、主试观察等;测量次数为2～6次。运动功能测量指标主要涉及两个层面,其中身体活动层面包括粗大运动、精细运动和运动控制能力;活动功能层面主要为日常生活活动能力和功能独立性等。...     

Pilates for rehabilitation in patients with multiple sclerosis: A systematic review of effects on cognition,health-related physical fitness,general symptoms and quality of life

ObjectiveThe aims of this systematic review is to analyze the effectiveness of Pilates intervention programs on cognitive function, health-related physical fitness, general symptoms, physical function, quality of life, and the impact Pilates can have on activities of daily living in Multiple Sclerosis (MS) patients. This review also aims to provide a synthesis of the most commonly used protocols regarding exercise parameters, such as periodicity and treatment duration.Data sourcesSystematic review of the literature was carried out following the PRISMA guidelines (PROSPERO no. CRD42017070004). A literature search was undertaken for studies that investigated the effects of Pilates training on MS patients, using databases included PubMed, Medline, Scopus and the Physiotherapy Evidence Database (PEDro) up to May 2018.Study selectionThree researchers independently reviewed the titles and abstract of each article to screen the papers in relation to the inclusion criteria.Data extractionData were extracted by three researchers independently. The eligible articles were read in full and their levels of evidence were evaluated using the PEDro scale.Data synthesisForty-two papers were found during the research phase. Duplicated (n = 23) or incomplete articles (n = 1) were excluded. Studies were also eliminated from the sample based on methodological approach (study design) quality assessment (n = 6). Twelve studies were ultimately selected and analyzed.ConclusionsThe majority of the studies analyzed showed positive results after Pilates training intervention and concluded that Pilates intervention is safe and effective for the treatment of dysfunction of balance, strength, quality of life, cognition, physical performance, walking and posture parameters on MS patients. The articles investigated in this review provide a scientific basis to support Pilates as an option for rehabilitation programs for MS patients.