Treino intensivo de demandas funcionais para adolescentes com paralisia cerebral
Notice bibliographique
Résumé
Adolescents with cerebral palsy (CP) present limitations to perform daily living activities. Goal-oriented functional training is considered effective in promoting daily functioning of children with CP. However, rehabilitation services for adolescents with CP are scarce and do not always meet their specific demands. It is possible that an individualized goal-oriented functional training promotes daily functioning of adolescents with CP. The aim of the study was to investigate the feasibility and effects of intensive functional goal training directed at adolescents with PC. A feasibility study was carried out with 12 adolescents with CP, ages 12-17. The adolescents were classified in levels I to IV according to the Gross Motor Function Classification System (GMFCS) and in levels I to III according to the Manual Ability Classification System (MACS). Adolescents identified their main functional goals through the Canadian Occupational Performance Measure (COPM). Individualized training lasted 2 weeks, 5 times a week, 3 hours a day and it was conducted at the rehabilitation center in groups of 4 to 6 adolescents. Adolescents were asked to practice their functional goals at home for 1 hour a day. Outcome measures included the COPM (performance and satisfaction), Pediatric Evaluation of Disability Inventory (PEDI) (functional skills and caregiver assistance in self-care and mobility), Participation and Environment Measure Children and Youth (PEM-CY) (frequency and involvement at home), Children Helping Out-Responsibilities, Expectations and Supports (CHORES) (performance and independence in household tasks) and the Box and Blocks Test (BBT). Data were collected one month prior to intervention (T1), before intervention (T2), post-intervention (T3) and 3 months after intervention (T4) by an examiner blinded to the procedures. Wilcoxon Signed-Rank tests were used to analyze differences in primary and secondary outcomes among the different moments of assessment. At the end of the intervention, adolescents answered a satisfaction questionnaire. Significant changes were observed in COPM performance and satisfaction from the perspective of adolescents and caregivers, as well as functional skills in self-care and caregiver assistance in self-care and mobility (p<0,05). In addition, there was a significant increase in performance and independence scores in household tasks and in the speed to use the dominant upper limb (p <0.05). In the follow-up measure, improvements observed after the intervention were maintained. There was no significant difference in frequency and involvement scores in adolescent’s participation at home and in the speed to use the non-dominant upper limb (p> 0.05). The intensive training of individualized goals was feasible and promoted positive results in the achievement of goals prioritized and in adolesncent’s daily functioning.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».