Effects of Individualized Scalp Acupuncture on Mobility Ability of Children with Spastic Cerebral Palsy / 中国康复理论与实践

@# ObjectiveTo study the effects of individualized scalp acupuncture based on the focus and syndrome differentiation in traditional Chinese medicine on mobility ability of children with spastic cerebral palsy. Methods55 cases were randomly divided into 2 groups: treatment group (n=29) and control group (n=26). Treatment group received individualized acupuncture combined with rehabilitation and the control group received Jin's acupuncture combined with rehabilitation for 3 month. They were assessed with the mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI). ResultsThe improvement of PEDI scores was more in treatment group than in control group （P＜0.01）.ConclusionScalp acupuncture combined with rehabilitation has active effects on mobility abilities of children with spastic cerebral palsy, and the individualized acupuncture do better than the Jin's acupuncture.

Reliability of Pediatric Evaluation of Disability Inventory / 中国康复理论与实践

@#Objective To investigate the reliability of Pediatric Evaluation of Disability Inventory (PEDI) in China. Methods 21 children with cerebral palsy were assessed with PEDI by 2 raters respectively. The intrarater and interrater agreement was analyzed. The internal consistency of the PEDI was also calculated. Results The ICC of intrarater and interrater was 0.919～0.993. The Cronbach α was 0.9597～0.9711 in self care, 0.9569～0.9799 in mobility, 0.9419～0.9830 in social function.Conclusion PEDI is reliable and internal consistent.

Estudo de transferência e locomoção em crianças de 4 a 6 anos com paralisia diparética espástica nível motor III / Study about transfer and locomotion in 4 to 6 years-old children with motor level III spastic diplegig cerebral palsy

Este estudo objetivou traçar o perfil funcional de crianças com paralisia cerebral diparética espástica nível motor III, quanto ao desempenho de atividades de mobilidade – transferência e locomoção –, a fim de direcionar estratégias terapêuticas de avaliação e de intervenção nesta população. O estudo teve a participação de oito crianças que frequentavam o Setor de Fisioterapia Infantil da Associação de Assistência à Criança Deficiente (AACD). As crianças foram avaliadas pelo teste funcional PEDI, sendo utilizada apenas a escala de mobilidade das três partes que o compõem, que teve como referencial de comparação o GMFM. Os resultados demonstraram maior dificuldade dessas crianças nas atividades de locomoção, comparadas com as de transferência. Há necessidade de adequar a assistência do cuidador e as modificações do ambiente para promover maior independência e funcionalidade às crianças.

Establishing the functional profile of children with motor level III spastic diplegic cerebral palsy, regarding the performance of mobility activities – transfer and locomotion – in order to direct therapeutic strategies for evaluating and intervening in this population was the goal of this study. Eight children who attended the Children’s Physical Therapy Department of the Associação de Assistência à Criança Deficiente (AACD) took part in this study. These children were evaluated by the functional test PEDI – only the mobility scale of the three parts that compose the test was used, and had the GMFM as a comparison reference. The results have showed that children have greater difficulty in locomotion compared to transfer. There is the need to adequate caretaker assistance and to adapt the environment to promote higher independency and functionality to the children.