| 1. |
- Ahlqwist, Anna, et al.
(författare)
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Physical therapy treatment of back complaints on children and adolescents.
- 2008
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Ingår i: Spine. - 1528-1159. ; 33:20
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Tidskriftsartikel (refereegranskat)abstract
- STUDY DESIGN: A randomized controlled trial was performed. OBJECTIVES: To evaluate how 2 different treatment options affect perception of health, pain, and physical functioning over time among children and adolescents with low back pain (LBP). SUMMARY OF BACKGROUND DATA: LBP among children and adolescents has increased. The literature shows that children with LBP also suffer from this condition as adults. Thus, it is important to prevent and treat LBP in children and adolescents. METHODS: Forty-five children and adolescents were consecutively randomized into one of 2 treatment groups and were studied for 12 weeks. Group 1 was given individualized physical therapy and exercise and a standardized self-training program and back education. Group 2 was given self-training program and back education but no individualized therapy. The children and adolescents were tested before and after the treatment period. Child Health Questionnaire Child Form 87, Roland & Morris Disability Questionnaire, Painometer, Back Saver Sit and Reach, and test of trunk muscle endurance were used to evaluate the interventions. RESULTS: Both groups improved statistically significant in most parameters over time. On comparison between the groups the physical function measured by Roland & Morris Disability Questionnaire and the duration of pain measured by Painometer improved statistically significant in Group 1. CONCLUSION: An individual assessment by a knowledgeable physiotherapist and an active treatment model improve how children and adolescents experience their back problems with respect to health and physical function, pain, strength, and mobility, regardless of whether treatment consists of a home exercise program with follow-up or home exercise combined with exercise and treatment supervised by a physiotherapist.
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| 2. |
- Arnaud, Catherine, et al.
(författare)
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Parent-reported quality of life of children with cerebral palsy in Europe.
- 2008
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Ingår i: Pediatrics. - : American Academy of Pediatrics (AAP). - 1098-4275 .- 0031-4005. ; 121:1, s. 54-64
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The goal was to determine whether the type and severity of the child's impairments and the family's psychosocial, social, and economic characteristics influence parent-reported child quality of life across the spectrum of severity of cerebral palsy. METHODS: Our population-based, cross-sectional survey conducted in 2004 to 2005 involved 818 children with cerebral palsy, 8 to 12 years of age, from 7 countries (9 regions) in Europe. Child quality of life was assessed through parent reports by using the Kidscreen questionnaire, and data were analyzed separately for each of its 10 domains. RESULTS: The parental response rates were >93% for all domains except one. Gross motor function and IQ level were found to be associated independently with quality of life in most domains. However, greater severity of impairment was not always associated with poorer quality of life; in the moods and emotions, self-perception, social acceptance, and school environment domains, less severely impaired children were more likely to have poor quality of life. Pain was associated with poor quality of life in the physical and psychological well-being and self-perception domains. Parents with higher levels of stress were more likely to report poor quality of life in all domains, which suggests that factors other than the severity of the child's impairment may influence the way in which parents report quality of life. CONCLUSIONS: The parent-reported quality of life for children with cerebral palsy is associated strongly with impairment. However, depending on the areas of life, the most severely impaired children (in terms of motor functioning or intellectual ability) do not always have the poorest quality of life.
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| 3. |
- Axelsson Landberg, Tove, et al.
(författare)
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Hälsoprojekt ökar barns lust att röra på sig
- 2005
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Ingår i: Svensk Idrottsforskning. ; 4, s. 1-6
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Många skolor driver glädjande nog hälsoprojekt idag, bland annat som följd av Handslaget. Få har dock utvärderats ännu. Påverkas barnens attityder och vanor? Ett nyligen avslutat hälsoprojekt i Partille kommun tyder på detta. Det Bunkeflo-inspirerande hälsoprojektet löpte under en tvåårsperiod, ht 2002 till vt 2004, och innefattade utökad fysisk aktivitet i olika former samt massage och avslappning för de minsta barnen. Projektet följdes upp med enkäter till barnen före och efter projektet samt en fokusgruppintervju med nyckelpersonal. Resultatet har redovisats i form av en C-uppsats vid Göteborgs universitet, vilket sammanfattas i nedanstående artikel.
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| 4. |
- Beckung, Eva, 1950, et al.
(författare)
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Correlation between ICIDH handicap code and Gross Motor Function Classification System in children with cerebral palsy.
- 2000
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Ingår i: Developmental medicine and child neurology. - 0012-1622. ; 42:10, s. 669-73
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to apply the International Classification of Impairments, Disabilities and Handicap (ICIDH; WHO 1980) parallel to the Gross Motor Function Classification System (GMFCS; Palisano et al. 1997) in a population-based series of children with cerebral palsy (CP). Of the 116 children studied, birth characteristics, data on gross motor function, and level of handicap at 5 to 6 years of age, were retrospectively collected from medical records and documentation made by rehabilitation team members. Low handicap scores and mild levels of gross motor disability were present in children with hemiplegic CP, moderate scores in children with diplegic CP, simple ataxia, and athetotic CP, and high scores in children with dystonic CP and tetraplegic CP. A significant correlation was found between high handicap scores as well as high levels on the GMFCS and the presence of learning disability, epilepsy, and obvious aetiology of CP. A strong correlation was found between the handicap code and the GMFCS, the strongest concerning the dimension of mobility (r = 0.95,p<0.0001). A striking similarity in the grading of disability was present between the ICIDH handicap code and the GMFCS. The GMFCS is considerably less time-consuming and can be evaluated retrospectively. The handicap code requires more detailed information and is more useful for a comprehensive profile of the child.
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| 5. |
- Beckung, Eva, 1950
(författare)
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Development and Validation of a Measure of Motor and Sensory Function in Children with Epilepsy
- 2000
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Ingår i: Pediatric Physical Therapy. ; 12, s. 24-35
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Tidskriftsartikel (refereegranskat)abstract
- A new evaluative measure of motor and sensory function was developed for children with epilepsy aged six to 16 years. tha basis for the measure were theories of normal motor development and motor control, and the conceptual framework was the World health organization´s International Classification of Impairments, disabilities, and Handicaps. the assessment protocol has 59 items, including gross motor function, gait,balance, coordination, strength, range of motion, velocity, fine motor function, sensation, perception and performance in neurological tests. The quality and level of sensiomotor function were scored. Classification of handicap was included in the test. Intrarater and interrater reliability were evaluated and found to be good (r> 0.9). the test was administrated to 274 children, and evidens of good content validity, criterion-based/concurrent validity, construct validity, and responsiveness to change was found. The test was found to be a useful measure of motor and sensory function in this heterogeneous population of children with epilepsy involved in an epilepsy surgery program.
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| 6. |
- Beckung, Eva, 1950, et al.
(författare)
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Health status of children with cerebral palsy living in Europe: a multi-centre study.
- 2008
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Ingår i: Child: care, health and development. - : Wiley. - 1365-2214 .- 0305-1862. ; 34:6, s. 806-14
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The aim of this report is to describe the health status of 8-12-year-old children with cerebral palsy (CP) of all severities in Europe using the Child Health Questionnaire (CHQ). METHOD: A total of 818 children with CP from nine centres in defined geographical areas participated. CP type, gross and fine motor function, additional impairments were classified and family data were obtained. The CHQ was used to measure the parent's perception of their child's physical (PHY) and psychosocial (PSY) health. RESULTS: PHY scores were lower than the reference samples with a median of 46. The severity of gross motor function influenced the CHQ scores significantly in the PHY scale with the lowest scores for children with least gross motor function. There were significant differences between the CP types in PHY with the higher scores for children with unilateral spastic and the lowest scores for children with bilateral spastic and dyskinetic CP type. Fine motor function severity significantly affected both the PHY and PSY scales. The severity of intellectual impairment was significantly associated with CHQ scores in most dimensions with higher scores for higher IQ level in PHY and PSY. Children with seizures during the last year had a significantly lower health compared with children without seizures. The results of the multivariate regression analyses (forward stepwise regression) of CHQ scores on CP subtype, gross and fine motor function, cognitive function, additional impairments, seizures, parental education and employment revealed gross motor function, cognitive level and type of school attended were significant prognostic factors. CONCLUSION: This report is based on the largest sample to date of children with CP. Health status as measured using the CHQ was affected in all children and was highly variable. Gross motor function level correlates with health from the PHY well-being perspective but the PSY and emotional aspects do not appear to follow the same pattern.
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| 7. |
- Beckung, Eva, 1950, et al.
(författare)
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Hidden dysfunction in childhood epilepsy.
- 1997
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Ingår i: Developmental medicine and child neurology. - 0012-1622. ; 39:2, s. 72-8
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Tidskriftsartikel (refereegranskat)abstract
- Sensory and motor function were evaluated in 84 children and adolescents with epilepsy but not additional neuroimpairments such as mental retardation or cerebral palsy. The influence of sex, age, age at onset of epilepsy, duration, seizure type and frequency and medication was analysed. The Bruininks-Oseretsky Test of Motor Proficiency and the EB (Eva Beckung) test were used. We found significant dysfunction in gross as well as in fine motor functions. The most obvious deviation from normal was noted in gross motor function, mainly in the areas of running speed, balance, response speed and bilateral coordination, but also in upper-limb speed, dexterity and coordination. Boys performed better than girls. Motor function scores improved with age but sensory and motor problems persisted in the teenage years. Early onset and a long duration of the epilepsy were associated with significantly more sensory and motor difficulties. The children on monotherapy performed significantly better than the children on polytherapy and, surprisingly, also better than those without antiepileptic medication. Sensory and motor function should be carefully investigated in the context of a comprehensive rehabilitation programme for children with epilepsy.
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| 8. |
- Beckung, Eva, 1950, et al.
(författare)
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Impairments, disabilities and handicaps in children and adolescents with epilepsy.
- 1997
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Ingår i: Acta paediatrica (Oslo, Norway : 1992). - 0803-5253. ; 86:3, s. 254-60
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Tidskriftsartikel (refereegranskat)abstract
- The patterns of motor and sensory impairments, disabilities and handicap were assessed in 217 children and adolescents with epilepsy. Motor and sensory dysfunctions were found to be common even in children without major additional neurodisorders such as cerebral palsy and mental retardation. Handicap was most severe in the dimensions of physical independence and orientation and increased significantly with duration of epilepsy. It was more severe when the onset of seizures was early and when secondary generalized seizures were present. Handicap was significantly reduced after epilepsy surgery.
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| 9. |
- Beckung, Eva, 1950, et al.
(författare)
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Motor and sensory dysfunctions in children with mental retardation and epilepsy.
- 1997
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Ingår i: Seizure : the journal of the British Epilepsy Association. - 1059-1311. ; 6:1, s. 43-50
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to assess motor and sensory functions in a population-based series of 88 mentally retarded children with epilepsy. A new standardized physiotherapy protocol was developed for the heterogeneous population of children with epilepsy; the Cailler-Azusa scale was also found to be useful. For children with cerebral palsy, the gross motor function measure was used. Sensorimotor impairments, resulting in disabilities and handicap, were found to be very common but often overlooked and neglected. Sensorimotor dysfunctions need to be identified in order to provide rational training, understanding and care to children with epilepsy and mental retardation.
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| 10. |
- Beckung, Eva, 1950, et al.
(författare)
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Motor and sensory impairments in children with intractable epilepsy.
- 1993
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Ingår i: Epilepsia. - 0013-9580. ; 34:5, s. 924-9
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Tidskriftsartikel (refereegranskat)abstract
- During a 3-year period (1988-1991), 72 children with severe intractable epilepsy were studied. A standardized protocol for assessment of motor and sensory function was designed for school age children. Function was quantified on a 4-point scale on 47 items, including gross motor function, balance, coordination, strength, range of motion (ROM), velocity, fine motor function, sensation, perception, and neurologic tests. Classification of handicaps according to World Health Organization (WHO) definitions was performed. Videotape documentation completed the assessment. Evaluation of treatment services showed that provision of rehabilitation services had been insufficient and provided only for children with additional major movement disorders, mainly cerebral palsy (CP) cases. To minimize the handicap in children with severe epilepsy, it is essential to clarify the total sensorimotor impairment pattern, including balance, coordination, and perceptual capacity. Impairments in these functions are, as shown in this study, frequent and exist independent of major disabilities such as mental retardation or cerebral palsy. When several neuroimpairments were identified, a multiplicative rather than an additive effect on the total handicap was evident.
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