Abstract:
:Recent proposals of classification for cerebral palsy (CP), mainly revised for epidemiological purposes, suggest to abandon the use of the term diplegia. Conversely, in this paper data are presented to support the proposal to maintain the distinction between spastic tetraplegia and diplegia, and to subdivide this latter according to four main clinical patterns of walking observable in these children. This proposal of classification was validated by testing a group of 467 subjects with CP, of whom 213 with diplegia and 115 with tetraplegia, consecutively admitted between January 2005 and December 2006 to two national reference centers for this disability. The results were compared with findings obtained by other methods of classifying gross and fine motor function and associated disorders. The subjects with tetraplegia strongly differ from those of diplegia, both for motor functions and for other disabilities. The four main walking patterns of spastic diplegia were easily recognizable and observers were able to assign most of the subjects to one form of the classification. Significant correlations between walking forms of diplegia and distribution of Gross Motor Function Classification System (GMFCS) levels were found. Some of the forms significantly differ also for fine motor and mental disability. These findings suggest that in clinical practice the category of diplegia not only can be kept as a separate form of CP, but it may be enhanced, through the identification of different subcategories of children, divided according to their walking patterns.
journal_name
Eur J Phys Rehabil Medjournal_title
European journal of physical and rehabilitation medicineauthors
Cioni G,Lodesani M,Pascale R,Coluccini M,Sassi S,Paolicelli PB,Perazza S,Ferrari Asubject
Has Abstractpub_date
2008-06-01 00:00:00pages
203-11issue
2eissn
1973-9087issn
1973-9095pii
R33Y2008N02A0203journal_volume
44pub_type
杂志文章abstract:BACKGROUND:The International Classification of Functioning, Disability and Health (ICF) Generic-30 Set (previously referred to as Rehabilitation Set) is a minimal set of ICF categories for reporting and assessing functioning and disability in clinical populations with different health conditions along the continuum of ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,多中心研究
doi:10.23736/S1973-9087.18.05324-8
更新日期:2019-04-01 00:00:00
abstract::Chronic respiratory conditions are among the top causes of death and disability. The aim of the paper was to improve Physical and Rehabilitation Medicine (PRM) physicians' professional practice for people with chronic respiratory conditions in order to promote their functioning and to reduce activity limitations and/o...
journal_title:European journal of physical and rehabilitation medicine
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journal_title:European journal of physical and rehabilitation medicine
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更新日期:2013-12-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
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更新日期:2013-10-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
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journal_title:European journal of physical and rehabilitation medicine
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journal_title:European journal of physical and rehabilitation medicine
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更新日期:2013-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-04-01 00:00:00
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更新日期:2015-12-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 历史文章,杂志文章
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更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Resection surgery is the main treatment for non-small cell lung cancer (NSCLC). Postoperative complications and mortality are mostly linked to respiratory failure consecutive to respiratory muscle overload. AIM:We aimed to evaluate the effect of preoperative respiratory muscle endurance training (RMET) on r...
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pub_type: 杂志文章,评审
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更新日期:2018-04-01 00:00:00
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更新日期:2010-12-01 00:00:00
abstract::Knowledge of the determinants of disability in musculoskeletal conditions (MSC) is critical for reducing their burden. No epidemiologic studies from a truly comprehensive perspective consider environmental factors (EF) and personal factors (PF) as determinants of disability. However, one can identify candidate EF from...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2008-03-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2015-08-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
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pub_type: 杂志文章
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更新日期:2021-01-15 00:00:00