Assessment tools for evaluating body structure-function and activity in dyskinetic cerebral palsy: a systematic review of instrumented assessments according to ICF-CY

Yıl 2025, Cilt: 8 Sayı: 1, 146 - 155, 12.01.2025

Eda Burç , Cemil Özal , Mintaze Kerem Günel

https://doi.org/10.32322/jhsm.1562186

Öz

Dyskinetic cerebral palsy (CP) is one of the most severe forms of CP, characterized by dystonia or choreoathetosis and can be classified into dystonic and choreoathetosis subgroups. The International Classification of Functioning, Disability, and Health-Child and Youth Version (ICF-CY) provides a framework for physical therapists to understand the health, functioning, activity, participation, and impact of dystonia and choreoathetosis. This review aimed to examine the clinical use of ICF-CY tools to assess body structure, function, and activity in children with dyskinetic CP. A systematic search was conducted in June 2024 using PubMed, Embase, Scopus, and Google Scholar databases. The search included terms related to cerebral palsy, dyskinesia, choreoathetosis, dystonia, body structure, function, and activity. After removing duplicates, 11,800 articles remained and 34 met the inclusion criteria. The review found that ICF-CY activity assessments focused primarily on fine-motor, communication, eating-drinking, bimanual fine motor, and speech functions following gross motor function. Some studies have evaluated ICF-CY body structure and function. Most studies used the Dyskinesia Impairment Scale. This review presents evaluations using instrumented assessments as objective outcome measures in patients with dyskinetic CP. Future studies should develop measurements that are applicable outside the laboratory by using new technologies.

Anahtar Kelimeler

Dyskinetic cerebral palsy, assessment tools, ICF-CY, body structure and function, activity

Proje Numarası

The ID number of my Prospero registration is CRD42024552261

Diskinetik serebral palsi'de vücut yapısı-fonksiyonu ve aktivitesini değerlendirmek için değerlendirme araçları: ICF-CY'ye göre enstrümante edilmiş değerlendirmelerin sistematik bir incelemesi

Öz

Diskinetik serebral palsi (SP), distoni veya koreoatetoz ile karakterize en şiddetli CP formlarından biridir ve distonik ve koreoatetoz alt gruplarına sınıflandırılabilir. Uluslararası İşlevsellik, Engellilik ve Sağlık Sınıflandırması-Çocuk ve Gençlik Versiyonu (ICF-CY), fizyoterapistlerin distoni ve koreoatetozun sağlık, işlevsellik, aktivite, katılım ve etkisini anlamaları için bir çerçeve sağlar. Bu inceleme, diskinetik CP'li çocuklarda vücut yapısını, işlevini ve aktivitesini değerlendirmek için ICF-CY araçlarının klinik kullanımını incelemeyi amaçlamıştır. Haziran 2024'te PubMed, Embase, Scopus ve Google Scholar veritabanları kullanılarak sistematik bir arama yapıldı. Arama serebral palsi, diskinezi, koreoatetoz, distoni, vücut yapısı, işlevi ve aktivitesi ile ilgili terimleri içeriyordu. Yinelenenler kaldırıldıktan sonra 11.800 makale kaldı ve 34'ü dahil etme kriterlerini karşıladı. İnceleme, ICF-CY aktivite değerlendirmelerinin öncelikle brüt motor fonksiyonunu takiben ince motor, iletişim, yeme-içme, bimanuel ince motor ve konuşma fonksiyonlarına odaklandığını buldu. Bazı çalışmalar ICF-CY vücut yapısını ve fonksiyonunu değerlendirdi. Çoğu çalışma Diskinezi Bozukluğu Ölçeğini kullandı. Bu inceleme, diskinetik CP'li hastalarda objektif sonuç ölçütleri olarak enstrümanlı değerlendirmeler kullanan değerlendirmeleri sunmaktadır. Gelecekteki çalışmalar, yeni teknolojiler kullanarak laboratuvar dışında uygulanabilir ölçümler geliştirmelidir.

Anahtar Kelimeler

Diskinetik serebral palsi, değerlendirme araçları, ICF-CY, vücut yapısı ve işlevi, aktivite

Proje Numarası

The ID number of my Prospero registration is CRD42024552261

Kaynakça

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