3~6岁脑性瘫痪、智力残疾、孤独症儿童活动和参与功能障碍比较.pdfVIP

中国康复理论与实践2015年9月第21卷第9期 ChinJRehabilTheoryPract,Sep.,2015,Vol.21,No.9 - 993 - DOI: 10.3969/j.issn. 1006-9771.2015.09.001 ·专题 · 3~6 岁脑性瘫痪、智力残疾、孤独症儿童活动和参与功能障碍比较① 1 2 3 3 1 梁兵 ，马洪卓 ，邱卓英 ，李沁燚 ，王金元 [摘要] 目的 比较脑瘫、智力残疾、孤独症儿童主要活动和参与障碍的特点。方法 3~6 岁参与教育与康复训练的残疾儿童 42 名，采用ICF-CY 功能检查表进行调查。结果 残疾儿童在学习和应用知识、交流、活动、家庭生活、自理和主要生活领域属于 轻度障碍；在一般任务和要求、人际交往与人际关系领域属于中度障碍。智力残疾和脑瘫儿童在学习和应用知识领域的障碍高于 孤独症儿童。结论 脑瘫、智力残疾、孤独症儿童的活动和参与功能障碍有其不同特点，应构建多样性、阶段性、连续性的教育 康复策略，实现残疾儿童康复与教育效果的最大化。 [关键词] 脑性瘫痪；智力残疾；孤独症；儿童；活动；参与；国际功能、残疾和健康分类(儿童青少年版) Comparison of Barriers of Activity and Participation for 3-6 Years Aged Children with Cerebral Palsy, Intellectu- al Disability, and Autism Using ICF-CY Questionnaire 1 2 3 3 1 LIANG Bing , MA Hong-zhuo , QIU Zhuo-ying , LI Qin-yi , WANG Jin-yuan 1. Boai Charity School, Suzhou Industrial Park, Suzhou, Jiangsu 215021, China; 2. Rehabilitation Hospital Affiliat- ed to National Research Center for Rehabilitation Technical Aids, Beijing 100176, China; 3. China Institute of Rehabili- tation Information, China Rehabilitation Research Centre/WHO-FIC CC China, Beijing 100068, China Abstract: Objective To compare the features of activity and participation difficulty of children with cerebral palsy, intellectual disabili- ty and autism. Methods 42 children with cerebral palsy, intellectual disability, and autism aged 3-6 years were evaluated with ICF-CY Ques- tionnaire. Results There were mild barriers in the domains of learning and applying knowledge, communication, mobility, self-care, domes- tic life and major life areas, and the moderat