The Lower the Physical Function, the Higher the Quality of Life in Japanese Adolescents with Cerebral Palsy.

Autor:	Kato M; Department of Occupational Therapy, Graduate School of Rehabilitation Science, Osaka Metropolitan University, Osaka, Japan.; Department of Occupational Therapy, Faculty of Rehabilitation, Kobe Gakuin University, Kobe, Japan., Arai H; Department of Pediatric Neurology, Bobath Memorial Hospital, Osaka, Japan., Komatsu K; Department of Pediatric Neurology, Bobath Memorial Hospital, Osaka, Japan., Tateyama K; Department of Occupational Therapy, Graduate School of Rehabilitation Science, Osaka Metropolitan University, Osaka, Japan., Nishikawa T; Department of Occupational Therapy, Graduate School of Rehabilitation Science, Osaka Metropolitan University, Osaka, Japan.; Department of Rehabilitation Sciences, Faculty of Health Sciences, Naragakuen University, Nara, Japan.
Jazyk:	angličtina
Zdroj:	Physical & occupational therapy in pediatrics [Phys Occup Ther Pediatr] 2023; Vol. 43 (6), pp. 713-724. Date of Electronic Publication: 2023 Mar 17.
DOI:	10.1080/01942638.2023.2186197
Abstrakt:	Aims: To investigate the factors that contribute to subjective quality of life (QOL) in adolescents with cerebral palsy (CP). Methods: We evaluated the subjective QOL in 51 adolescents with CP through interviews using the Japanese version of KIDSCREEN-27 (J-KIDSCREEN-27) and compared the scores with those of 60 typically developing adolescents. Correlations of subjective QOL with age, sex, the levels of functions (gross motor, manipulation, and communication), intelligence, the level of activity of daily living (ADL), and the type of educational support were examined. Thereafter, we investigated the predictors of the subjective QOL by multiple regression analysis. Results: The total QOL scores and individual J-KIDSCREEN-27 domains were not significantly different from those of typically developing adolescents. Sex, manipulation and communication functions, and intelligence had no relationship with subjective QOL. Gross motor function and ADL level negatively correlated with satisfaction with the school environment. Multiple regression analysis revealed that higher age predicts lower psychological well-being, lower gross motor function predicts higher satisfaction with the school environment, and attending schools or classes for special needs predicts higher physical well-being. Conclusions: Seeking adequate support for mildly affected adolescents attending regular classes will be the key to further improving subjective QOL in adolescents with CP.
Databáze:	MEDLINE
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