Objective To explore effective strategies for ability of daily living activities (ADL) training of cerebral palsy (CP) children based on real-life orientation by implementing a combination of medical and teaching methods. Methods A total of 41 children with CP who were treated in Xiangya Boai Rehabilitation Hospital from April 2017 to August 2018 were enrolled in this study and were randomly divided into control group and study group.The control group was given conventional ADL training,and study group received real-life-oriented ADL training,orientated by personal hygiene or self-care,community transfer-functional movement,hand function operation,daily life communication and social activities,respectively.Before and after treatment,Children′s Living Function Assessment Scale (PEDI),Children′s Functional Independence Rating Scale (WeeFIM),and the Chinese Version of the Children′s Quality of Life Cerebral Palsy Scale (PedsQLTM) 3.0 were used to assess children′s ADL skills,functional independence and quality of life(QOL). Result After 4 months of treatment,the PEDI,WeeFIM and PedsQLTM 3.0 scores of the two groups were significantly higher than those before treatment (control group:t=14.796,6.954,31.104;study group:t=5.613,31.576,20.193,P＜0.01),and the scores of study group were significantly better than those of the control group (t=2.247,2.233,2.119,P＜0.05). Conclusion Accepting the idea of combining medicine with education and whole-person development,and selecting individualized training strategies in ADL training,especially ADL training models based on real life orientation,can effectively improve ADL skills and QOL in CP children,thereby advancing children′s ability to live independently in real life.
Key words
cerebral palsy /
real life orientation /
ability of daily living activities /
integration of medical education and education /
whole person development
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