Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study

Motor abilities, activities, and participation of institutionalized Brazilian children and adolescents with cerebral palsy

“…Independent mobility is important for activities and participation as it reduces the burden on caregivers and the need for supportive environments. Children with significant mobility problems who cannot walk or get around independently are at risk of secondary related delays in additional mobility 42,43 , since early-onset muscle shortening and difficulty in breathing and swallowing reduce the chances of motor function and ADLs independence in adult life 44 . Furthermore, with the exception of wheelchairs (all in need of repair), rehabilitation resources (e115; e120), such as orthoses and/or assistive technologies, are not used at the institution.…”

Addition of an educational programme for primary caregivers to rehabilitation improves self-care and mobility in children with cerebral palsy: a randomized controlled trial

“…Despite the reduced need for caregiver assistance detected in the mobility domain, no significant changes in gross motor function were observed, even though the caregiver-educational programme contained guidelines on posture transfers and posture maintenance, and a correlation between the mobility domain and gross motor function has been previously described. 16,17 However, it should be taken into consideration that changing the environmental context may influence mobility performance and that measurements in controlled environments, 18 such as the GMFM, Table 2. Comparison of the mean values of the measured GMFM-66, PEDI-FSS and PEDI-CAS within each group from pre-to posttreatment and between the groups in pre-and posttreatment evaluation times.…”

Association of social factors and health conditions with capacity and performance

“…Arthritis/arthrosis, in turn, implies limitations resulting from pain 23 . Disability is also associate with respiratory diseases, possibly due to muscle strength, lower extremity function, exercise performance, and mobility-related dyspnea 24 . LBP is associated with limitation of activities such as personal hygiene, household chores, and carrying shopping bags due to movement limitations 25 .…”

“…As for rheumatic diseases, being an older women who underwent joint surgery and experience pain is associated with disabilities 30 . Cerebral palsy is a very disabling health condition and probably results from motor impairments caused by brain lesions and environmental factors 24 . Finally, sleep disorders are also a predictor of disabilities and this association seems to be indirectly linked to muscle fatigue, which leads to low levels of physical activity, deregulation of systems such as inflammatory, and increased risk of obesity.…”