Predicting the Effects of Cerebral Palsy Severity on Self-Care, Mobility, and Social Function

Phipps, Shawn; Roberts, Pamela

doi:10.5014/ajot.2012.003921

Cited by 23 publications

(16 citation statements)

References 34 publications

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“…One of the more recent and cited definitions of cerebral palsy (CP) includes the phrase ‘a group of permanent disorders of the development of movement and posture’ . This disorder in the development of movement and posture produces a corresponding reduction in mobility, self‐care, and social function in children with CP. Training interventions aim at improving the child's motor function in the hope that this will improve the child's levels of activity and participation, thus enhancing the child's quality of life.…”

mentioning

confidence: 99%

The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross‐sectional study

Curtis

Butler

Saavedra

et al. 2014

Develop Med Child Neuro

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Aim Improvement of gross motor function and mobility are primary goals of physical therapy in children with cerebral palsy (CP). The purpose of this study was to investigate the relationship between segmental control of the trunk and the corresponding gross motor function in children with CP. Method This retrospective cross‐sectional study was based on 92 consecutive referrals of children with CP in Gross Motor Function Classification System (GMFCS) levels I to V, 39 females, 53 males (median age 4y [range 1–14y]), and 77, 12, and 3 with spastic, dyskinetic, and ataxic CP respectively. The participants were tested using the Gross Motor Function Measure (GMFM), the Pediatric Evaluation of Disability Inventory (PEDI), and the Segmental Assessment of Trunk Control (SATCo). Results Linear regression analysis showed a positive relationship between the segmental level of trunk control and age, with both gross motor function and mobility. Segmental trunk control measured using the SATCo could explain between 38% and 40% of variation in GMFM and between 32% and 37% of variation in PEDI. Interpretation This study suggests a strong association between segmental trunk postural control and gross motor function and mobility with significant clinical implications for the treatment of children with CP.

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mentioning

confidence: 99%

The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross‐sectional study

Curtis

Butler

Saavedra

et al. 2014

Develop Med Child Neuro

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show abstract

“…Furthermore, the main objective of the GMFCS is to promote communication between families and professionals while presenting a child’s gross motor function, setting goals, and assisting in making management decisions. Currently, the GMFCS has become an internationally recognized classification standard that could provide a determination of the gross motor function and severity of disability [44]. However, the GMFCS can only evaluate and predict functions of mobility, and remains relatively stable over time, regardless of whether it applies interventions [45].…”

Section: Surgical Managementmentioning

confidence: 99%

Orthopedic treatment of the lower limbs in spastic paralysis

Deng

Zeng

et al. 2020

Brain Science Advances

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Spastic paralysis of the limb mainly results from the central lesion, in which spastic cerebral palsy is the common cause. Due to durative muscle spasm in spastic cerebral palsy, it is often accompanied by the formation of secondary musculoskeletal deformities, resulting in limb motor disability. Based on its pathogenesis, surgical treatment is currently applied: selective posterior rhizotomy (SPR) or orthopedic surgery. The primary purpose of early orthopedic surgery was simply to correct limb deformities, which usually led to the recurrence of deformity as a result of the presence of spasticity. With the application of SPR, high muscle tone was successfully relieved, but limb deformity was still present postoperatively. Therefore, this study aimed to elaborate on the management of orthopedic surgery, common deformities of the lower limb, and orthopedic operative methods; discuss the relationship between SPR and orthopedic procedure for limb deformity; and focus on the indications, timing of intervention, and postoperative outcome of different surgical methods.

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“…Until now, for individuals with CP, the predictors of participation have only been studied longitudinally among youth and over a relatively short period of time [11,12]. The baseline level of participation was shown to be the most important predictor of participation five years later [11].…”

Section: Introductionmentioning

confidence: 99%

“…For domestic life, CP-related characteristics explained a larger part of future participation compared to interpersonal relationships [11]. Furthermore, environmental factors (e.g., parental stress) predicted poorer future participation in interpersonal relationships, but not in domestic life [11,12]. However, it remains unclear whether childhood factors also predict participation in young adulthood.…”

Section: Introductionmentioning

confidence: 99%

Childhood factors predict participation of young adults with cerebral palsy in domestic life and interpersonal relationships: a prospective cohort study

Gorp

Roebroeck

Eck

et al. 2019

Disability and Rehabilitation

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Purpose:To determine childhood predictors of participation in domestic life and interpersonal relationships of young adults with cerebral palsy (CP). Materials and methods: This 13-year follow-up of an existing cohort (baseline age 9-13 years) included 67 young adults with CP (age 21-27 years). The Vineland adaptive behavior scales (VABS) and Life Habits questionnaire were used to assess attendance and difficulty in participation in domestic life and interpersonal relationships. Baseline factors were categorised according to the international classification of functioning, disability, and health. Stepwise multiple linear regression analyses determined significant predictors (p < 0.05). Results: Lower manual ability, intellectual disability (ID), epilepsy and lower motor capacity predicted decreased future participation in domestic life, and/or interpersonal relationships (explained variance R 2 ¼ 67-87%), whereas no association was found with environmental and personal factors. Extending models with baseline fine motor skills, communication, and interpersonal relationships increased R 2 to 79-90%. Conclusions: Childhood factors account for 79-90% of the variation in young adult participation in domestic life and interpersonal relationships of individuals with CP. Children with limited motor capacity, low manual ability, ID, or epilepsy are at risk for restrictions in participation in young adulthood. Addressing fine motor, communication, and social skills in paediatric rehabilitation might promote young adult participation. ä IMPLICATIONS FOR REHABILITATIONChildhood risk factors for limited participation in domestic life and interpersonal relationships as a young adult with CP are ID, epilepsy, low manual ability, low motor capacity, and low activity & participation levels. In line with current practice, this study confirms the importance of addressing gross and fine motor skills in children with CP for their future participation in domestic life. In addition, results suggest that addressing communication and social skills during paediatric rehabilitation may optimise future participation in interpersonal relationships. ARTICLE HISTORY

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Predicting the Effects of Cerebral Palsy Severity on Self-Care, Mobility, and Social Function

Cited by 23 publications

References 34 publications

The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross‐sectional study

The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross‐sectional study

Orthopedic treatment of the lower limbs in spastic paralysis

Childhood factors predict participation of young adults with cerebral palsy in domestic life and interpersonal relationships: a prospective cohort study

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