Reference Curves for the Gross Motor Function Measure: Percentiles for Clinical Description and Tracking Over Time Among Children With Cerebral Palsy

Hanna, Steven; Bartlett, Doreen; Rivard, Lisa; Russell, Dianne

doi:10.2522/ptj.20070314

Cited by 220 publications

(269 citation statements)

References 23 publications

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“…Cerebral Palsy (CP) is the most prevalent diagnosis for children with significant motor impairments who are followed by physical and occupational therapists [1]. This diagnosis results in lifelong progressive deforming secondary sequellae, most likely as a direct result of immobility.…”

Section: Introductionmentioning

confidence: 99%

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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Gait trainers are walking devices that provide additional trunk and pelvic support. The primary population of children using gait trainers includes children with cerebral palsy (CP) functioning at Gross Motor Function Classification System (GMFCS) levels IV and V. A recent systematic review found that evidence supporting the effectiveness of gait trainer interventions for children was primarily descriptive and insufficient to draw firm conclusions. A major limitation identified was the lack of valid, sensitive and reliable tools for measuring change in body structure and function, activity and participation outcomes. Twelve different clinical tools were identified in the systematic review and in this paper we review and discuss the evidence supporting their reliability, validity and clinical utility for use with children using gait trainers. We also describe seven additional clinical measurement tools that may be useful with this intervention and population. The Pediatric Evaluation of Disability Inventory (PEDI) rated highest across all areas at this time. Individualized outcome measures, such as the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling and measuring user satisfaction with tools, such as the Quebec User Evaluation of Satisfaction with assistive Technology, show potential for gait trainer outcomes research. Spatiotemporal measures appear to be less useful than functional measures with this intervention and population. All tools would benefit from further development for use with children with CP functioning at GMFCS levels IV and V.

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Section: Introductionmentioning

confidence: 99%

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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“…Previous studies of representative groups of children with CP, with mainly a level III deficit have shown maximal improvement of motor functions up to the age of 10 years with standard rehabilitation including mechanotherapy; afterwards motor skills did not increase and in some cases even decreased [13]. Using the GMFM-88 scale, we have shown that improvement occurred in less than 50% of the cases in the control group, while in the experimental group 81% of the subjects showed improved motor skills.…”

Section: Discussionmentioning

confidence: 85%

Combination of Functional Electrical Stimulation and Noninvasive Spinal Cord Electrical Stimulation for Movement Rehabilitation of the Children with Cerebral Palsy

Баиндурашвили

Ikoeva

Gerasimenko

et al. 2017

Proceedings of the Scientific-Practical Conference "Research and Development - 2016"

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Movement and posture disability are appropriate to cerebral palsy (CP).The aim of the current study was to examine the hypothesis that the functional muscle electrical stimulation (FES) and transcutaneous spinal cord electrical stimulation (TSCS) combined with locomotor treadmill training improve posture and motor function in children with severe CP. Thirty-one children with CP (spastic diplegia) (7-13 years old; mainly levels III of GMFCS) participated in the study. The experimental group received muscle FES and TSCS at T11 and L1 spinal levels, combined with locomotor treadmill training, whereas the participants of the control group received locomotor treadmill training only. After treatment, the GMFM-88 score increased in 81% children of the experimental group and in 33% children of the control group. In the experimental group, there were a significant decrease of the stabilogram area in the eye opened condition and the significant decrease of forward shift of center of pressure projection in the sagittal plane in both eye opened and eye closed conditions, whereas in the control group any significant changes of stabilogram parameters did not observed. Knee torque and range of knee motion significantly increased in the experimental group. After electrical stimulation, the decrease of muscle co-activation in proximal and distal muscles occurred, whereas in the control group muscle co-activation decreased in proximal muscles only. Thus, improvement of motor functions and balance control system in children with severe CP in response to the combination of TSCS, FES and locomotor training revealed. Combination of these techniques can be used for the effective neurorehabilitation.

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“…In the first module, smaller and younger children had better outcomes for motor improvements. The same explanation could be used when statistical differences were found between pre-and posttest in the modules, considering majority of sample is younger than 7 years and that previous studies identified stability of motor performance from this age (Hanna, Bartlett, Rivard, & Russell, 2008;Hanna et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Intensive neuromotor therapy with suit improves motor gross function in cerebral palsy: a Brazilian study

Mélo

Yamaguchi

Chiarello³

et al. 2018

motricidade

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Cerebral palsy (CP) is the most common disability in children caused by central nervous system lesion. The aim of the present study was to verify the intensive neuromotor therapy effects in children with CP, in a reference Brazilian centre. In this study, three years of medical records from a Brazilian reference Centre of Intensive Neuromotor Therapy (INMT) which use the INMT protocol were analysed. The motor evaluation for each child was done by the Gross Motor Function Classification System (GMFCS) and GMFM-88 by an experienced professional, before and after each INMT module. A total of 53 children between the ages of 1 and 15 years (age at treatment initiation, initial evaluation), with a mean age of 5.94±3.38 years, participated in the study. Participants performed between 1 and 10 INMT modules. There was no strong correlation between age and overall performance on the GMFM scale, but it was observed a strong negative correlation between the percentage of GMFM gains and the number of modules (r=-0.709; R 2 = 0.50; p = 0.022, CI95%[0.014 -0.026]), suggesting that patients tend to present higher percentage gains in the first modules. Through an intra-module comparison, it was observed statistical difference in the total score in each of the modules.

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Reference Curves for the Gross Motor Function Measure: Percentiles for Clinical Description and Tracking Over Time Among Children With Cerebral Palsy

Cited by 220 publications

References 23 publications

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Combination of Functional Electrical Stimulation and Noninvasive Spinal Cord Electrical Stimulation for Movement Rehabilitation of the Children with Cerebral Palsy

Intensive neuromotor therapy with suit improves motor gross function in cerebral palsy: a Brazilian study

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