Relationship among four functional classification systems and parent interpredicted intelligence level in children with different clinical types of cerebral palsy

Üneş, Sefa; Tunçdemir, Merve; Özal, Cemil; Çankaya, Özge; Seyhan-Bıyık, Kübra; Delioğlu, Kıvanç; Günbey, Ceren; Günel, Mintaze Kerem; Anlar, Banu

doi:10.1080/17518423.2022.2051629

Cited by 2 publications

(4 citation statements)

References 34 publications

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“…That is why it is thought that the relationships between GMFM and ICF-CY are strong in these children. Findings that could explain our results were also reported in studies examining the relationships between different functional levels such as gross motor, fine motor, communication, and eating and drinking, which can be among some areas focused on by the ICF Core Set (22)(23)(24). It was shown in children with CP that both hemispheres of the brain are affected (bilateral CP) and all functions are adversely affected.…”

Section: Discussionsupporting

confidence: 85%

“…On the other hand, it was reported that the relationship among these functional levels are reduced as the influence on the brain decreases. Because the severity of the functions will also differ (22). In conclusion, the GMFM better reflects the child's general health status in children with severely affected CP than in children with mild and moderate involvement.…”

Section: Discussionmentioning

confidence: 91%

“…It was shown in children with CP that both hemispheres of the brain are affected (bilateral CP) and all functions are adversely affected. Therefore, there may be a strong relationship between these functions (22). On the other hand, it was reported that the relationship among these functional levels are reduced as the influence on the brain decreases.…”

Section: Discussionmentioning

confidence: 99%

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An Icf Core Set Based Investigation of the Effects of Gross Motor Functions on Health in Children With Cerebral Palsy

Üneş,

Coşkun

2023

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose: The Gross Motor Function Measure (GMFM) is commonly used to assess gross motor functions in children with cerebral palsy (CP). Our aim was to investigate the relationship between gross motor function and health status in children with CP based on clinical types and functional levels. Methods: This cross-sectional study included 75 children with CP (mean age ± SD 7.59 ±3.86 years). The 66-item Gross Motor Function Measure (GMFM-66) was used to measure the gross motor functions of children. The International Classification of Functioning, Disability and Health (ICF) CP Core Set was used to assess the general health status of children including body functions and structures, activity and participation, and environmental factors for obtaining a holistic framework. Results: Of the children, 61 (81.3%) were spastic and 14 (18.7%) were dyskinetic. Children were divided into 3 groups based on the Gross Motor Function Classification System (GMFCS) level as mild (levels 1-2, n=28), moderate (level 3, n=16), and severe (levels 4-5, n=31). The GMFM-66 had moderate to strong correlations with body functions and structures (r=-0.811, p

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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An Icf Core Set Based Investigation of the Effects of Gross Motor Functions on Health in Children With Cerebral Palsy

Üneş,

Coşkun

2023

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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“…Recently, the Visual Functional Classification System has been developed to classify the visual ability of children with CP in daily life (Baranello et al., 2020). In addition, establishing the associations between functional status, comorbidities and severity of brain injury/maldevelopment is essential to holistically describe the functional profile of children with CP (Coleman et al., 2016; Monbaliu et al., 2017; Unes et al., 2022). In previous studies, speech impairment severity was found to be associated with the severity of brain injury, communication impairment, eating and drinking and cognitive impairment in children with CP (Himmelmann et al., 2013; Pennington et al., 2020; Sigurdardottir & Vik, 2011).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Viking Speech Scale—Turkish version for children with cerebral palsy aged 4–18 years based on live and video‐based observation

Seyhan-Bıyık

Esen‐Aydinli

Sel

et al. 2022

Intl J Lang & Comm Disor

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Background: Speech is the most common method of communication. Videobased clinical communication evaluation is a requirement for children with speech-language impairments living in rural areas, and those who have limited mobility. Aims: To determine the validity and reliability of the Turkish version of the Viking Speech Scale (VSS-T) via live and video-based observation for children with cerebral palsy (CP) aged 4-18 years. Methods & Procedures:A total of 142 children (mean age 8.18 ± 3.98 years; 68 female) with CP were included in this study. Their motor, communication, visual and eating-drinking function levels and comorbidities (dental, swallowing, cognitive impairments and epilepsy) were recorded. The Intelligibility in Context Scale (ICS), the Pediatric Evaluation of Disability Inventory-Social Function (PEDI-SF), and the Functional Independence Measure for Children-Communication (WeeFIM-C) were assessed to examine the concurrent validity of the VSS-T. The interrater reliability of the VSS-T was analysed between parents, physical therapists, and speech and language therapists from live and video-based observation. Intra-rater reliability was calculated from ratings made from live and video-based observations taken 3 weeks apart. Outcomes & Results:The VSS-T was strongly related to the ICS (r = -0.830), PEDI-SF (r = -0.819), WeeFIM-C (r = -0.643), other functional classifications (r > 0.432), and the comorbidities (Cramer's V > 0.284, p < 0.001). Good to excellent interrater reliability (κ w ≥ 0.838) and intra-rater reliability (intraclass correlation coefficient (ICC) = 0.848-0.995) were found between parents and therapists.Conclusions & Implications: Speech and language therapists, physical therapists, and parents can use the VSS-T as a valid and reliable classification system to describe speech intelligibility of 4-18-year-old children with CP. Both live and video-based observations can be used to administer the VSS-T.

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Relationship among four functional classification systems and parent interpredicted intelligence level in children with different clinical types of cerebral palsy

Cited by 2 publications

References 34 publications

An Icf Core Set Based Investigation of the Effects of Gross Motor Functions on Health in Children With Cerebral Palsy

An Icf Core Set Based Investigation of the Effects of Gross Motor Functions on Health in Children With Cerebral Palsy

Psychometric properties of the Viking Speech Scale—Turkish version for children with cerebral palsy aged 4–18 years based on live and video‐based observation

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