The Effect of Day-Hospital Rehabilitation Program on Gross Motor Function for Children with Cerebral Palsy

Abstract

Th ep u r p o s eo ft h i ss t u d ywa st of i n dt h ee f f e c to fDa yHo s p i t a lRe h a b i l i t a t i o np r o g r a mso n g r o s smo t o rf u n c t i o ni nc h i l d r e nwi t hc e r e b r a l p a l s y . Th es u b j e c t swe r e5 7c h i l d r e nwi t hs p a s t i c c e r e b r a l p a l s ywi t hn op r e v i o u sb o t u l i n u m t o x i ni n j e c t i o no ro p e r a t i o nh i s t o r ywi t h i n6mo n t h s . Th eGr o s sMo t o rF u n c t i o n Me a s u r e ( GMF M)s c o r ea n dGr o s sMo t o rF u n c t i o n Cl a s s i f i c a t i o n S y s t e m( GMF CS ) we r e u s e d t o e v a l u a t e a s f u n c t i o n a lc h a n g e a n d f u n c t i o n a ll e v e l .Th e P r o g r a msf o rDa yHo s p i t a lRe h a b i l i t a t i o np e r i o df o rc e r e b r a lp a l s yc h i l d r e nwa s8we e k s . Th e r e s u l t so ft h es t u d ya r ea sf o l l o ws : 1 , GMF M S c o r eo fp r e -a n dp o s t -p r o g r a msf o rDa yHo s p i t a l Re h a b i l i t a t i o ns h o we dt h es t a t i s t i c a l l ys i g n i f i c a n td i f f e r e n c e ( p<. 0 0 1 ) .2 ,Th ea g eg r o u pi n1 -2 wa sh i g h e rt h a n a g e5 -6g r o u p ,3 -4wa sh i g h e rt h a n a g e5 -6g r o u pb y P o s t -h o ca n a l y s i s . L a s t l y , t h e r e wa s s i g n i f i c a n t l y d i f f e r e n t o f GMF M i n GMF CS l e v e l ( p <. 0 5 ) , e s p e c i a l l y mi l d ( GMF CS l e v e lⅠ)a n d mo d e r a t e ( GMF CS l e v e lⅡ, Ⅲ)o fCP s h o we d t h a tg r o s s mo t o r f u n c t i o nwa ss i g n i f i c a n t l yd i f f e r e n tt h a ns e v e r e ( GMF CS l e v e lⅣ, Ⅴ) . Th ep r o g r a msf o rDa y Ho s p i t a lRe h a b i l i t a t i o nwa se f f e c t i v eo ng r o s smo t o rf u n c t i o nf o rc h i l d r e nwi t hc e r e b r a lp a l s y , a n df o re a r l yi n t e r v e n t i o nn e e d st omi l d ,mo d e r a t eCP ,a n db e l o w a g e4g r o u p .