Walking Prognosis in Cerebral Palsy: A 22‐year Retrospective Analysis

Paz, Aloysio Campos da; Burnett, Sáuria Miranda; Braga, Lúcia Willadino

doi:10.1111/j.1469-8749.1994.tb11821.x

Cited by 70 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lastly specific motor milestones such as sitting independently (OR: 12.5, 95% CI 5.8–27.2), pull to stand (OR: 18.5, 95% CI 13.4–60.4) [84], pushing up in prone, and rolling supine to prone [85] (sensitivity and specificity not given), as well as the rate of motor skill acquisition, have been shown to be predictors of ambulation of infants with CP at ages three to five years. It has long been known [10] and corroborated in several studies [84,86] that sitting independently by 24 months is a predictor of later ambulation with or without support. However, earlier accurate predictors of future ambulation are required when a diagnosis has been made in the first year of life.…”

Section: Current State Of Early Classification Of Cp Under Two Yeamentioning

confidence: 79%

Early Diagnosis and Classification of Cerebral Palsy: An Historical Perspective and Barriers to an Early Diagnosis

Velde

Morgan

Novak

et al. 2019

JCM

102

View full text Add to dashboard Cite

Since the 1800s, there have been calls in the literature for the early diagnosis of cerebral palsy (CP). However, diagnosis still often occurs late, from 12 to 24 months in high income countries and as late as 5 years in low resource settings. This is after the optimal timeframe for applying interventions which could harness neuroplastic potential in the developing brain. Multiple barriers exist which affect clinicians’ confidence in diagnosing CP early. These range from the lack of definitive biomarkers to a lack of curative treatments for CP. Further barriers to diagnosis are proposed including; (a) difficulty finding a congruent fit with the definition of CP in an infant, where expected activity limitations might not yet be apparent; and (b) differences in the presentation of motor type and topography classifications between infants and children. These barriers may affect a clinicians’ confidence using “pattern recognition” in the differential diagnosis process. One of the central tenets of this paper is that diagnosis and classification are different, involving different instruments, and are more accurately conducted separately in infants, whereas they are fundamentally interconnected in older children and inform therapeutic decisions. Furthermore, we need to be careful not to delay early diagnosis because of the low reliability of early classification, but instead uncouple these two processes. Ongoing implementation of best practice for early detection requires creative solutions which might include universal screening for CP. Implementation and accompanying knowledge translation studies are underway to decrease the average age of diagnosis in CP.

show abstract

Section: Current State Of Early Classification Of Cp Under Two Yeamentioning

confidence: 79%

Early Diagnosis and Classification of Cerebral Palsy: An Historical Perspective and Barriers to an Early Diagnosis

Velde

Morgan

Novak

et al. 2019

JCM

102

View full text Add to dashboard Cite

show abstract

“…Evaluation of gross motor skills is an important method in the follow-up of development (15,16,17). In approximately 50% of children with cerebral palsy, delay has been found in acquisation of the stages of gross motor skills (18,19,20).…”

Section: Introductionmentioning

confidence: 99%

Beyin felci olan çocuklarda kaba motor işlevleri kazanma yaşının işlevsel motor bozukluk üzerine etkisi

Kara¹,

Mutlu²,

Günel³

et al. 2012

Tpa

View full text Add to dashboard Cite

Aim: This study aimed to investigate effect of the age of acquisition of gross motor functions on functional motor impairment in children with cerebral palsy. Material and Method: Six hundred seventy one children with cerebral palsy who were diagnosed by a pediatric neurologist and referred to Hacettepe University, Department of Physiotherapy and Rehabilitation, Cerebral Palsy Unit were included this study and acquisition ages of gross motor functions were asked to the parents. Functional motor impairment was determined with Gross Motor Function Classification System. Ethics committee approval was received by Hacettepe University Medical Faculty Ethics Committee, Faculty of Health Sciences (Number: HEK 06/60). Results: Clinical types of the patients with cerebral palsy included 625 (93.1%) spastic, 32 (4.8%) dyskinetic, 10 (1.5%) ataxic and four (0.6%) mixed type. According to Gross Motor Function Classification System 152 (22.7%) of the children were in level I, 102 (15.2%) were in level II, 111 (16.5%) were in level III, 60 (8.9%) were in level IV and 246 (36.7%) were in level V. The median age of acquisition of sitting independently was nine months in level I, 12 months in level II and 24 months in level III. The median age of acquisition of crawling was 12 months in level I, 18 months in level II and 48 months in level III. The median age of acquisition of walking independently was 18 months in level I and 33 months in level II. Conclusions: Age of acquisition of gross motor functions gradually increased as the severity of motor impairment increased, as we expected. We believe that the results of this study will provide information regarding prognosis of gross motor impairment in children with cerebral palsy. (Turk Arch Ped 2012; 47: 191-196)

show abstract

“…A favourable walking prognosis was predicted by maintaining head balance before nine months and a bad prognosis was predicted by achieving it after 20 months. A positive prognosis was predicted by sitting at 24 months of age and by crawling with good motor control at 30 months of age (Paz-Júnior et al, 1994). Strong evidence was presented by a meta-analysis published in 2016 indicating independent sitting at age 2, the absence of intellectual disability, the absence of visual impairment and the absence of epilepsy or seizures were all favorable predictors of walking ability in children with CP (Keeratisiroj et al, 2018).…”

mentioning

confidence: 99%

Development and validation of Scale for Prediction of Ambulation in Indian Children with Cerebral Palsy- The SPAIC scale

Palaskar,

Attry,

Malani

et al. 2023

View full text Add to dashboard Cite

The most frequently observed disability in children is Cerebral Palsy (CP).Identifying the capacity and prognosis of ambulation in children with CP is very important for therapists and rehabilitation professionals to determine these children's therapy and rehabilitation needs. However, there is no definitive instrument for predicting ambulation in these children. Therefore, there is a definite need for a tailored measure to predict ambulation that will consider all the factors that may influence the ambulation prognosis in children with CP in the Indian scenario. This mixed-methods study employed individuals from different backgrounds, such as academic professionals, pediatric rehabilitation professionals, pediatric physiotherapists, pediatric neurologists, parents, and children with CP. Two rounds of focused discussions were conducted, domains were identified and experts were invited for the Delphi method. Then alpha scale version was designed and the Delphi questionnaire Round 1 was created and sent to the experts. Based on their suggestions, a corrected beta version was created and the Delphi questionnaire was evaluated in Round 2. Statistical analysis was performed using Cronbach's alpha and the scale was validated. In conclusion, the Scale for Prediction of Ambulation in Indian Children with CP (SPAIC) scale was validated and can be used for further data collection.

show abstract

Walking Prognosis in Cerebral Palsy: A 22‐year Retrospective Analysis

Cited by 70 publications

References 6 publications

Early Diagnosis and Classification of Cerebral Palsy: An Historical Perspective and Barriers to an Early Diagnosis

Early Diagnosis and Classification of Cerebral Palsy: An Historical Perspective and Barriers to an Early Diagnosis

Beyin felci olan çocuklarda kaba motor işlevleri kazanma yaşının işlevsel motor bozukluk üzerine etkisi

Development and validation of Scale for Prediction of Ambulation in Indian Children with Cerebral Palsy- The SPAIC scale

Contact Info

Product

Resources

About