Limb distribution, motor impairment, and functional classification of cerebral palsy

Abstract Background Cerebral palsy (CP) is the most common motor impairment in childhood and often accompanied by a broad spectrum of comorbidities. Data are sparse concerning visual impairment (VI) and functional classification among CP children. Objective The objective of this study was to analyze the prevalence of VI among children with CP and to investigate a possible association between VI and Gross Motor Function Classification System (GMFCS) and the Bimanual Fine Motor Function (BFMF). Methods In this hospital-based study, records of 200 children with CP aged 2 to 17 years were reviewed. Results Overall, VI was found in 59.5% of children with CP. Prevalence of VI was higher when compared with non-CP children. A correlation between GMFCS as well as BFMF and severity of VI was found. Children with severe CP were at greater risk for severe VI, especially cerebral VI compared with children with mild CP. Conclusion VI is a significant problem in children with CP and is correlated with motor function. Children with CP should undergo detailed ophthalmologic and orthoptic assessment to enable early intervention.

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Frequency of joined disabilities of children with cerebral palsy in Tuzla canton

Journal of Health Sciences ◽

10.17532/jhsci.2013.111 ◽

2013 ◽

Vol 3 (3) ◽

pp. 222-226

Author(s):

Mirela Babajić ◽

Emira Švraka ◽

Dijana Avdić

Keyword(s):

Cerebral Palsy ◽

Pathological Condition ◽

Motor Impairment ◽

Total Sample ◽

Behaviour Disorder ◽

Speech Impairment ◽

Statistical Parameters ◽

Function Impairment ◽

Children With Cerebral Palsy

Introduction: Cerebral palsy (CP) connotes a group of non-progressive, but often variable symptoms of motor impairment of movement and posture, as well as other impairments which are a consequenceof anomalies or brain impairment in different phases of its development. CP is a pathological condition characterised in the fi rst place by motor function impairment to which other disorders such as: visual andhearing impairment, intellectual defi cit, emotional problems, behaviour disorder, speech disorder, epileptic seizure and similar can join. The aim of this study is to determine frequency of joined disabilities ofchildren with cerebral palsy in Tuzla Canton.Methods: The research covers a total sample of 48 examinees, chronological age from 2-19 years, in Tuzla Canton. Research instrument was a Structural Questionnaire for the parents of children and adolescentswith cerebral palsy. Research data were processed by nonparametric statistics method. Basic statistical parameters of frequency and percentages were calculated, and tabular presentation was made.Results: After classification of examinees as per frequency of joined disabilities was done, work results have shown that speech impairment occurred with 35.4 % of children, visual impairment 33.3 %, epilepsy29.3 %, whereas hearing impairment occurred with 2 % of children.Conclusion: In research of frequency of joined disabilities of children with cerebral palsy in Tuzla Canton, most expressed are speech and visual disorders with children, then epilepsy, whereas a small percentageof children are with hearing disorder.

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Objective and parametric methods used in functional classification disabled swimmers

Physiotherapy ◽

10.2478/physio-2013-0022 ◽

2013 ◽

Vol 21 (3) ◽

Cited By ~ 1

Author(s):

Natalia Uścinowicz ◽

Wojciech Seidel ◽

Paweł Zostawa ◽

Sebastian Klich

Keyword(s):

Medical Diagnosis ◽

Olympic Games ◽

Objective Evaluation ◽

Subjective Assessment ◽

Fair Play ◽

Functional Classification ◽

Kinematic Parameters ◽

Athletes With Disabilities ◽

Rule Out

AbstractThe recent Olympic Games in London incited much interest in the competition of disabled athletes. Various people connected with swimming, including coaches and athletes, have speculated about the fairness of competitions of disabled athletes. A constant problem are the subjective methods of classification in disabled sport. Originally, athletes with disabilities were classified according to medical diagnosis. Due to the injustice which still affects the competitors, functional classification was created shortly after. In the present review, the authors show the anomalies in the structure of the classification. The presented discovery led to the suggestion to introduce objective methods, thanks to which it would be no longer necessary to rely on the subjective assessment of the classifier. According to the authors, while using objective methods does not completely rule out the possibility of fraud by disabled athletes in the classification process, it would certainly reduce their incidence. Some of the objective methods useful for the classification of disabled athletes are: posturography, evaluation of the muscle parameters, electrogoniometric assessment, surface electromyography, and analysis of kinematic parameters. These methods have provide objective evaluation in the diagnostic sense but only if they are used in tandem. The authors demonstrate the undeniable benefits of using objective methods. Unfortunately, there are not only advantages of such solution, there also several drawbacks to be found. The conclusion of the article is the statement by the authors that it is right to use objective methods which allow to further the most important rule in sport: fair-play.

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Functional Classification of Feed Items in Pampa Grassland, Based on Their Near-Infrared Spectrum

Rangeland Ecology & Management ◽

10.1016/j.rama.2020.02.001 ◽

2020 ◽

Vol 73 (3) ◽

pp. 358-367

Author(s):

Júlio Cezar Rebés Azambuja Filho ◽

Paulo Cesar de Faccio Carvalho ◽

Olivier Jean François Bonnet ◽

Denis Bastianelli ◽

Magali Jouven

Keyword(s):

Infrared Spectrum ◽

Near Infrared ◽

Functional Classification ◽

Near Infrared Spectrum

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Comparison of motor outcomes between preschool children with univentricular and biventricular critical heart disease not diagnosed with cerebral palsy or acquired brain injury

Cardiology in the Young ◽

10.1017/s1047951121000895 ◽

2021 ◽

pp. 1-8

Author(s):

M. Florencia Ricci ◽

Alastair Fung ◽

Diane Moddemann ◽

Victoria Micek ◽

Gwen Y. Bond ◽

...

Keyword(s):

Cerebral Palsy ◽

Heart Disease ◽

Preschool Children ◽

Brain Injury ◽

Standard Deviation ◽

Motor Skills ◽

Odds Ratio ◽

Motor Impairment ◽

Acquired Brain Injury ◽

Manual Dexterity

Abstract This comparison study of two groups within an inception cohort aimed to compare the frequency of motor impairment between preschool children with univentricular and biventricular critical congenital heart disease (CHD) not diagnosed with cerebral palsy/acquired brain injury, describe and compare their motor profiles and explore predictors of motor impairment in each group. Children with an intellectual quotient <70 or cerebral palsy/acquired brain injury were excluded. Motor skills were assessed with the Movement Assessment Battery for Children-2. Total scores <5th percentile indicated motor impairment. Statistical analysis included χ2 test and multiple logistic regression analysis. At a mean age of 55.4 (standard deviation 3.77) months, motor impairment was present in 11.8% of those with biventricular critical CHD, and 32.4% (p < 0.001) of those with univentricular critical CHD. The greatest difference between children with biventricular and univentricular CHD was seen in total test scores 8.73(2.9) versus 6.44(2.8) (p < 0.01) and in balance skills, 8.84 (2.8) versus 6.97 (2.5) (p = 0.001). Manual dexterity mean scores of children with univentricular CHD were significantly below the general population mean (>than one standard deviation). Independent odds ratio for motor impairment in children with biventricular critical CHD was presence of chromosomal abnormality, odds ratio 10.9 (CI 2.13–55.8) (p = 0.004); and in children with univentricular critical CHD odds ratio were: postoperative day 1–5 highest lactate (mmol/L), OR: 1.65 (C1.04–2.62) (p = 0.034), and dialysis requirement any time before the 4.5-year-old assessment, OR: 7.8 (CI 1.08–56.5) (p = 0.042). Early assessment of motor skills, particularly balance and manual dexterity, allows for intervention and supports that can address challenges during the school years.

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