Measurement properties of the Gross Motor Function Classification System, Gross Motor Function Classification System‐Expanded & Revised, Manual Ability Classification System, and Communication Function Classification System in cerebral palsy: a systematic review with meta‐analysis

2021 ◽  
Author(s):  
Daniele Piscitelli ◽  
Francesco Ferrarello ◽  
Alessandro Ugolini ◽  
Sofia Verola ◽  
Leonardo Pellicciari
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
Meta Analysis ◽  
Measurement Properties ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Communication Function ◽  
Manual Ability Classification System

scholarly journals Stability of the Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System

2018 ◽  
Vol 60 (10) ◽  
pp. 1026-1032 ◽  
Author(s):  
Robert J Palisano ◽  
Lisa Avery ◽  
Jan Willem Gorter ◽  
Barbara Galuppi ◽  
Sarah Westcott McCoy
Keyword(s):  
Motor Function ◽  
Classification System ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Communication Function ◽  
Manual Ability Classification System

scholarly journals Perfil de las personas con parálisis cerebral en servicios de vivienda

2015 ◽  
Vol 1 (3) ◽  
pp. 95 ◽  
Author(s):  
M. Yolanda González-Alonso ◽  
Montserrat Santamaría-Vázquez ◽  
Valeriana Guijo-Blanco
Keyword(s):  
Motor Function ◽  
Classification System ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Communication Function ◽  
Discapacidad Intelectual ◽  
Manual Ability Classification System

El propósito de este estudio es establecer el perfil de las personas con parálisis cerebral atendida en los servicios de vivienda, teniendo en cuenta que estos servicios pretenden favorecer la inclusión a través de la autonomía y la convivencia con otros. Se realizó una entrevista a 20 personas en una Asociación de Burgos que utilizan estos servicios. Se recogieron datos relativos a las características sociodemográficas, clínicas y de funcionamiento, y sobre las necesidades de apoyo y atención en los servicios de vivienda. Los datos reflejan un claro predominio de varones (75%), con una edad entre 40 y más años (75%), soltero (75%), analfabeto (55%), sin experiencia laboral (85%) y todos pensionistas. El 35% de las personas con parálisis cerebral además tienen Discapacidad Intelectual con un grado de discapacidad alto (M= 90%). Funcionalmente predominan personas de Nivel V en Gross Motor Function Classification System, Nivel V en Manual Ability Classification System y Nivel III en Communication Function Classification System. El 75% utilizan estos servicios desde hace más de 5 años siendo la razón de la elección la enfermedad de un familiar; reciben todos ellos apoyo psicológico, fisioterapia y servicios de ocio. Poder determinar este perfil favorece diseñar estrategias y recursos que proporcionen apoyos especializados y de calidad en entornos inclusivos y normalizados.

Hyperbaric Oxygen Therapy Is Beneficial for the Improvement of Clinical Symptoms of Cerebral Palsy: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 1-14
Author(s):  
Yingqian Zhang ◽  
Jing Wu ◽  
Nong Xiao ◽  
Bo Li
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Motor Function ◽  
Hyperbaric Oxygen ◽  
Clinical Symptoms ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Control Group ◽  
Gross Motor ◽  
Gross Motor Function

<b><i>Introduction:</i></b> Hyperbaric oxygen (HBO) has been used for the treatment of cerebral palsy for more than 20 years, but its efficacy and safety are still controversial. In this systematic review and meta-analysis, we evaluated the currently promulgated data related to the efficacy of HBO for patients with cerebral palsy. <b><i>Methods:</i></b> We searched the PubMed/Medline, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases (from their inception to April 2020) for randomized controlled trials published in English or Chinese. Two researchers used the Cochrane Collaboration tool for data extraction and an independent quality assessment. The extracted data were analyzed by Review Manager 5.3 software. <b><i>Results:</i></b> A total of 25 studies consistent with the inclusion criteria were included, with a total of 2,146 people, which included 1,185 participants in the HBO group and 961 in the control group. This meta-analysis showed that when compared with the controls, HBO therapy can improve the gross motor functions evaluated by the Gross Motor Function Measure (<i>n</i> = 696, SMD 0.29, 95% CI [0.07–0.51], Z = 2.62, <i>p</i> = 0.009) and Gross Motor Function Classification System (<i>n</i> = 248, MD –0.40, 95% CI [–0.52 to –0.27], Z = 6.28, <i>p</i> &#x3c; 0.00001), global developmental level evaluated by Gesell (<i>n</i> = 560, RR 1.30, 95% CI [1.19–1.42], Z = 6.03, <i>p</i> &#x3c; 0.00001) and developmental quotient (<i>n</i> = 374, MD 8.25, 95% CI [6.48–10.01], Z = 9.15, <i>p</i> &#x3c; 0.00001) and language expression (<i>n</i> = 270, MD 4.34, 95% CI [2.30–6.38], Z = 4.17, <i>p</i> &#x3c; 0.00001) and comprehension (<i>n</i> = 270, MD 4.87, 95% CI [2.87–6.88], Z = 4.76, <i>p</i> &#x3c; 0.00001). HBO therapy only caused mild ear pain. However, the quality of the data for all outcomes evaluated by the Grading of Recommendations Assessment, Development, and Evaluation analysis was very low. <b><i>Conclusions:</i></b> HBO therapy may produce a much more efficient clinical experiment result than the control group with cerebral palsy patients, and HBO therapy is well tolerated and relatively safe for the included participants.

scholarly journals Gender Differences in Treatments and Interventions Received for Children and Adolescents with Cerebral Palsy

2019 ◽  
Author(s):  
Annika Lundkvist Josenby ◽  
Tomasz Czuba ◽  
Ann I Alriksson Schmidt
Keyword(s):  
Gender Differences ◽  
Cerebral Palsy ◽  
Children And Adolescents ◽  
Motor Function ◽  
Classification System ◽  
Place Of Birth ◽  
Gross Motor ◽  
Gross Motor Function ◽  
National Quality ◽  
Manual Ability Classification System

Abstract Background In the Swedish population-based follow-up program and national quality registry for individuals with cerebral palsy (CPUP), physiotherapy (PT) and occupational therapy (OT) treatments are regularly recorded along with functional status. By Swedish law, all citizens irrespective of personal characteristics or socioeconomic status have the right to receive medical treatments as applicable. Previous studies have shown gender differences in terms of certain treatments and interventions received among children with CP. The purpose of this study was to examine differences in PT and OT treatments and interventions by gender and place of birth in children and adolescents participating in CPUP. Methods This was a cross-sectional study. Data from the latest PT form (n = 2695) and OT form (n = 3480) measures were extracted for individuals aged 0-17 years in CPUP. Logistic regressions were used to assess the relationships between the outcome variables and gender and place of birth (including an interaction term gender x place of birth), adjusted for age, Gross Motor Function Classification System (GMFCS) levels and spasticity scores for PT interventions, and Manual Ability Classification System (MACS) for OT interventions. Results are presented as odds ratios [95% confidence intervals] and p-values. Girls were more likely to have spinal braces than boys; 1.544 [1.073, 2.223] p<0.05, a significant interaction with place of birth indicated less spinal braces prescribed to children born outside Scandinavia; 0.204 [0.0792, 0.525] p<0.001. Boys were more likely to have undergone selective dorsal rhizotomy (SDR); 0.485 [0.251, 0.939] p<0.05. Individuals born outside Scandinavia, were less likely to have received intrathecal baclofen (ITB) 0.269 [0.0737, 0.980] p<0.05. Conclusions Of the treatments prescribed, gender differences were observed for spinal braces and having undergone SDR. A statistically significant difference based on place of birth was seen for spinal brace and having received ITB treatment. Other PT and OT treatments were associated with age, levels of spasticity, and functional severity classified with the Gross Motor Function Classification System and the Manual Ability Classification System. Increased awareness of differences based on gender and where a child is born, could be obtained by inter- and intraprofessional discussions.

A study validating the Italian version of the Level of Sitting Scale in children with cerebral palsy

2019 ◽  
Vol 33 (11) ◽  
pp. 1810-1818 ◽  
Author(s):  
Marco Tofani ◽  
Costanza Candeloro ◽  
Maurizio Sabbadini ◽  
Debra Field ◽  
Flaminia Frascarelli ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Correlation Coefficient ◽  
Motor Function ◽  
Classification System ◽  
Reliability And Validity ◽  
Measurement Properties ◽  
Italian Version ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy

Objectives: To assess measurement properties of the Italian version of the Level of Sitting Scale when classifying sitting ability of children with cerebral palsy. Design: Methodological study. Setting: Children’s hospital (inpatients and outpatients). Subjects: Children 18 years of age or younger with cerebral palsy. Methods: The original English version of the Level of Sitting Scale was translated and culturally adapted for the Italian culture following international guidelines. Examination of reliability and validity of the Italian Level of Sitting Scale was then undertaken. Inter-rater and one-week test–retest reliability were estimated using both intraclass correlation coefficients (ICCs) with 95% confidence intervals and Bland–Altman plots. Construct validity of the Italian Level of Sitting was evaluated using three approaches examining Pearson’s correlation coefficient ( r) and Mann–Whitney U test ( P-value < 0.05). Main measures: Italian Level of Sitting Scale and Gross Motor Function Classification System. Results: The Italian Level of Sitting Scale was administered to 109 subjects. Inter-rater reliability and one-week test–retest showed excellent value with ICCs of 0.99 for both. (1) The Pearson correlation coefficient comparing Italian Level of Sitting Scale with Gross Motor Function Classification System was −0.91 and (2) correlation with total amount of adaptive seating components was −0.90. Differences in sitting abilities and use/non-use of wheelchair were found. All reported a statistical significance of P < 0.01. Conclusion: Our findings provide evidence of reliability and validity when using the Italian Level of Sitting Scale to classify seated postural abilities in a sample of Italian children with cerebral palsy.

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