The relationship between strength, voluntary activation and gross motor function in young adults with spastic type cerebral palsy

The Brazilian Association of Cerebral Palsy defines Cerebral Palsy (CP) as a group of disorders of development and posture, which cause limitations in an individual activity. The birth of a child with CP generates an impact, which brings a new reality for the family, mainly parents and others caregivers. The goal of the present work was to describe coparenting relationships in parents of children with CP, comparing between main and secondary caregivers, and still, the relationship between coparenting pair. Data was obtained from 12 coparenting pairs (24 individuals) caregivers of children with CP. Were used the instruments: Coparenting Questionnaire (COPQ), to evaluate the coparenting relationships, Socio Demographic Inventory (SDI), to describe information about the main and secondary caregivers and the Gross Motor Function Classification System (GMFCS) for to measure the children’s gross motor function. The data was treated through the software SPSS (version 20.0), the statistic calculated was frequency, descriptive, and still, a parameter of scores was fixed for the classification of coparentality factors (cooperation, triangulation and conflict). The results indicated that secondary caregivers exhibited higher average in the factors of analysis of cooperation and triangulation (21 and 5,2). The mainly caregivers indicated the bigger average in conflict factor, (11, 3). In general, the coparenting pairs exhibited high cooperation (19-25 points), high triangulation (4-8 points) and low conflict (5-11 points). The establishment of a good coparenting relationship, expressed in the mutual support and commitment of the dyads is fundamental for the family functioning and for the child’s global welfare.

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The Relationship Between Gross Motor Function and Quality of Life Among Children with Cerebral Palsy

Disability CBR & Inclusive Development ◽

10.5463/dcid.v24i4.243 ◽

2014 ◽

Vol 24 (4) ◽

pp. 57 ◽

Cited By ~ 1

Author(s):

Meisa Puspitasari ◽

Kusnandi Rusmil ◽

Dida Gurnida

Keyword(s):

Quality Of Life ◽

Cerebral Palsy ◽

Motor Function ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

The Relationship

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Transition-Age Young Adults with Cerebral Palsy: Level of Participation and the Influencing Factors

Medicina ◽

10.3390/medicina55110737 ◽

2019 ◽

Vol 55 (11) ◽

pp. 737

Author(s):

Rožkalne ◽

Mukāns ◽

Vētra

Keyword(s):

Young Adults ◽

Cerebral Palsy ◽

Motor Function ◽

Self Care ◽

Social Activities ◽

Age Group ◽

Gross Motor ◽

Whodas 2.0 ◽

Gross Motor Function ◽

Education And Employment

Background and Objectives: The aim of this study was to identify the level of participation in the context of the developmental transition from adolescence to adult life for young adults with cerebral palsy (CP) and the factors that had an influence on participation. Materials and Methods: Eighty-one young adults (16–21 years old) with CP and with normal or slightly decreased cognitive function participated in this study. Assessments were made using the Rotterdam Transition Profile (RTP) and the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). In the binary regression model, levels of participation (RTP scores) were set as dependents and the level of disability (WHODAS 2.0 scores), age, and level of gross motor function were set as independent variables. Results: In the age group <18 years, in three out of seven RTP domains, less than 10% of participants were in phase 2 (experimenting and orientating toward the future), i.e., finance—7%, housing—7%, sexuality—4%. In the age group ≥18 years, 21% (education and employment), 56% (intimate relationships), and 59% (sexuality) of the participants were in phase 0 (no experience). Higher scores in WHODAS 2.0 domains showed positive associations with RTP domains, i.e., cognition with social activities, mobility with transportation, self-care with sexuality and transportation, and life activities with transportation. Age was positively associated with education and employment, finance, housing, and sexuality. Low motor function according to the Gross Motor Function Classification System (GMFCS) had negative associations with autonomy in social activities, sexuality, and transportation. Conclusions: Young adults with cerebral palsy showed low levels of autonomy in all domains of participation. When addressing a person’s improvement in terms of their participation, the promotion of abilities in cognition, mobility, self-care, and life activities should be attempted. Age and gross motor function influenced autonomy in participation, but not in all domains.

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