Using the Gross Motor Function Measure to Evaluate Motor Development in Children with Down Syndrome

2002 ◽  
Vol 21 (2) ◽  
pp. 69-79 ◽  
Author(s):  
Maryan Gemus ◽  
Robert Palisano ◽  
Dianne Russell ◽  
Peter Rosenbaum ◽  
Stephen Walter ◽  
...  
2002 ◽  
Vol 21 (2-3) ◽  
pp. 69-79 ◽  
Author(s):  
Maryan Gémus ◽  
Robert Palisano ◽  
Dianne Russell ◽  
Peter Rosenbaum ◽  
Stephen D. Walter ◽  
...  

2021 ◽  
Vol 10 (7) ◽  
pp. e7110716347
Author(s):  
Emanuele Mariano de Souza Santos ◽  
Íkaro Daniel Carvalho Barreto ◽  
Flávia Calheiros da Silva ◽  
Ricardo Queiroz Gurgel ◽  
Andréa Monteiro Correia Medeiros

O estudo objetivou caracterizar o desempenho motor grosso e as oportunidades de estimulação motora presentes no ambiente domiciliar de lactentes com microcefalia por Zika vírus (ZIKV), comparando-os com lactentes sem microcefalia de instituições públicas de saúde do Nordeste do Brasil, além de verificar o impacto da microcefalia e fatores associados nos desfechos avaliados. Estudo caso-controle que foram utilizados dados de nascimento dos lactentes, gestacionais e sociodemográficos maternos, e dos testes: Gross Motor Function Measure (GMFM), Affordances in the Home Environment for Motor Development (AHEMD), e Sistema de Classificação da Função Motora Grossa (GMFCS). Para analisar o impacto da microcefalia nos testes associada a fatores sociodemográficos ou clínicos utilizou-se a regressão linear múltipla. Participaram 40 lactentes com microcefalia por ZIKV, com média de idade de 15,3 (3,1) meses; e 40 lactentes sem acometimento, com média de idade de 14,8 (4,4) meses. 85% dos lactentes com microcefalia por ZIKV classificou no nível V do GMFCS. Diferenças significativas (p<0,001) foram evidenciadas para todas as dimensões do GMFM, para variedade de estimulação, brinquedo motricidade fina e pontuação total do AHEMD, com valores sempre menores nos lactentes com microcefalia por ZIKV. Microcefalia associada a variáveis dos lactentes, maternas e da residência são fatores que podem explicar a pontuação no GMFM (p<0,001). Os resultados reforçam a necessidade de uma assistência integral, centrada na família, uma vez que a resolutividade dos impactos do ZIKV sobre o desenvolvimento motor e o cuidado prestado pelas famílias é uma questão de saúde pública importante.


2021 ◽  
Vol 11 (3) ◽  
pp. 163
Author(s):  
Corri L. Stuyvenberg ◽  
Shaaron E. Brown ◽  
Ketaki Inamdar ◽  
Megan Evans ◽  
Lin-ya Hsu ◽  
...  

Therapies for children with cerebral palsy (CP) often fail to address essential components of early rehabilitation: intensity, child initiation, and an embodied approach. Sitting Together And Reaching To Play (START-Play) addresses these issues while incorporating intensive family involvement to maximize therapeutic dosage. While START-Play was developed and tested on children aged 7–16 months with motor delays, the theoretical construct can be applied to intervention in children of broader ages and skills levels. This study quantifies the impact of a broader START-Play intervention combined with Botulinum toxin-A (BoNT-A) and phenol on the developmental trajectory of a 24 month-old child with bilateral spastic CP. In this AB +1 study, A consisted of multiple baseline assessments with the Gross Motor Function Measure-66 and the Assessment of Problem Solving in Play. The research participant demonstrated a stable baseline during A and changes in response to the combination of BoNT-A/phenol and 12 START-Play sessions during B, surpassing the minimal clinically important difference on the Gross Motor Function Measure-66. The follow-up data point (+1) was completed after a second round of BoNT-A/phenol injections. While the findings suggest the participant improved his gross motor skills with BoNT-A/phenol and START-Play, further research is needed to generalize these findings.


1994 ◽  
Vol 74 (7) ◽  
pp. 630-636 ◽  
Author(s):  
Dianne J Russell ◽  
Peter L Rosenbaum ◽  
Mary Lane ◽  
Carolyn Gowland ◽  
Charles H Goldsmith ◽  
...  

2006 ◽  
Vol 23 (4) ◽  
pp. 339-355 ◽  
Author(s):  
Miriam Getz ◽  
Yeshayahu Hutzler ◽  
Adri Vermeer

The purpose of this study was to investigate the relationship between motor performance in the aquatic setting as measured by the Aquatic Independence Measure (AIM) to motor performance on land as measured by the Gross Motor Function Measure (GMFM) and the Pediatric Evaluation of Disability Inventory (PEDI). Fourty- nine children with neuro-motor impairments ages 3 to 7 participated in the study. Pearson correlations were applied to determine the relationships between the AIM and the GMFM, PEDI, and Gross Motor Function Classification System (GMFCS). Significant correlations were found between the total AIM and GMFM scores (r = 69, p < .01) and PEDI self-care sub-scale (r = .79, p < .01) as well as the PEDI mobility sub-scale scores (r = .35, p < .05). The water adjustment sub-scale as measured by the AIM showed the strongest relationship to motor performance on land as measured by the GMFM and PEDI in our sample of 49 children.


2006 ◽  
Vol 16 (6) ◽  
pp. 374-380 ◽  
Author(s):  
Leslie Nelson ◽  
Hollis Owens ◽  
Linda S. Hynan ◽  
Susan T. Iannaccone ◽  
AmSMART Group

2018 ◽  
Vol 5 ◽  
pp. 2329048X1881145 ◽  
Author(s):  
Eli Saleh ◽  
Noémi Dahan-Oliel ◽  
Kathleen Montpetit ◽  
Thierry Benaroch ◽  
Rita Yap ◽  
...  

Purpose: This pilot study evaluated the outcomes of tendon Achilles lengthening in 12 children (mean age: 11.2 years) with spastic hemiplegia. Methods: Cerebral Palsy Computer Adaptive Tests, the timed up-and-go, the Gross Motor Function Measure, the Gillette Functional Assessment Questionnaire, and the Pediatric Outcomes Data Collection Instrument were administered at baseline and at 6, 12, and 24 months postsurgery. Results: Significant improvement at the latest follow-up (12-24 months following surgery) was seen in all domains of the Cerebral Palsy Computer Adaptive Test: activity ( P = .017), lower extremity ( P = .005), global ( P = .005), pain ( P = .005), and fatigue ( P = .028), as well as in the Gross Motor Function Measure-standing domain ( P = .02) and the mobility domain of the Pediatric Outcomes Data Collection Instrument ( P = .04). Conclusion: These findings indicate that the tendon Achilles lengthening improved functional outcome in these children as measured by tests of physical function, walking speed, and activity performance.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Vedasri Dasoju ◽  
Rakesh Krishna Kovela ◽  
Jaya Shanker Tedla ◽  
Devika Rani Sangadala ◽  
Ravi Shankar Reddy

AbstractThe Trunk Impairment Scale (TIS) is a valid and reliable tool to assess trunk impairment in children with heterogeneous cerebral palsy. The purpose of this study was to determine the reliability and validity of the TIS in assessing children with spastic diplegic cerebral palsy. The sample was a total of 30 subjects (15 = boys, 15 = girls). All subjects underwent an assessment of the sitting component of the Gross Motor Function Measure-88 and TIS by rater 1. Rater one observed video recordings within 24 h and scored TIS for intra-rater reliability, while rater two did likewise after 48 h for inter-rater reliability. The mean and standard deviation of the TIS and sitting components of the Gross Motor Function Measure-88 were 15.66 ± 4.20 and 52.36 ± 6.26, respectively. We established intra-rater and inter-rater reliability of the TIS with Intra Class Correlation Coefficient 0.991 and 0.972, respectively. The concurrent validity of the TIS with the sitting component of the Gross Motor Function Measure-88 was good, with an r-value of 0.844 (p < 0.001). This study showed the excellent intra-rater and inter-rater reliability and high concurrent validity of the TIS in assessing children with spastic diplegic cerebral palsy.


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