Associations between impairments and activity limitations components of the international classification of functioning and the gross motor function and subtypes of children with cerebral palsy

Objetivo: identificar o grau de funcionalidade na escala GMFCS em crianças portadoras de paralisia cerebral de um centro especializado. Metodologia: pesquisa de campo, abordagem transversal, quantitativa e descritiva, participaram 72 crianças que estavam em atendimento na Associação de Pais e Amigos dos Excepcionais. Os dados foram coletados com a aplicação do grau de classificação da função motora grossa, para identificar o nível de comprometimento motor da criança, estes coletados após aprovação do projeto pelo Comitê de Ética em Pesquisa do Instituto de Ciências Jurídicas e Sociais Professor Camilo Filho com número de CAAE 40691014.6.0000. Resultados: da amostra, houve maior dominância do sexo masculino e nascidos a termo, e mostrando que o grau de classificação da função motora grossa de grau IV como o mais prevalente, e o grau II menos recorrente. Conclusão: as crianças portadoras de paralisia cerebral eram na maioria do sexo masculino e adequadas para a idade gestacional, e que a predominância do grau IV, pode ter ligação com a falta de conhecimento sobre terapias alternativas e imediatas, o que gera um maior prejuízo no desenvolvimento dessas crianças, principalmente ao que se refere à deambulação.Descritores: Paralisia Cerebral. Destreza Motora. Qualidade de Vida.

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Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac19.1.12 ◽

2010 ◽

Vol 19 (1) ◽

pp. 12-20 ◽

Cited By ~ 29

Author(s):

Guro Andersen ◽

Tone R. Mjøen ◽

Torstein Vik

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Gestational Age ◽

Augmentative And Alternative Communication ◽

Alternative Communication ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

Communicative Abilities ◽

Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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