scholarly journals RELATIONSHIP BETWEEN FUNCTION AND PRESENCE AND TYPE OF DEFORMITY IN PATIENTS WITH CEREBRAL PALSY

2016 ◽  
Vol 15 (4) ◽  
pp. 275-278
Author(s):  
Murilo Tavares Daher ◽  
Paulo Leandro Souza Martins ◽  
Adriano Passáglia Esperidião ◽  
Pedro Felisbino Júnior ◽  
Vinício Nunes Nascimento ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gross Motor ◽  
Positive Correlation ◽  
Gross Motor Function ◽  
Group Ii ◽  
Specialist Rehabilitation

ABSTRACT Objective: To evaluate the gross motor function (GMFCS) with respect to the prevalence and type of scoliosis in patients with cerebral palsy (CP). Methods: This was an analytical, cross-sectional study. We evaluated medical records and imaging studies of 100 patients randomly assigned to a specialist rehabilitation center for the care of such patients. The patients were classified according the gross motor function (GMFCS) and those with deformities were classified as per the kind of scoliosis through the classification of Lonstein and Akbarnia). A correlation was made among the presence of deformity, the variables of the type of deformity and motor function by GMFCS. Results: Of the 100 patients evaluated, 69 had scoliosis. The mean age of patients with scoliosis was higher than that of patients without deformity (12.63 and 10.46 years). Thirty-nine (57%) patients had spastic tetraparesis and 32 (46%) spastic diparesis. The most frequent curve pattern was the thoracolumbar and the average angular value of the main curve was 27 degrees. There was a positive correlation between the presence of scoliosis and GMFCS level V. There was also a positive correlation between the Lonstein Group II and GMFCS V. Conclusion: There is a positive correlation between the presence of scoliosis and greater involvement of gross motor function (GMFCS V). In patients with deformities, there is also a positive correlation between the Group II of Lonstein and GMFCS V.

scholarly journals Association between gross motor function and nutritional status in children with cerebral palsy: a cross-sectional study from Colombia

2016 ◽  
Vol 58 (9) ◽  
pp. 936-941 ◽  
Author(s):  
Elizabeth Herrera-Anaya ◽  
Adriana Angarita-Fonseca ◽  
Víctor M Herrera-Galindo ◽  
Rocío D P Martínez-Marín ◽  
Cindy N Rodríguez-Bayona
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Motor Function ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy

scholarly journals Coparenting in caregivers of children with cerebral palsy

2017 ◽  
Vol 11 (Supp1) ◽  
pp. 35-46
Author(s):  
Carolina Moraes Dourado ◽  
Irlana Lessa França ◽  
Vagner Santos Cardoso ◽  
Simone Souza da Costa Silva ◽  
Fernando Augusto Ramos Pontes
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Mutual Support ◽  
Individual Activity ◽  
Gross Motor ◽  
Gross Motor Function ◽  
The Family ◽  
Global Welfare ◽  
The Relationship

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.

Social and Community Participation of Children and Youth With Cerebral Palsy Is Associated With Age and Gross Motor Function Classification

2009 ◽  
Vol 89 (12) ◽  
pp. 1304-1314 ◽  
Author(s):  
Robert J. Palisano ◽  
Lin-Ju Kang ◽  
Lisa A. Chiarello ◽  
Margo Orlin ◽  
Donna Oeffinger ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Community Participation ◽  
Motor Function ◽  
Structured Interview ◽  
Children And Youth ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Level I ◽  
Gmfcs Level

Background Through social and community participation, children and youth with cerebral palsy (CP) form friendships, gain knowledge, learn skills, express creativity, and determine meaning and purpose in life. Objective The purposes of this study were: (1) to determine whether social and community participation of children and youth with CP differ based on age, sex, and gross motor function, and (2) to identify the types of activities in which social and community participation are highest. Design and Methods A prospective cross-sectional analytic design was used. The participants were a sample of convenience of 291 children (6–12 years of age) and 209 youth (13–21 years of age) with CP (55.4% males, 44.6% females) receiving services from 7 children's hospitals. Participants completed the Children's Assessment of Participation and Enjoyment (CAPE) by structured interview. Gross Motor Function Classification System (GMFCS) level was determined by the researchers. Results Youth did a higher percentage of activities with friends and others and outside the home than children. Children and youth in level I did a higher percentage of activities with friends and others compared with children and youth in levels II and III and in levels IV and V. Children and youth in level I and in levels IV and V did a higher percentage of activities outside the home than children and youth in levels II and III. Differences were not found between females and males. The percentage of activities done with friends and others and outside the home was highest for physical and skill-based activities. Limitations Findings cannot be attributed only to GMFCS level. Conclusions The ability to walk without restrictions is desirable for social and community participation. For children and youth with CP who have limitations in mobility, physical therapists have roles as consultants for accessibility, activity accommodations, and assistive technology and as advocates for inclusive environments.

Usefulness of Cerebral Palsy Curves in Mexican Patients: A Cross-Sectional Study

2019 ◽  
Vol 34 (6) ◽  
pp. 332-338
Author(s):  
Carlos P. Viñals-Labañino ◽  
Ana E. Velazquez-Bustamante ◽  
Silvia I. Vargas-Santiago ◽  
Maria L. Arenas-Sordo
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
Pediatric Population ◽  
Population Based ◽  
Growth Charts ◽  
Healthy Population ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function

Cerebral palsy describes a group of movement and posture disorders that cause activity limitation, and are attributable to nonprogressive disorders that occur in the fetal or infant brain. The growth of these children should not be compared with those of the healthy population. We studied 452 children, 186 female and 266 male. We compared the results in 2 growth charts, Centers for Disease Control and Prevention (CDC) and cerebral palsy, and the results were statistically significant ( P = .00001). With the CDC charts, 40.71% of the patients were below the 5th percentile and only 5.5% of them when we used the charts for cerebral palsy patients. The Mexican cerebral palsy patients were similar to US cerebral palsy patients when we compared height ( P = .4075) and body mass index (BMI) ( P = .4075). Only the weight was found to be different ( P = .00001). All the correlation indexes were negative: Eating and Drinking Ability Classification System (EDACS)-BMI (rho = –0.4798) ( P = .00001), Communication Function Classification System (CFCS)-BMI (rho = –0.4353) ( P = .00001), and Gross Motor Function Classification System (GMFCS)-BMI (rho = –0.3584) ( P = .00001). The growth charts of the healthy pediatric population tend to overestimate the underweight. We propose to use cerebral palsy charts as a reference in our patients. It is possible to determine a functional profile (communication, gross motor function and safety, and feed efficiency) for the cerebral palsy population based on their BMI.

scholarly journals Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study

2019 ◽  
Vol 9 (1) ◽  
pp. 28 ◽  
Author(s):  
Tadashi Ito ◽  
Koji Noritake ◽  
Hiroshi Sugiura ◽  
Yasunari Kamiya ◽  
Hidehito Tomita ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gait Speed ◽  
Spastic Cerebral Palsy ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gait Deviation Index ◽  
Level I ◽  
Gmfcs Level

This study examined the association between Gait Deviation Index (GDI) and the five-times-sit-to-stand test (FTSST) or gait speed results, which represent mobility and muscle strength of the lower extremities in ambulatory children with Gross Motor Function Classification System (GMFCS) level I and II spastic cerebral palsy. In this cross-sectional, observational study, three-dimensional gait analysis data were obtained during gait trials to evaluate the GDI in 35 children (age 5–16 years) with spastic palsy. Motor function was evaluated using FTSST and gait speed. Gross motor function was evaluated using GMFCS. Children with GMFCS level II spastic cerebral palsy demonstrated lower GDI (p < 0.001) and poorer FTSST (p = 0.031) than those with GMFCS level I spastic cerebral palsy. Correlation analysis showed that FTSST results were significantly correlated with GDI (r = −0.624; p < 0.001). Motor function may be important for the maintenance of gait quality in patients with GMFCS level I and II spastic cerebral palsy and should not be ignored. In conclusion, reduction in gait impairment may affect the values of FTSST and GDI in patients with spastic cerebral palsy who can ambulate without an assistive device.

scholarly journals Classification of cerebral palsy: association between gender, age, motor type, topography and Gross Motor Function

2009 ◽  
Vol 67 (4) ◽  
pp. 1057-1061 ◽  
Author(s):  
Luzia Iara Pfeifer ◽  
Daniela Baleroni Rodrigues Silva ◽  
Carolina Araújo Rodrigues Funayama ◽  
Jair Lício Santos
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Complex Disease ◽  
Age Groups ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Postural Changes ◽  
Gender And Age ◽  
Level I

The goal of this study was to assess the relation between gender, age, motor type, topography and gross motor function, based on the Gross Motor Function System of children with cerebral palsy. Trunk control, postural changes and gait of one hundred children between 5 months and 12 years old, were evaluated. There were no significant differences between gender and age groups (p=0.887) or between gender and motor type (p=0.731). In relation to body topography most children (88%) were spastic quadriplegic. Most hemiplegics children were rated in motor level I, children with diplegia were rated in motor level III, and quadriplegic children were rated in motor level V. Functional classification is necessary to understand the differences in cerebral palsy and to have the best therapeutic planning since it is a complex disease which depends on several factors.

scholarly journals Pain in children and adolescents with cerebral palsy – a cross-sectional register study of 3545 individuals

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elsa Eriksson ◽  
Gunnar Hägglund ◽  
Ann I. Alriksson-Schmidt
Keyword(s):  
Cerebral Palsy ◽  
Pain Intensity ◽  
Children And Adolescents ◽  
Motor Function ◽  
Daily Activities ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Disturbed Sleep ◽  
Prevalence Of Pain

Abstract Background Pain is a common problem for individuals with cerebral palsy (CP). In Sweden, 95% of children and adolescents with CP are followed in a national follow-up programme (CPUP), which includes data on pain. The purpose of this study was to investigate the prevalence of pain based on age, sex, gross motor function and source of report (self or proxy). Pain intensity, pain site, and how much pain disturbed sleep and daily activities were also studied. Methods This was a cross-sectional register study based on all participants in CPUP, 4–18-years of age, with data reported in 2017–2018. Gross motor function was classified using the Gross Motor Function Classification System (GMFCS). Logistic regression was used to analyse prevalence of pain and how much pain had disturbed sleep and daily activities in the last four weeks. Results In total, 3545 participants (2065 boys) were included. The overall prevalence of pain was 44%. Older age and female sex were associated with higher risk of pain with odds ratios of 1.07 (95% confidence interval (CI) 1.06–1.09) and 1.28 (CI 1.12–1.47), respectively. Pain was most common in the lower extremities. There was no statistically significant difference in prevalence of pain related to source of report. Pain intensity was higher at older ages and higher GMFCS-levels. Hip/thigh pain and abdominal pain were associated with the most intense pain. Of those who reported pain, pain disturbed sleep for 36% and daily activities for 61%. Conclusions Both pain frequency and pain intensity were higher at higher age. Pain intensity increased with increasing GMFCS-level. Two-thirds of all children and adolescents with CP reported that their pain disturbed their daily activities, and one-third reported that pain disturbed their sleep.

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