scholarly journals Reference Curves for the Gross Motor Function Measure: Percentiles for Clinical Description and Tracking Over Time Among Children With Cerebral Palsy

2008 ◽  
Vol 88 (5) ◽  
pp. 596-607 ◽  
Author(s):  
Steven E Hanna ◽  
Doreen J Bartlett ◽  
Lisa M Rivard ◽  
Dianne J Russell
Keyword(s):  
Motor Function ◽  
Clinical Utility ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Reference Curves ◽  
Function Measure ◽  
Over Time

Background and Purpose Physical therapists frequently use the 66-item Gross Motor Function Measure (GMFM-66) with the Gross Motor Function Classification System (GMFCS) to examine gross motor function in children with cerebral palsy (CP). Until now, reference percentiles for this measure were not available. The aim of this study was to improve the clinical utility of this gross motor measure by developing cross-sectional reference percentiles for the GMFM-66 within levels of the GMFCS. Subjects and Methods A total of 1,940 motor measurements from 650 children with CP were used to develop percentiles. These observations were taken from a subsample, stratified by age and GMFCS, of those in a longitudinal cohort study reported in 2002. A standard LMS (skewness-median-coefficient of variation) method was used to develop cross-sectional reference percentiles. Results Reference curves were created for the GMFM-66 by age and GMFCS level, plotted at the 3rd, 5th, 10th, 25th, 50th, 75th, 90th, 95th, and 97th percentiles. The variability of change in children's percentiles over a 1-year interval also was investigated. Discussion and Conclusion The reference percentiles extend the clinical utility of the GMFM-66 and GMFCS by providing for appropriate normative interpretation of GMFM-66 scores within GMFCS levels. When interpreting change in percentiles over time, therapists must carefully consider the large variability in change that is typical among children with CP. The use of percentiles should be supplemented by interpretation of the raw scores to understand change in function as well as relative standing.

scholarly journals How does the intensity of physical therapy affect the Gross Motor Function Measure (GMFM-66) total score in children with cerebral palsy? A systematic review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036630
Author(s):  
Mary Rahlin ◽  
Burris Duncan ◽  
Carol L Howe ◽  
Heidi L Pottinger
Keyword(s):  
Systematic Review ◽  
Motor Function ◽  
Data Extraction ◽  
Systematic Review Protocol ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Review Protocol ◽  
Function Measure

IntroductionIntensive physical therapy (PT) interventions administered to children with cerebral palsy (CP) have received a significant amount of attention in published literature. However, there is considerable variability in therapy intensity among studies and notable lack of information on optimal intervention dosing. This makes it difficult for clinicians to use evidence to inform practice. Many studies use the Gross Motor Function Measure (GMFM-66) to assess functional progress in children with CP. The purpose of this systematic review will be to identify the GMFM-66 change score reported in published studies, with outcomes based on intervention intensity. Whether the type of PT intervention, child’s age, and Gross Motor Function Classification System level influence the GMFM-66 scores will be also assessed.Methods and analysisThis systematic review protocol was developed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) 2015 checklist. In March 2018, nine databases (PubMed, Ovid MEDLINE, Cochrane Library, Embase, Scopus, Web of Science, CINAHL, ClinicalTrials.gov, and REHABDATA) were searched for controlled clinical trials and single-subject design studies of PT interventions of any kind and intensity that used the GMFM-66 as an outcome measure for children with CP, age up to 18 years. Two authors independently reviewed the titles and abstracts and arrived at consensus on paper selection for a full-text review. The same process was used for a full-text article screening based on further detailed inclusion criteria, with a final selection made for those suitable for data extraction. Prior to commencement of data extraction, all searches will be updated, and new results re-screened.Ethics and disseminationThis study will involve a systematic review of published articles and no primary data collection. Therefore, no ethical approval will be necessary. Results will be disseminated in a peer-reviewed publication and presented at scientific conferences.PROSPERO registration numberCRD42020147669

scholarly journals Efeitos da prática do suporte de peso corporal em crianças com paralisia cerebral: uma série de casos

2018 ◽  
Vol 8 (3) ◽  
pp. 397-403 ◽  
Author(s):  
Geison Sebastião Reitz ◽  
Milena Julia Chirolli ◽  
Letícia Carolina Gantzel ◽  
Beatriz Schmidt Lunardelli ◽  
Suzana Matheus Pereira ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Motor Performance ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Function Measure

INTRODUÇÃO: A paralisia cerebral (PC) é a causa mais comum de incapacidade motora na infância. Essa lesão cerebral pode resultar em comprometimentos neuromotores variados que, geralmente, estão associados à gravidade da sequela e a idade da criança. OBJETIVO: Avaliar a influência do Suporte de Peso Corporal (SPC) sobre a função motora e flexibilidade de crianças com paralisia cerebral. MÉTODO: Participaram do estudo sete crianças que não apresentavam o padrão de marcha, GMFCS nível IV e V, onde foi realizada a identificação do desempenho da função motora grossa por meio da Gross Motor Function Measure (GMFM), da flexibilidade por meio do teste Flexiteste,e do número de passos e distância percorrida antes e após um ano de tratamento com SPC em esteira ergométrica. Tendo assistência de dois terapeutas que auxiliavam em pontos chaves de joelho e tornozelo simulando o padrão de marcha da criança. As sessões foram realizadas uma vez por semana, durante 30 minutos. RESULTADO: O GMFM apresentou aumento das pontuações obtidas antes e após o tratamento, onde os itens deitar e rolar teve aumento de 14,09%, sentar teve aumento de 10,43%, engatinhar e ajoelhar teve, aumento de 7,27%, e por fim, o item em pé teve aumento de 8,10%. A variável flexibilidade apresentou diferença antes e após o tratamento, obtendo como flexibilidade inicial pequena e final médio negativa, com aumento de 7,85 pontos. Já o número de passos teve aumento de 175 passos e a distância percorrida de 132 metros CONCLUSÃO: The proposed SPC therapy in children with cerebral palsy proved to be efficient and could enhance motor performance, flexibility, number of steps and distance traveled.

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