Bimanual Fine Motor Function (BFMF) Classification in Children with Cerebral Palsy: Aspects of Construct and Content Validity

2014 ◽  
Vol 36 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Ann-Kristin G. Elvrum ◽  
Guro L. Andersen ◽  
Kate Himmelmann ◽  
Eva Beckung ◽  
Ann-Marie Öhrvall ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Content Validity ◽  
Fine Motor ◽  
Fine Motor Function ◽  
Children With Cerebral Palsy

scholarly journals Visual Impairment and Functional Classification in Children with Cerebral Palsy

2021 ◽  
Author(s):  
M. Rauchenzauner ◽  
K. Schiller ◽  
M. Honold ◽  
I. Baldissera ◽  
R. Biedermann ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Visual Impairment ◽  
Motor Function ◽  
Broad Spectrum ◽  
Classification System ◽  
Motor Impairment ◽  
Fine Motor ◽  
Functional Classification ◽  
Fine Motor Function ◽  
Children With Cerebral Palsy

Abstract Background Cerebral palsy (CP) is the most common motor impairment in childhood and often accompanied by a broad spectrum of comorbidities. Data are sparse concerning visual impairment (VI) and functional classification among CP children. Objective The objective of this study was to analyze the prevalence of VI among children with CP and to investigate a possible association between VI and Gross Motor Function Classification System (GMFCS) and the Bimanual Fine Motor Function (BFMF). Methods In this hospital-based study, records of 200 children with CP aged 2 to 17 years were reviewed. Results Overall, VI was found in 59.5% of children with CP. Prevalence of VI was higher when compared with non-CP children. A correlation between GMFCS as well as BFMF and severity of VI was found. Children with severe CP were at greater risk for severe VI, especially cerebral VI compared with children with mild CP. Conclusion VI is a significant problem in children with CP and is correlated with motor function. Children with CP should undergo detailed ophthalmologic and orthoptic assessment to enable early intervention.

Clinical characteristics of children with cerebral palsy in Chengdu, China: A cross-sectional study

2018 ◽  
Author(s):  
Luo Rong
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
Birth Asphyxia ◽  
Developed Countries ◽  
Fine Motor ◽  
Spastic Diplegia ◽  
Cross Sectional ◽  
Fine Motor Function ◽  
Children With Cerebral Palsy

Objective: To describe the subtypes, motor function, and comorbidities of cerebral palsy (CP) in children in Chengdu, China.Methods: A cross-sectional survey of children with CP was performed in 2013 and participants were enrolled from the branches of China Disabled Persons’ Federation in Chengdu. Diagnosis, clinical subtypes, gross and fine motor function outcomes, and comorbidities of CP were determined through caregiver interviews, evaluation of medical records, and thorough physical examinations.Results: Four-hundred and twenty-two children were diagnosed with CP (mean age, 7.7 ± 3.8 years). Spastic diplegia was the predominating subtype (35%). Mild impairments in gross and fine motor function were present in 45% and 52% of the patients, respectively. Cognitive impairment (60%) was the most common comorbidity, and was followed by language disorder (41%) and microcephaly (35%). About 79% of children with cerebral palsy had at least one comorbidity, and the number of cumulative comorbidities was positively correlated with Gross Motor Function Classification System and Manual Ability Classification System scores. Preterm birth (52%) was the most common risk factor, and was followed by low birth weight (42%) and birth asphyxia (27%).Conclusion: Distributions of CP subtypes, motor functions, and comorbidities in a Chinese population were similar to those in developed countries, but different from those in other developing countries. The trend for decreased numbers of children with preterm CP since 2009 indicates an improvement in neonatal care. However, perinatal healthcare should still be improved to reduce the occurrence of birth asphyxia.

scholarly journals Profile of motor abilities of children with cerebral palsy as a predictor of their functional independence in self-care and mobility

2020 ◽  
Vol 148 (1-2) ◽  
pp. 87-93
Author(s):  
Milena Milicevic
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
Self Care ◽  
Functional Independence ◽  
Fine Motor ◽  
Gross Motor ◽  
Motor Functions ◽  
Motor Abilities ◽  
Children With Cerebral Palsy

Introduction/Objective. Limitations of mobility and motor deficits are identified as predominant in the clinical picture of cerebral palsy. This research aimed to describe the profile of motor abilities of children with cerebral palsy, which included gross motor, manual, and bimanual fine motor functions, and to determine the extent to which their functional independence in self-care and mobility was influenced by the profile of their motor abilities. Methods. A convenience sample of 117 participants with cerebral palsy (56.4% males), aged 7?18 years (M = 13.2, SD = 3.4), was included. The Gross Motor Function Classification System ? Expanded and Revised, Manual Ability Classification System, Bimanual Fine Motor Function and the Functional Independence Measure ? Version for Children, were used. Data was analyzed by descriptive statistics and hierarchical multiple regression. Results. More than a half of sample exhibited different levels of gross motor, manual, and bimanual function. Lower functional independence in self-care and mobility was associated with higher functional limitations. Manual abilities were the strongest predictor of functional independence in self-care (? = -0.63, p < 0.001), while gross motor functions were the strongest predictor in the mobility domain (? = -0.65, p < 0.001). Conclusion. Improvement of gross motor and manual abilities of children with cerebral palsy is confirmed as one of the basic preconditions for achieving a greater independence and for minimizing or eliminating a need for assistance in mobility and in everyday self-care activities.

Gross and fine motor function and accompanying impairments in cerebral palsy

2006 ◽  
Vol 48 (06) ◽  
pp. 417 ◽  
Author(s):  
K Himmelmann ◽  
E Beckung ◽  
G Hagberg ◽  
P Uvebrant
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Fine Motor ◽  
Fine Motor Function

scholarly journals Synergistic Improvement in Children with Cerebral Palsy Who Underwent Double-Course Human Wharton’s Jelly Stem Cell Transplantation

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Xiaojun Fu ◽  
Rongrong Hua ◽  
Xiaodong Wang ◽  
Peishen Wang ◽  
Long Yi ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Stem Cell ◽  
Cell Therapy ◽  
Motor Function ◽  
Fine Motor ◽  
Function Measurement ◽  
Female Patients ◽  
Wharton's Jelly ◽  
Fine Motor Function ◽  
Age Dependent

Background. Our previous studies confirmed that human Wharton’s Jelly stem cell (hWJSC) transplantation improved motor function in children with spastic cerebral palsy (CP). This study investigated the dose-effect relationship between the transplanted cell dosage and efficacy in CP children. Methods. CP children who received one- or two-course (four or eight times lumbar puncture, 4 or 8×107 hWJSCs) cell therapy were recruited into this study. Assessments of motor function were performed according to scales for gross motor function measurement (GMFM) and fine motor function measurement (FMFM). The measurement data obtained in the two different groups were analyzed by t-test. Univariate repeated measures analysis of variance was used to compare the data obtained at baseline and 6 or 12 months posttransplantation and met the conditions for Mauchly’s sphericity test. Results. The results for fifty-seven pediatric CP patients (including 35 male and 22 female patients) who completed follow-up showed that gross and fine motor functions improved after cell therapy. Interestingly, the GMFM and FMFM scores in patients who received one course of transplantation were significantly increased at 6 months after treatment. Moreover, another course of transplantation further improved gross and fine motor function in children. The scores for GMFM and FMFM were significantly higher at 6 months posttransplantation than at baseline and showed a linear upward trend. There was no gender difference in GMFM. Interestingly, there was a significant difference between male and female patients in the B and C dimensions of FMFM. These results reveal a gender-related susceptibility to stem cell therapy, especially for movement capability of the upper extremity joint and grasping ability. Similarly, in the group aged ≤3 years old, the improvement observed in dimension A (lying and rolling) of GMFM was nearly exponential and showed a quadratic trend. The results for FMFM were similar to those for GMFM. Moreover, the improvement in motor function was not age dependent. Conclusions. In this study, our data collectively reveal that CP children display sex- or age-dependent responses to hWJSC therapy; these results shed light on the clinical utility of this approach in specific populations.

scholarly journals Gross and fine motor function and accompanying impairments in cerebral palsy

2007 ◽  
Vol 48 (6) ◽  
pp. 417-423 ◽  
Author(s):  
K Himmelmann ◽  
E Beckung ◽  
G Hagberg ◽  
P Uvebrant
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Fine Motor ◽  
Fine Motor Function
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