scholarly journals Assessment of Sleep-Related Problems in Children with Cerebral Palsy Using the SNAKE Sleep Questionnaire

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 772
Author(s):  
Larissa Alice Dreier ◽  
Tugba Kapanci ◽  
Katharina Lonnemann ◽  
Margarete Koch-Hogrebe ◽  
Lucia Wiethoff-Ubrig ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Functional Impairment ◽  
Sleep Problems ◽  
Motor Impairment ◽  
Fine Motor ◽  
Gross Motor ◽  
Sleep Behavior ◽  
Sleep Questionnaire ◽  
Collection Form ◽  
Children’S Sleep

Cerebral palsy (CP) represents the most common motor impairment in childhood. The presence of sleep problems has not yet been investigated with an instrument specifically designed for this population. In this hospital-based, prospective study, N = 100 children (M = 7.9, range: 2–18 years) with CP were included. All patients underwent pediatric neurologists’ screening incorporating instruments (Data Collection Form; Gross Motor Functions Classification System, GMFCS; Bimanual Fine Motor Function, BFMF) recommended by the “Surveillance of Cerebral Palsy in Europe (SCPE)”. Parents completed the “Sleep Questionnaire for Children with Severe Psychomotor Impairment (SNAKE)”. Children’s sleep behavior was increasingly conspicuous, with greater gross motor (SNAKE scales: disturbances remaining asleep, daytime sleepiness) and fine motor (additionally SNAKE scale arousal and breathing problems) functional impairment. Overall, a proportion of children showed sleep behavior outside the SNAKE’s normal range. No relevant sleep differences were identified between different CP subtypes and comorbidities. Applying a population-specific questionnaire, children’s functional impairment seems to be more relevant to their sleep behavior than the CP subtype or CP comorbidities.

scholarly journals Global developmental abilities of cochlear implanted children with spastic cerebral palsy: two experimental groups

CoDAS ◽  
2014 ◽  
Vol 26 (3) ◽  
pp. 213-218 ◽  
Author(s):  
Dionísia Aparecida Cusin Lamônica ◽  
Maria Jaquelini Dias dos Santos ◽  
Cora Sofia Takaya Paiva ◽  
Leandra Tabanez do Nascimento Silva
Keyword(s):  
Cerebral Palsy ◽  
Oral Language ◽  
Motor Impairment ◽  
Social Function ◽  
Fine Motor ◽  
Spastic Cerebral Palsy ◽  
Control Group ◽  
Cross Sectional ◽  
Gross Motor ◽  
Communicative Behaviors

PURPOSE: To analyze gross motor, fine motor-adaptive, language, social function performance, and communicative behaviors among cochlear-implanted children with spastic cerebral palsy (CP) and children with CP without hearing loss (HL) and to compare them with children with normal development. METHODS: Prospective cross-sectional study involving 12 children with mean age of 63 months, distributed into two experimental groups: G1 - 4 children with CP and cochlear implant (CI) users and G2 - 4 children with CP without HL. A third group (G3) was the control group with four typically developing children. In the experimental groups, six children were classified in level II and two in level IV, using the Gross Motor Function Classification System. We used the Denver Developmental Screening Test II and the Communicative Behavior Observation (CBO). RESULTS: G3 showed better performance than G1 and G2 in all evaluations. G2 showed better results than G1 in language, communication, personal-social, and fine motor-adaptive areas, except in the gross motor area. Aspects of language and communicative behaviors were lower in both experimental groups, especially in G1. Skills related to personal-social area showed no differences among the groups. CONCLUSION: Motor impairment of G1 and G2 and HL in G1 affected the development in the assessed areas, but these factors did not restrict personal-social development. Children with CP did not achieve high development in social function; however, the difference with relation to G3 was not statically significant. The CI provided a channel for oral language reception and social interaction, which has a key role in determining the quality of life.

Intelligence Functioning and Associated Factors in Children with Cerebral Palsy

2017 ◽  
Vol 41 (S1) ◽  
pp. S307-S307
Author(s):  
S. Türkoglu ◽  
G. Türkoğlu ◽  
C. Celik ◽  
H. Ucan
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Intelligence Testing ◽  
Hand Function ◽  
Intellectual Functioning ◽  
Speech Disorders ◽  
Fine Motor ◽  
Function Type ◽  
Gross Motor ◽  
Gross Motor Function

ObjectivesCerebral palsy (CP) is described as a primary disorder of posture and movement; however, intellectual impairment is prevalent in children with CP.AimThe aim of the present study was to examine the association with intellectual level and gross motor function, hand function, type of CP, and the presence of co-morbid disorders in these children.MethodsA total of 107 children with CP were included in the study. Intellectual functions of the children were determined by clinical assessment, adaptive function of daily life, and individualized standardized intelligence testing. Gross motor function and hand function of the patients were classified using the gross motor function classification system and the bimanual fine motor function measurements.ResultsThe mean age of the patients were 8.10 ± 3.43 years (age: 2–16 years). During clinical typing, we observed that 80.4% of the patients were spastic, 11.2% were mixed, 4.7% were dyskinetic, and 3.7% were ataxic. No significant relationship was determined between the type of CP and intellectual functioning (P > 0.05). Intellectual functioning was found to be significantly correlated negatively with both gross motor function and hand functions level (P < 0.001). The factors related to intellectual functioning were neonatal convulsion (x2 = 12.97, P = 0.002), epilepsy (x2 = 29.221, P < 0.001), and speech disorders (x2 = 23.29, P < 0.001).ConclusionsThere is an association between intellectual functioning in children with CP and the degree of motor impairment, neonatal convulsion, epilepsy, and speech disorders. Intelligence assessment should be an essential part of CP evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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.

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.

The Tayside children's sleep questionnaire: a simple tool to evaluate sleep problems in young children

2005 ◽  
Vol 31 (5) ◽  
pp. 539-544 ◽  
Author(s):  
J. A. McGreavey ◽  
P. T. Donnan ◽  
H. C. Pagliari ◽  
F. M. Sullivan
Keyword(s):  
Young Children ◽  
Sleep Problems ◽  
Sleep Questionnaire ◽  
Simple Tool ◽  
Children’S Sleep

scholarly journals Neuroimaging Patterns and Function in Cerebral Palsy—Application of an MRI Classification

2021 ◽  
Vol 11 ◽  
Author(s):  
Kate Himmelmann ◽  
Veronka Horber ◽  
Elodie Sellier ◽  
Javier De la Cruz ◽  
Antigone Papavasiliou ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Motor Impairment ◽  
Service Planning ◽  
Fine Motor ◽  
Functional Profile ◽  
Neonatal Mri ◽  
Central Registry ◽  
Active Epilepsy ◽  
Type Motor

Background: Cerebral palsy (CP) is a disorder of movement and posture and every child with CP has a unique composition of neurological symptoms, motor severity, and associated impairments, constituting the functional profile. Although not part of the CP definition, magnetic resonance imaging (MRI) sheds light on the localization, nature, and severity of brain compromise. The MRI classification system (MRICS), developed by the Surveillance of Cerebral Palsy in Europe (SCPE), describes typical MRI patterns associated with specific timing of vulnerability in different areas of the brain. The classification has proven to be reliable and easy to use.Aims: The aim of this study is to apply the MRICS on a large dataset and describe the functional profile associated with the different MRI patterns of the MRICS.Materials and Methods: Data on children with CP born in 1999–2009 with a post-neonatal MRI from 20 European registers in the JRC-SCPE Central Registry was included. The CP classification and the MRICS was applied, and The Gross Motor Function Classification (GMFCS) and the Bimanual Fine Motor Function (BFMF) classification were used. The following associated impairments were documented: intellectual impairment, active epilepsy, visual impairment, and hearing impairment. An impairment index was used to characterize severity of impairment load.Results: The study included 3,818 children with post-neonatal MRI. Distribution of CP type, motor, and associated impairments differed by neuroimaging patterns. Functional profiles associated with neuroimaging patterns were described, and the impairment index showed that bilateral findings were associated with a more severe outcome both regarding motor impairment and associated impairments than unilateral compromise. The results from this study, particularly the differences in functional severity regarding uni- and bilateral brain compromise, may support counseling and service planning of support of children with CP.

scholarly journals Association between oral health status and type of motor function in children and adolescents with cerebral palsy

2021 ◽  
Vol 10 (16) ◽  
pp. e06101622515
Author(s):  
Gabriele Groehs Guerreiro ◽  
Cristiana Pereira Malta ◽  
Clandio Timm Marques ◽  
Juliana Saibt Martins ◽  
Letícia Westphalen Bento
Keyword(s):  
Cerebral Palsy ◽  
Health Status ◽  
Oral Health ◽  
Children And Adolescents ◽  
Motor Function ◽  
Motor Impairment ◽  
Oral Health Status ◽  
Dental Age ◽  
Cross Sectional ◽  
Gross Motor

Objectives: The aim of the present study was to evaluate oral health and motor function in children and adolescents with cerebral palsy (CP) and determine the perception of caregivers regarding the oral health status of these individuals. Study Design: A cross-sectional study was conducted with 35 children/adolescents with CP and their caregivers. A questionnaire was administered to the caregivers addressing the oral health of the individuals with CP. The dmft/DMFT index, visible plaque index, malocclusion, dental age, pH, buffering capacity and flow salivary were determined. Motor function was evaluated using the GMFCS and GMFM-88 instruments. Results: A significant association was found between the GMFCS category and malocclusion. The GMFM-88 index was significantly lower in individuals with malocclusion and an altered dental age. Caregivers of quadriplegic individuals (57.1%), wheelchair users (42.9%) and those with more severe gross motor impairment (GMFM-88) reported more oral problems. Conclusion: Malocclusion and dental age were associated with motor function in children/adolescents with cerebral palsy. The caregivers of children and adolescents who are quadriplegic, use a wheelchair and have greater impairment regarding gross motor function reported more oral problems.

Sign in / Sign up

Export Citation Format

Share Document