Ann Rehabil Med.  2013 Feb;37(1):41-49. 10.5535/arm.2013.37.1.41.

Relationship Between Gross Motor Function and Daily Functional Skill in Children With Cerebral Palsy

Affiliations
  • 1Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jeongyi@gmail.com
  • 2Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.

Abstract


OBJECTIVE
To investigate the relationship between gross motor function and daily functional skill in children with cerebral palsy (CP) and to explore how this relationship is moderated by the Gross Motor Function Classification System, Bimanual Fine Motor Function (BFMF), neuromotor types, and limb distribution of CP.
METHODS
A cross-sectional survey of 112 children with CP (range, 4 years to 7 years and 7 months) was performed. Gross motor function was assessed with the Gross Motor Function Measure-66 (GMFM-66) and functional skill was assessed with the Pediatric Evaluation of Disability Inventory-Functional Skills Scale (PEDI-FSS).
RESULTS
GMFM-66 scores explained 49.7%, 67.4%, and 26.1% of variance in the PEDI-FSS scores in the self-care, mobility, and social function domains, respectively. Significant moderation by the distribution of palsy and BFMF classification levels II, III, and IV was found in the relationship between GMFM-66 and PEDI-FSS self-care. Further significant moderation by the distribution of palsy was also observable in the relationship between GMFM-66 and PEDI-FSS mobility.
CONCLUSION
These findings suggest that limb distribution and hand function must be considered when evaluating gross motor function and functional skills in children with CP, especially in unilateral CP.

Keyword

Disability evaluation; Severity of illness index; Cerebral palsy; Child

MeSH Terms

Cerebral Palsy
Child
Cross-Sectional Studies
Disability Evaluation
Extremities
Hand
Humans
Paralysis
Self Care
Severity of Illness Index

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Reference

1. The Definition and Classification of Cerebral Palsy. Dev Med Child Neuro. 2007; 49(s109):1–44.
2. Rosenbaum P, Stewart D. The World Health Organization International Classification of Functioning, Disability, and Health: a model to guide clinical thinking, practice and research in the field of cerebral palsy. Semin Pediatr Neurol. 2004; 11:5–10. PMID: 15132248.
Article
3. Bax MC. Terminology and classification of cerebral palsy. Dev Med Child Neurol. 1964; 6:295–297. PMID: 14155190.
Article
4. Russell DJ, Rosenbaum PL, Avery LM, Lane M. Gross Motor Function Measure (GMFM-66 & GMFM-88): user's manual. 2002. London: Mac Keith Press.
5. Haley SM, Coster WJ, Ludlow LH, Haltiwanger JT, Andrellos PJ. Pediatric Evaluation of Disability Inventory (PEDI): development, standardization and administration manual. 1992. Boston MA: PEDI Research Group, New England Medical Center Hospital.
6. Nordmark E, Orban K, Hagglund G, Jarnlo GB. The American Paediatric Evaluation of Disability Inventory (PEDI). Applicability of PEDI in Sweden for children aged 2.0-0.9 years. Scand J Rehabil Med. 1999; 31:95–100. PMID: 10380725.
7. Custers JW, Wassenberg-Severijnen JE, Van der Net J, Vermeer A, Hart HT, Helders PJ. Dutch adaptation and content validity of the 'Pediatric Evaluation of Disability Inventory (PEDI)'. Disabil Rehabil. 2002; 24:250–258. PMID: 12004970.
Article
8. Smits DW, Gorter JW, Ketelaar M, Van Schie PE, Dallmeijer AJ, Lindeman E, et al. Relationship between gross motor capacity and daily-life mobility in children with cerebral palsy. Dev Med Child Neurol. 2010; 52:e60–e66. PMID: 20002126.
Article
9. Holsbeeke L, Ketelaar M, Schoemaker MM, Gorter JW. Capacity, capability, and performance: different constructs or three of a kind? Arch Phys Med Rehabil. 2009; 90:849–855. PMID: 19406307.
Article
10. Tieman BL, Palisano RJ, Gracely EJ, Rosenbaum PL. Gross motor capability and performance of mobility in children with cerebral palsy: a comparison across home, school, and outdoors/community settings. Phys Ther. 2004; 84:419–429. PMID: 15113275.
Article
11. Ostensjo S, Carlberg EB, Vollestad NK. Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities. Dev Med Child Neurol. 2004; 46:580–589. PMID: 15344517.
Article
12. Jeong BL, Yoo EY, Jung MY, Chung BI. Adaptation of the Korean-translated version of the Pediatric Evaluation of Disability Inventory and cross-cultural research: preliminary study. J Korean Acad Occup Ther. 2009; 17:121–132.
13. Beckung E, Hagberg G. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Dev Med Child Neurol. 2002; 44:309–316. PMID: 12033716.
Article
14. Arnould C, Penta M, Thonnard JL. Hand impairments and their relationship with manual ability in children with cerebral palsy. J Rehabil Med. 2007; 39:708–714. PMID: 17999009.
Article
15. Han T, Gray N, Vasquez MM, Zou LP, Shen K, Duncan B. Comparison of the GMFM-66 and the PEDI Functional Skills Mobility domain in a group of Chinese children with cerebral palsy. Child Care Health Dev. 2011; 37:398–403. PMID: 20825421.
Article
16. Fennell EB, Dikel TN. Cognitive and neuropsychological functioning in children with cerebral palsy. J Child Neurol. 2001; 16:58–63. PMID: 11225958.
Article
17. Ahn AR, Park HS, Cha SE, Shin WH, Cho EH, Kim EH, et al. Correlation between manual ability classification system and self-care skills in children with spastic cerebral palsy. J Korean Acad Occup Ther. 2011; 19:13–22.
18. Kuijper MA, van der Wilden GJ, Ketelaar M, Gorter JW. Manual ability classification system for children with cerebral palsy in a school setting and its relationship to home self-care activities. Am J Occup Ther. 2010; 64:614–620. PMID: 20825133.
Article
19. Boyd RN, Morris ME, Graham HK. Management of upper limb dysfunction in children with cerebral palsy: a systematic review. Eur J Neurol. 2001; 8(Suppl 5):150–166. PMID: 11851744.
Article
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