Ann Rehabil Med.  2017 Apr;41(2):266-272. 10.5535/arm.2017.41.2.266.

Relationship Between Mobility and Self-Care Activity in Children With Cerebral Palsy

Affiliations
  • 1Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. dhjangmd@naver.com
  • 2Seoul Asan Rehabilitation Clinic, Incheon, Korea.

Abstract


OBJECTIVE
To investigate the factors influencing the development of self-care activity, and the association between mobility and self-care activity in children with cerebral palsy (CP).
METHODS
A total of 63 CP children aged ≥4 years, were studied retrospectively. Children with severe intellectual disability or behavioral problems were excluded. The relationship between the Gross Motor Function Classification System (GMFCS), the Manual Ability Classification System (MACS), and the Pediatric Evaluation of Disability Inventory (PEDI) was analyzed. Simple and multiple linear regression analyses were conducted for continuous variables, such as verbal intelligence quotient (IQ) and PEDI subscales.
RESULTS
Final evaluation was done for 25 children, ranging from 4 to 11 years of age. According to GMFCS levels, the differences in PEDI-self-care scores, showed statistically borderline significance (p=0.051). Conversely, differences in PEDI-self-care scores according to CP types and MACS levels were not statistically significant. Simple linear regression analysis showed that PEDI mobility and PEDI social function significantly influence the PEDI self-care. Multiple linear regression analysis showed that PEDI mobility was the only factor significantly influencing PEDI self-care in children aged ≥7 years (R²=0.875, p=0.03).
CONCLUSION
Mobility is important for the acquisition of self-care abilities in children with CP aged ≥7 years.

Keyword

Cerebral palsy; Activities of daily living; Self care; Mobility limitation

MeSH Terms

Activities of Daily Living
Cerebral Palsy*
Child*
Classification
Humans
Intellectual Disability
Intelligence
Linear Models
Mobility Limitation
Problem Behavior
Retrospective Studies
Self Care*

Figure

  • Fig. 1 The distribution of hand function is significantly associated with the severity of gross motor function. GMFCS, Gross Motor Function Classification System; MACS, Manual Ability Classification System.


Reference

1. American Occupational Therapy Association. Occupational therapy practice framework: domain and process. Am J Occup Ther. 2002; 56:609–639. PMID: 12458855.
2. 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
3. Smits DW, Ketelaar M, Gorter JW, van Schie P, Dallmeijer A, Jongmans M, et al. Development of daily activities in school-age children with cerebral palsy. Res Dev Disabil. 2011; 32:222–234. PMID: 21041062.
Article
4. Ohrvall AM, Eliasson AC, Lowing K, Odman P, Krumlinde-Sundholm L. Self-care and mobility skills in children with cerebral palsy, related to their manual ability and gross motor function classifications. Dev Med Child Neurol. 2010; 52:1048–1055. PMID: 20722662.
5. Hanna SE, Rosenbaum PL, Bartlett DJ, Palisano RJ, Walter SD, Avery L, et al. Stability and decline in gross motor function among children and youth with cerebral palsy aged 2 to 21 years. Dev Med Child Neurol. 2009; 51:295–302. PMID: 19391185.
Article
6. Haley SM, Coster WJ, Ludlow LH, Haltiwanger JT, Andrellos PJ. Pediatric Evaluation of Disability Inventory (PEDI): development, standardization, and administration manual. Boston: PEDI Resarch Group;1992.
7. Voorman JM, Dallmeijer AJ, Schuengel C, Knol DL, Lankhorst GJ, Becher JG. Activities and participation of 9- to 13-year-old children with cerebral palsy. Clin Rehabil. 2006; 20:937–948. PMID: 17065537.
Article
8. 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
9. Eliasson AC, Krumlinde-Sundholm L, Rosblad B, Beckung E, Arner M, Ohrvall AM, et al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006; 48:549–554. PMID: 16780622.
Article
10. Kim WH, Park EY, Park SY. Reliability and validity of the Korean translation of the pediatric evaluation of disability inventory in school-aged children with cerebral palsy. Phys Ther Korea. 2010; 17:69–76.
11. Jang DH, Sung IY, Kang JY, Lee SI, Park JY, Yuk JS, et al. Reliability and validity of the Korean version of the manual ability classification system for children with cerebral palsy. Child Care Health Dev. 2013; 39:90–93. PMID: 22708965.
Article
12. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. 2008; 50:744–750. PMID: 18834387.
Article
13. Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, et al. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. JAMA. 2002; 288:1357–1363. PMID: 12234229.
Article
14. Smits DW, Gorter JW, Hanna SE, Dallmeijer AJ, van Eck M, Roebroeck ME, et al. Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy: an investigation of motor growth curves. Dev Med Child Neurol. 2013; 55:378–384. PMID: 23356539.
Article
15. Ostensjo S, Carlberg EB, Vollestad NK. Everyday functioning in young children with cerebral palsy: functional skills, caregiver assistance, and modifications of the environment. Dev Med Child Neurol. 2003; 45:603–612. PMID: 12948327.
Article
16. Ostensjo S, Carlberg EB, Vøllestad 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
17. 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
18. Gunel MK, Mutlu A, Tarsuslu T, Livanelioglu A. Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy. Eur J Pediatr. 2009; 168:477–485. PMID: 18551314.
Article
19. Gallahue DL, Ozmun JC. Understanding motor development: infants, children, adolescents, adults. 6th ed. New York: McGraw-Hill;2006.
20. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization;2001.
21. Hauser-Cram P, Warfield ME, Shonkoff JP, Krauss MW, Sayer A, Upshur CC. Children with disabilities: a longitudinal study of child development and parent well-being. Monogr Soc Res Child Dev. 2001; 66:i–viii. 1–114.
22. Herbert J, Gross J, Hayne H. Crawling is associated with more flexible memory retrieval by 9-month-old infants. Dev Sci. 2007; 10:183–189. PMID: 17286842.
Article
23. Rizzolatti G, Matelli M. Two different streams form the dorsal visual system: anatomy and functions. Exp Brain Res. 2003; 153:146–157. PMID: 14610633.
Article
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