Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study
Background: Children with cerebral palsy, although having similar diagnosis, varies in their abilities & level of functioning within & across different environmental context e.g. home, school or community setting. Capacity (what a child can do in standardized, controlled environment) may...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2015-08-01
|
Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/6399/11639_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
Summary: | Background: Children with cerebral palsy, although having similar
diagnosis, varies in their abilities & level of functioning within & across
different environmental context e.g. home, school or community
setting. Capacity (what a child can do in standardized, controlled
environment) may or may not be the same as performance (what
a child actually does do in her/her daily environment).
Materials and Methods: After getting approval from Institutional
Ethic’s Committee (IEC), 63 children with cerebral palsy (4-16
year, mean 7.4 year with SD 0.39) of all clinical types, Gross Motor
Functional Classification System (GMFCS) level I-V were examined
for mobility using Gross Motor Functional Measure 88 (GMFM).
Motor capacity was assessed in clinical setting by highest of 3
GMFM items attained, i.e., crawling (44), walks with support (68) &
walks without support (70). Motor performance was measured by
Functional Mobility Scale version 2.
Result: On analysis of motor capacity 42.85% children were
walking without support, 15.87% were able to crawl & 26.98% were
able walk with support in clinical setting. Spearman’s Correlation
was done between GMFM item 70 with FMS 5 (home setting) to
check correlation of capacity with performance & was found to be
significantly correlated (r=0.586, p=0.04). All three GMFM items
were correlated with FMS 5, 50, 500 & found positively correlated.
For community setting (FMS 500), 52.38% children were lifted by
parents & only 6.34% were using wheel chair mobility. A total of
21.87% patients were able to walk with or without support & still
lifted by parents in school or community setting.
Conclusion: Change in capacity and performance of mobility
exists mainly in school and community setting in studied population.
Context should be given importance to prioritize rehabilitation
process. |
---|---|
ISSN: | 2249-782X 0973-709X |