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...
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doaj-2dcffa5867f34bf5938b74f5181402932020-11-25T03:02:28ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-08-0198YC01YC0310.7860/JCDR/2015/11639.6399Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory StudyShraddha Diwan0Jasmin Diwan1Ankita B. Bansal2Pankaj R. Patel3Lecturer, Department of Paediatrics Physiotherapy, S.B.B College of Physiotherapy, VS Hospital, Ahmedabad, Gujarat, India.Professor & Head, Department of Physiology, GMERS Medical College, Civil Hospital, Gandhinagar, Gujarat, India.MPT Neurology,Department of Paediatrics Physiotherapy, S.B.B College of Physiotherapy, Ahmedabad, Gujarat, India.Dean & Professor, Department of Orthopaedics, Smt. NHL Municipal Medical College, V S Hospital, Ahmedabad, Gujarat, India.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.https://jcdr.net/articles/PDF/6399/11639_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdfcommunityicfmotor capacity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shraddha Diwan Jasmin Diwan Ankita B. Bansal Pankaj R. Patel |
spellingShingle |
Shraddha Diwan Jasmin Diwan Ankita B. Bansal Pankaj R. Patel Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study Journal of Clinical and Diagnostic Research community icf motor capacity |
author_facet |
Shraddha Diwan Jasmin Diwan Ankita B. Bansal Pankaj R. Patel |
author_sort |
Shraddha Diwan |
title |
Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study |
title_short |
Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study |
title_full |
Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study |
title_fullStr |
Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study |
title_full_unstemmed |
Changes in Capacity and Performance in Mobility Across Different Environmental Settings in Children with Cerebral Palsy: An Exploratory Study |
title_sort |
changes in capacity and performance in mobility across different environmental settings in children with cerebral palsy: an exploratory study |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2015-08-01 |
description |
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. |
topic |
community icf motor capacity |
url |
https://jcdr.net/articles/PDF/6399/11639_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
work_keys_str_mv |
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