Relationship Between Gross Motor Function and Daily Functional Skill in Children With Cerebral Palsy
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (19)
- "The Definition and Classification of Cerebral Palsy", Dev Med Child Neurol, 49(s109), pp.1~44 (2007)
- Rosenbaum P., "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, 11, pp.5~10 (2004)
- Bax MC., "Terminology and classification of cerebral palsy", Dev Med Child Neurol, 6, pp.295~297 (1964)
- Russell DJ., "Gross Motor Function Measure(GMFM-66 & GMFM-88) : user’s manual" (2002), Mac Keith Press
- Haley SM., "Pediatric Evaluation of Disability Inventory(PEDI) : development, standardization and administration manual" (1992), PEDI Research Group, New England Medical Center Hospital
- Nordmark E., "The American Paediatric Evaluation of Disability Inventory(PEDI). Applicability of PEDI in Sweden for children aged 2. 0—6. 9 years", Scand J Rehabil Med, 31, pp.95~100 (1999)
- Custers JW., "Dutch adaptation and content validity of the ‘Pediatric Evaluation of Disability Inventory(PEDI)’", Disabil Rehabil, 24, pp.250~258 (2002)
- Smits DW., "Relationship between gross motor capacity and daily-life mobility in children with cerebral palsy", Dev Med Child Neurol, 52, pp.e60~e66 (2010)
- Holsbeeke L., "Capacity, capability, and performance : different constructs or three of a kind?", Arch Phys Med Rehabil, 90, pp.849~855 (2009)
- Tieman BL., "Gross motor capability and performance of mobility in children with cerebral palsy : a comparison across home, school, and outdoors", community settings, 2004, pp.84, 419~429
- Ostensjo S., "Motor impairments in young children with cerebral palsy : relationship to gross motor function and everyday activities", Dev Med Child Neurol, 46, pp.580~589 (2004)
- 정병록, "Pediatric Evaluation of Disability Inventory (PEDI) 평가도구의 국내 적용을 위한 번역 및 문화간 비교 연구; 예비연구", 대한작업치료학회지, 17(3), pp.121~132 (2009), 대한작업치료학회
- Beckung E., "Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy", Dev Med Child Neurol, 44, pp.309~316 (2002)
- Arnould C., "Hand impairments and their relationship with manual ability in children with cerebral palsy", J Rehabil Med, 39, pp.708~714 (2007)
- Han T., "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, 37, pp.398~403 (2011)
- Fennell EB., "Cognitive and neuropsychological functioning in children with cerebral palsy", J Child Neurol, 16, pp.58~63 (2001)
- 안아라, "경직형 뇌성마비 아동의 사물조작능력 분류 체계와 신변처리 기술 간의 상관관계", 대한작업치료학회지, 19(3), pp.13~22 (2011), 대한작업치료학회
- Kuijper MA., "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, 64, pp.614~620 (2010)
- Boyd RN., "Management of upper limb dysfunction in children with cerebral palsy : a systematic review. Eur J Neurol", 8 Suppl, 5, pp.150~166 (2001)