Examining mobility, independence, motor function, participation, and parental stress in a school-aged Turkish cerebral palsy population: a cross-sectional study
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This study aimed to describe a school-aged Turkish cerebral palsy (CP) population in terms of gross motor function, mobility, independence, and participation, and to investigate parental stress.
Mobility (Functional Mobility Scale (FMS)), independence (Barthel Index (BI)), motor function (Gross Motor Function Measurement (GMFM)), functional classification (Gross Motor Function Classification System (GMFCS)), participation (Pediatric Outcome Data Collection Instrument (PODCI)), and parents’ stress (Parental Stress Scale (PSS)) of 100 school-aged children with CP aged 5–15 years old were evaluated. School-related difficulties and restrictions were also questioned.
Of the 100 children with GMFCS levels I–V, almost half had independent mobility on level or all surfaces according to the FMS, with a relatively high GMFM score (72.8%), and above average BI (12 from 20), and PODCI Global Functioning (62.8%) scores. Strong-to-very strong correlations were determined between all test batteries. A mean score of 42.3 ± 9.92 out of 90 was obtained for parental stress with a weak correlation to the GMFCS and the child’s mobility distance according to family (p < 0.05).
Turkish school-aged children with CP displayed functional abilities that are above average besides experiencing restrictions in the school environment. Parents’ view on the physical condition of the school varied depending on functional and mobility levels of their children.
KeywordsCerebral palsy Mobility Participation School Motor function
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Bezmialem Vakıf University, Clinical Researches Ethical Committee, protocol number 10788) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
- 1.Bax MCO, Flodmark O, Tydeman C (2007) From syndrome toward disease. Dev Med Child Neurol 49:39–41. https://doi.org/10.1111/j.1469-8749.2007.tb12627.x CrossRefGoogle Scholar
- 9.Ramstad K, Jahnsen R, Skjeldal OH, Diseth TH (2012) Parent-reported participation in children with cerebral palsy: the contribution of recurrent musculoskeletal pain and child mental health problems. Dev Med Child Neurol 54:829–835. https://doi.org/10.1111/j.1469-8749.2012.04341.x CrossRefPubMedGoogle Scholar
- 12.Trivedi R, Gupta RK, Shah V, Tripathi M, Rathore RK, Kumar M, Narayana PA (2008) Treatment-induced plasticity in cerebral palsy: a diffusion tensor imaging study. Pediatr Neurol 39(5):341–349. https://doi.org/10.1016/j.pediatrneurol.2008.07.012 CrossRefPubMedGoogle Scholar
- 13.Englander ZA, Sun J, Case L, Mikati MA, Kurtzberg J, Song AW (2015) Brain structural connectivity increases concurrent with functional improvement: evidence from diffusion tensor MRI in children with cerebral palsy during therapy. NeuroImage Clin 7:315–324. https://doi.org/10.1016/j.nicl.2015.01.002 CrossRefPubMedPubMedCentralGoogle Scholar
- 17.Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B (1997) Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 39(4):214–223. https://doi.org/10.1111/j.1469-8749.1997.tb07414.x CrossRefPubMedGoogle Scholar
- 18.Graham HK, Harvey A, Rodda J, Nattrass GR, Pirpiris M (2004) The functional mobility scale (FMS). J Pediatr Orthop 24(5):514–520. https://journals.lww.com/pedorthopaedics/Abstract/2004/09000/The_Functional_Mobility_Scale__FMS_.11.aspx. Accessed 1 Nov 2018CrossRefGoogle Scholar
- 26.Daltroy LH, Liang MH, Fossel AH, Goldberg MJ (1998) The POSNA pediatric musculoskeletal functional health questionnaire: report on reliability, validity, and sensitivity to change. J Pediatr Orthop 18(5):561–571. https://journals.lww.com/pedorthopaedics/Abstract/1998/09000/The_POSNA_Pediatric_Musculoskeletal_Functional.1.aspx. Accessed 1 Nov 2018CrossRefGoogle Scholar
- 27.Dilbay NK, Günel MK, Aktan T (2013) Reliability and validity of Turkish version of pediatric outcome data collection instrument (PODCI) for people with cerebral palsy. Fiz Rehabil 24:118–126Google Scholar
- 28.Mutlu A, Büğüsan S, Kara ÖK (2017) Impairments, activity limitations, and participation restrictions of the international classification of functioning, disability, and health model in children with ambulatory cerebral palsy. Saudi Med J 38(2):176–185. https://doi.org/10.15537/smj.2017.2.16079 CrossRefPubMedPubMedCentralGoogle Scholar
- 32.Kelsey JL, Whittemore AS, Evans AS, Thompson WD (1996) Methods in observational epidemiology (vol 26). Monographs in epidemiology and biostatistics, 2nd edn. Oxford University Press, New YorkGoogle Scholar
- 33.Tan SS, van der Slot WM, Ketelaar M, Becher JG, Dallmeijer AJ, Smits DW, Perrin+ study group (2016) Factors contributing to the longitudinal development of social participation in individuals with cerebral palsy. Res Dev Disabil 57:125–135. https://doi.org/10.1016/j.ridd.2016.03.015 CrossRefPubMedGoogle Scholar