Relevant Factors of Self-care in Children and Adolescents with Spastic Cerebral Palsy

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2021 Jul 21

PMID 34288946

Citations 3

Authors

Yasuaki Kusumoto

Kenji Takaki

Tadamitsu Matsuda

Osamu Nitta

Affiliations

Soon will be listed here.

Abstract

Objective: Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful measures that assist in enhancing the capability for self-care among children and adolescents with cerebral palsy (CP). The aim of this study was to investigate the relevant factors of self-care capability and performance in children and adolescents with spastic CP.

Methods: This was a cross-sectional study. Seventy-six children and adolescents with spastic CP (between 5 and 18 years of age), representing levels I to IV of the Gross Motor Function Classification System-Expanded & Revised version (GMFCS), were analyzed. Multiple linear regression analysis with forward stepwise selection was conducted to examine which determinants were related to self-care capability and performance. Independent variables were age, CP type, GMFCS, Manual Ability Classification System, Box and Block Test, and grip strength in the dominant and non-dominant hands. Dependent variables were scores for the PEDI Functional Skills Scale and the PEDI Caregiver Assistance Scale.

Results: Results of the multiple regression analysis showed that the PEDI Functional Skills scale scores were correlated with the Box and Block Test in the dominant hand and GMFCS (Adjusted R2 = 0.69). The PEDI Caregiver Assistance Scale scores were correlated with the Box and Block Test in the dominant hand, GMFCS, and age (adjusted R2 = 0.71).

Conclusion: When considering self-care of children and adolescents with spastic CP, it is necessary to consider the evaluation of upper limb dysfunction in addition to GMFCS.

Citing Articles

Looking beyond Body Structure and Function: ICF Foci and Who Is Being Assessed in Research about Adolescents and Young Adults with Cerebral Palsy-A Scoping Review.

Santana C, Rosenbaum P, van der Kemp J, de Campos A Int J Environ Res Public Health. 2024; 21(6).

PMID: 38928917 PMC: 11203594. DOI: 10.3390/ijerph21060670.

What Is the Relationship between Trunk Control Function and Arm Coordination in Adults with Severe-to-Moderate Quadriplegic Cerebral Palsy?.

Cornejo M, Roldan A, Reina R Int J Environ Res Public Health. 2023; 20(1).

PMID: 36612469 PMC: 9819854. DOI: 10.3390/ijerph20010141.

Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy.

Zapata-Figueroa V, Ortiz-Corredor F Occup Ther Int. 2022; 2022:9980523.

PMID: 35281716 PMC: 8888044. DOI: 10.1155/2022/9980523.

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