Early motor repertoire is related to level of self-mobility in children with cerebral palsy at school age

Janneke L. M. Bruggink*, Giovanni Cioni, Christa Einspieler, Carel G. B. Maathuis, Rosa Pascale, Arend F. Bos

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

43 Citaten (Scopus)

Samenvatting

Aim

To determine the predictive value of the early motor repertoire for the level of self-mobility in children with cerebral palsy (CP) at school age.

Method

Video recordings were made at 11 to 17 weeks post-term of 37 preterm infants (20 males, 17 females) who later developed CP. The early motor repertoire was assessed by obtaining a motor optimality score. At 6 to 12 years, children were classified according to the Gross Motor Function Classification System (GMFCS).

Results

Of 37 children (mean gestational age 29.1wks, SD 1.9; mean birthweight 1273g, SD 324), nine had unilateral and 28 had bilateral spastic CP. Twelve children were in GMFCS level I, three level II, 10 level III, four level IV, and eight level V. The absence of the age-adequate motor repertoire, a cramped motor repertoire, an abnormal kicking pattern, and a non-flat supine posture were associated with lower levels of self-mobility (KH2 for trend test, p <0.05). Predictive for a low level of self-mobility was a cramped motor repertoire/non-flat supine posture (positive predictive values [PPV] 100%, negative predictive values [NPV] 54%). Predictive for a high level of self-mobility was a non-cramped repertoire/flat supine posture (PPV 80%, NPV 74%).

Interpretation

Several aspects of the motor repertoire at 11 to 17 weeks post-term predicted the degree of functional limitations in children with CP at school age.

Originele taal-2English
Pagina's (van-tot)878-885
Aantal pagina's8
TijdschriftDevelopmental Medicine and Child Neurology
Volume51
Nummer van het tijdschrift11
DOI's
StatusPublished - nov-2009

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