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[The comparison of motor developmental processes between spastic diplegic children and athetotic children who have
1Department of Pediatrics, St. Joseph Hospital for Handicapped Children, Kyoto.
Insights
Early motor development in children with cerebral palsy predicts their ability to walk by age 4. Spastic diplegic children who achieved early milestones walked sooner than those with delayed development.
Area of Science:
- Pediatrics
- Neurology
- Developmental Pediatrics
Background:
- Cerebral palsy (CP) affects motor development, impacting children's ability to achieve milestones.
- Understanding the relationship between early motor skills and later functional outcomes is crucial for intervention.
Purpose of the Study:
- To investigate the correlation between early motor developmental processes and the prognosis of locomotion at 4 years of age in children with spastic diplegic and athetotic cerebral palsy.
- To identify predictive indicators for ambulation in young children with CP.
Main Methods:
- Study included 15 spastic diplegic and 21 athetotic children treated before 1 year of age.
- Children were categorized into walkers and crawlers at 4 years.
- Compared average corrected ages for achieving motor milestones (rolling, creeping, sitting, crawling, walking) using t-tests and cumulative frequency analysis.
Main Results:
- Spastic walkers (S-I) achieved all motor milestones significantly earlier than spastic crawlers (S-II).
- Athetotic walkers (A-I) achieved crawling and sitting significantly earlier than spastic crawlers (S-II) and athetotic crawlers (A-II).
- Spastic walkers (S-I) achieved creeping and sitting with support significantly earlier than athetotic walkers (A-I). No significant differences were found between spastic crawlers (S-II) and athetotic crawlers (A-II).
Conclusions:
- Early motor developmental processes can predict the prognosis of ambulation at 4 years in children with spastic diplegic cerebral palsy.
- Identifying early motor milestones is key for predicting long-term functional outcomes in children with CP.
- This study highlights the importance of early intervention and monitoring of motor development in CP.
Abstract:
We studied the correlation between motor developmental processes and prognosis of locomotion at the age of 4 years, among 15 spastic diplegic children (S) and 21 athetotic children (A), who started treatment under 1 year of age. The children of each type were divided into two groups according to the ability of locomotion at the age of 4 years; S- I: 6 walkers, S- II: 9 crawler, A- I: 11 walkers and A- II: 10 crawler. We compared the average corrected ages when the subjects attained the abilities to roll over, creep, sit with hands, crawl, sit up, cruise with support, stand up, and walk alone, and made a statistical analysis by t test among 4 groups. Also we compared the cumulative frequency percentages for the ages about the locomotion mentioned above. The S- I group attained all of the abilities of locomotion significantly earlier than the S- II group. The A- I group could crawl and sit up significantly earlier than the S- II group. The A- I group could crawl and sit up significantly earlier than the A- II group. The S- I group began to creep and sit with hands significantly earlier than the A- I group. We found no significant differences between the S- II group and the A- II group in motor developmental processes. These studies revealed that it would be possible to expect the prognosis of ambulation at the age of 4 years according to the early motor developmental processes among the spastic diplegic children.(ABSTRACT TRUNCATED AT 250 WORDS)