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Subgrouping children with cerebral palsy from a broader perspective using two methods

Deepa Jeevanantham1, Doreen Bartlett2

  • 1a Health and Rehabilitation Sciences Program , Western University , London , Ontario , Canada.

Physiotherapy Theory and Practice
|February 6, 2018
PubMed

Insights

This study developed two versions of a body function index in cerebral palsy (BFI-CP) to assess children

Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Biostatistics

Background:

  • Cerebral palsy (CP) significantly impacts children's functional abilities.
  • Accurate assessment tools are crucial for understanding and managing CP.
  • Existing classification systems like the Gross Motor Function Classification System (GMFCS) have limitations.

Purpose of the Study:

  • To develop two versions of a body function index in cerebral palsy (BFI-CP I and BFI-CP II).
  • To examine the relationship and differences between BFI-CP I, BFI-CP II, and the GMFCS.
  • To explore classification differences beyond GMFCS ordinal levels.

Main Methods:

  • Utilized data from 405 children with CP (18 months to 5 years) from the Move & PLAY Study.
  • Developed BFI-CP I using a summing technique.
  • Developed BFI-CP II using cluster analysis.

Main Results:

  • Strong correlations were found between BFI-CP I and GMFCS (r=0.92), BFI-CP II and GMFCS (r=0.93), and BFI-CP I and II (r=0.92) (p<0.001).
  • Significant differences were observed between BFI-CP I and GMFCS (χ²=670.49, df=16, p<0.001).
  • Significant differences were also noted between BFI-CP II and GMFCS (χ²=685.57, df=16, p<0.001).

Conclusions:

  • The two BFI-CP versions demonstrate strong correlations with the GMFCS.
  • Both BFI-CP versions show significant differences compared to the GMFCS.
  • The BFI-CP I and BFI-CP II can serve as complementary tools for describing children with CP.

Keywords:
Categorizingcerebral palsyclassificationsubgrouping

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