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Factors Associated with Enhanced Gross Motor Progress in Children with Cerebral Palsy: A Register-Based Study

Gunfrid V Størvold1, Reidun B Jahnsen2, Kari Anne I Evensen3

  • 1a Habilitation Centre, Nord-Trøndelag Hospital Trust , Levanger , Norway.

Physical & Occupational Therapy in Pediatrics
|May 2, 2018
PubMed

Insights

Intensive training significantly improved gross motor progress in children with cerebral palsy (CP). Intellectual disability negatively impacted progress, while preventing ankle contractures is crucial for development.

Area of Science:

  • Pediatrics
  • Neurology
  • Rehabilitation Medicine

Background:

  • Cerebral palsy (CP) affects motor function in children.
  • Understanding factors influencing gross motor progress is vital for targeted interventions.

Purpose of the Study:

  • To investigate the relationship between interventions, child characteristics, and gross motor progress in children with CP.
  • To identify key factors that promote or hinder motor development in this population.

Main Methods:

  • A prospective cohort study involving 442 children (aged 2-12 years) with CP.
  • Gross motor progress was assessed using repeated measures of the Gross Motor Function Measure (GMFM-66) percentiles.
  • Linear mixed models analyzed the association between interventions, child characteristics, and motor progress over a mean follow-up of 2.9 years.

Main Results:

  • Intensive training (≥3 sessions/week or intensive programs) was the sole intervention linked to enhanced gross motor progress (3.3 percentiles).
  • Children with intellectual disability showed significantly lower gross motor function (24.2 percentiles).
  • Eating problems and ankle contractures were also associated with reduced motor progress.

Conclusions:

  • Intensive training positively impacts gross motor progress in children with CP over time.
  • Intellectual disability is a significant negative prognostic factor for motor development.
  • Preventing ankle contractures is important for optimizing gross motor progress in children with CP.
Abstract

Keywords:
Cerebral palsyGMFM-66 percentilesgross motor functionintensive trainingprognosis

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