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Functional profiles of children with cerebral palsy in Jordan based on the association between gross motor function

Nihad A Almasri1, Maysoun Saleh2, Sana Abu-Dahab3

  • 1Department of Physiotherapy, School of Rehabilitation Sciences, The University of Jordan, Queen Rania Al Abdallah St, Amman, 11942, Jordan. nihadaa@gmail.com.

BMC Pediatrics
|August 23, 2018
PubMed

Insights

Understanding functional profiles in cerebral palsy (CP) is key for better service planning. This study found that while Gross Motor Function Classification System-Expanded & Revised (GMFCS-E & R) and Manual Ability Classification System (MACS) correlate, their association varies by CP subtype and age.

Area of Science:

  • Pediatrics
  • Neurology
  • Rehabilitation Medicine

Background:

  • Cerebral palsy (CP) is a leading cause of childhood physical disability.
  • The heterogeneity of CP presents challenges for effective service delivery.
  • Grouping children by functional profiles can enhance service planning.

Purpose of the Study:

  • To describe functional profiles of children with CP using the GMFCS-E & R and MACS.
  • To examine the association and agreement between GMFCS-E & R and MACS across different CP subtypes and age groups.

Main Methods:

  • A convenience sample of 124 children with CP participated.
  • Children were classified using GMFCS-E & R and MACS by research assistants based on parental input.
  • CP subtypes were determined by research assistants.

Main Results:

  • 36% of participants had independent ambulation (GMFCS-E & R I-II) and 64% had independent object handling (MACS I-II).
  • The predominant functional profile was 'manual abilities better than gross motor function'.
  • A strong overall correlation (rs = .73) was found between GMFCS-E & R and MACS, varying by CP subtype (spastic quadriplegia: rs = .81; spastic diplegia: rs = .64; spastic hemiplegia: rs = .37) and age.

Conclusions:

  • GMFCS-E & R and MACS offer complementary yet distinct information on mobility and manual abilities in children with CP.
  • CP subtypes and chronological age significantly influence functional profiles.
  • Observed functional patterns in Jordan align with international findings, highlighting the utility of functional profiles for informing clinicians, researchers, and policymakers.
Abstract

Keywords:
Cerebral palsyChildrenFunctional profilesGross Motor Function Classification System-Expanded & RevisedJordanManual ability classification system

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