FUNCTIONAL CLASSIFICATION OF CHILDREN WITH CEREBRAL PALSY IN KRAPINA-ZAGORJE COUNTY
Sunčica Martinec1, Gordana Cesarec1, Ana Marija Tomečak Krilić1
11Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia; 2Josip Juraj Strossmayer University of Osijek, School of Medicine, Osijek, Croatia; 3Department of Neuropediatrics, Zagreb Children's Hospital, School of Medicine, University of Zagreb, Zagreb, Croatia.
Insights
This study classified functional abilities in children with cerebral palsy (CP) using SCPE criteria. Results highlight varying motor skills and associated impairments, with a significant portion exhibiting low functional levels.
Area of Science:
- Pediatrics
- Neurology
- Rehabilitation Medicine
Background:
- Cerebral palsy (CP) presents diverse functional challenges in children.
- Standardized classification is crucial for understanding CP's impact on daily life.
- Previous research has not fully detailed functional profiles within specific regions like Krapina-Zagorje County.
Purpose of the Study:
- To establish a functional classification for children with cerebral palsy (CP) in Krapina-Zagorje County.
- To analyze gross and fine motor skills, and associated impairments in this population.
- To create a comprehensive functional profile based on established CP classification systems.
Main Methods:
- Utilized Surveillance of Cerebral Palsy in Europe (SCPE) criteria for classification.
- Applied standardized and complementary functional assessment tools.
- Analyzed data from 44 children aged 4–18 years with diagnosed CP.
Main Results:
- The majority of children presented with bilateral spastic CP (63.6%).
- 43.2% could walk independently, 11% used assistive devices, and 45.4% had low functional levels.
- Higher motor impairment scores correlated with increased severity of associated impairments, including potential mild cognitive deficits in dyskinetic CP.
Conclusions:
- Functional abilities in children with CP vary significantly, necessitating tailored interventions.
- The study provides a detailed functional profile of CP in a specific Croatian region.
- Understanding the interplay between motor type, functional level, and associated impairments is key for effective management.
Abstract:
The aim was to study functional abilities and to create functional classification of children with cerebral palsy (CP) in Krapina-Zagorje County, based on the classification of gross and fine motor skills and associated impairments. Classification was performed according to the SCPE (Surveillance of Cerebral Palsy in Europe) criteria. We used standardized and complementary functional classification systems for cerebral palsy to create a functional profile. Research included 44 children with CP in the age range of 4 to 18 years. The results showed that the majority of children had bilateral spastic CP (63.6%), followed by unilateral spastic (22.7%) while the representation of dyskinetic CP was 9.09% and ataxic CP 4.55%. Based on the classification of gross and fine motor skills, 43.2% of children had the ability to walk, 11% of children could walk with assistive mobility devices, while 45.4% of children had a low functional level. The study also analyzed the associated impairments where higher classification score of motor impairment correlated with the severity of impairment. The results showed that children with dyskinetic CP and severe motor impairment could have mild cognitive impairment. We systematically present the neuropsychological and functional profile according to the CP type.
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