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Relationship among four functional classification systems and parent interpredicted intelligence level in children

Sefa Unes1, Merve Tuncdemir1, Cemil Ozal1

  • 1Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Developmental Neurorehabilitation
|March 18, 2022
PubMed

Insights

Four functional classification systems and intelligence quotient (IQ) effectively describe children with cerebral palsy (CP). These tools aid clinicians in CP rehabilitation, particularly for those with bilateral CP and lower IQ.

Area of Science:

  • Pediatrics
  • Neurology
  • Rehabilitation Medicine

Background:

  • Cerebral palsy (CP) impacts children's functional abilities.
  • Multiple classification systems exist to assess CP-related impairments.
  • Understanding the interplay between these systems and cognitive function is crucial for tailored interventions.

Purpose of the Study:

  • To examine the relationships between four functional classification systems in children with CP.
  • To investigate the correlation between these systems and parent-reported intelligence levels.
  • To analyze functional status across different clinical types of CP.

Main Methods:

  • Utilized data from 225 children with CP (ages 2-18) from the Surveillance of CP in Europe (SCPE) database in Turkey.
  • Classified Gross Motor Function (GMFCS), Manual Ability (MACS), Communication Function (CFCS), and Eating and Drinking (EDACS) levels.
  • Assessed intelligence quotient (IQ) via parent reports.

Main Results:

  • Strong correlations were observed between all functional classification systems, notably GMFCS-MACS (r=0.784) and CFCS-EDACS (r=0.772).
  • Significant correlations were found between IQ and communication/eating functions (IQ-CFCS: r=0.762; IQ-EDACS: r=0.634).
  • These correlations were more pronounced in children with bilateral CP and IQ levels below 70.

Conclusions:

  • The four functional classification systems, alongside reported IQ, provide a comprehensive overview of functioning in children with CP.
  • These findings can inform and guide clinical decision-making for CP rehabilitation strategies.
  • The study highlights the importance of considering cognitive status in functional assessments for CP.
Abstract

Keywords:
Cerebral palsyclassification systemsfunctionintelligence

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