Skip to main content Accessibility help
×
Home

Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities

  • Sigrid Østensjø (a1), Eva Brogren Carlberg (a2) and Nina K Vøllestad (a3)

Abstract

In this study we assessed the distribution of spasticity, range of motion (ROM) deficits, and selective motor control problems in children with cerebral palsy (CP), and examined how these impairments relate to each other and to gross motor function and everyday activities. Ninety-five children (55 males, 40 females; mean age 58 months, SD 18 months, range 25 to 87 months) were evaluated with the modified Ashworth scale (MAS), passive ROM, the Selective Motor Control scale (SMC), the Gross Motor Function Measure (GMFM), and the Pediatric Evaluation of Disability Inventory (PEDI). Types of CP were hemiplegia (n=19), spastic diplegia (n=40), ataxic diplegia (n=4), spastic quadriplegia (n=16), dyskinetic (n=9), and mixed type (n=7). Severity spanned all five levels of the Gross Motor Function Classification System (GMFCS). The findings highlight the importance of measuring spasticity and ROM in several muscles and across joints. Wide variability of correlations of MAS, ROM, and SMC indicates a complex relationship between spasticity, ROM, and selective motor control. Loss of selective control seemed to interfere with gross motor function more than the other impairments. Further analyses showed that motor impairments were only one component among many factors that could predict gross motor function and everyday activities. Accomplishment of these activities was best predicted by the child's ability to perform gross motor tasks.

Copyright

Corresponding author

Oslo University College, Faculty of Health Sciences, PO Box 4 St Olavs plass, N-0130 Oslo, Norway. E-mail: Sigrid.Ostensjo@hf.hio.no

Related content

Powered by UNSILO

Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities

  • Sigrid Østensjø (a1), Eva Brogren Carlberg (a2) and Nina K Vøllestad (a3)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.