Contributing Factors Analysis for the Changes of the Gross Motor Function in Children With Spastic Cerebral Palsy After Physical Therapy.
10.5535/arm.2013.37.5.649
- Author:
Tae Im YI
1
;
Ju Ryeon JIN
;
Sung Heon KIM
;
Kyung Hee HAN
Author Information
1. Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. viaduct83@naver.com
- Publication Type:Original Article
- Keywords:
Cerebral palsy;
Gross motor function;
Physical therapy;
Factor analysis
- MeSH:
Botulinum Toxins;
Cerebral Palsy*;
Child*;
Deglutition Disorders;
Factor Analysis, Statistical;
Female;
Humans;
Lower Extremity;
Male;
Muscle Spasticity*
- From:Annals of Rehabilitation Medicine
2013;37(5):649-657
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate the factors which contribute to the improvements of the gross motor function in children with spastic cerebral palsy after physical therapy. METHODS: The subjects were 45 children with spastic cerebral palsy with no previous botulinum toxin injection or operation history within 6 months. They consisted of 24 males (53.3%) and 21 females (46.7%), and the age of the subjects ranged from 2 to 6 years, with the mean age being 41+/-18 months. The gross motor function was evaluated by Gross Motor Function Measure (GMFM)-88 at the time of admission and discharge, and then, the subtractions were correlated with associated factors. RESULTS: The GMFM-88 was increased by 7.17+/-3.10 through 52+/-16 days of physical therapy. The more days of admission, the more improvements of GMFM-88 were attained. The children with initial GMFM-88 values in the middle range showed more improvements in GMFM-88 (p<0.05). The children without dysphagia and children with less spasticity of lower extremities also showed more improvements in GMFM-88 (p<0.05). CONCLUSION: We can predict the improvements of the gross motor function after physical therapy according to the days of admission, initial GMFM-88, dysphagia, and spasticity of lower extremities. Further controlled studies including larger group are necessary.
