Potential Predictors of Changes in Gross Motor Function during Various Tasks for Children with Cerebral Palsy: A Follow-Up Study

Autor/inn/en	Chen, Chia-ling; Chen, Chung-yao; Chen, Hsieh-ching; Liu, Wen-yu; Shen, I-hsuan; Lin, Keh-chung
Titel	Potential Predictors of Changes in Gross Motor Function during Various Tasks for Children with Cerebral Palsy: A Follow-Up Study
Quelle	In: Research in Developmental Disabilities: A Multidisciplinary Journal, 34 (2013) 1, S.721-728 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0891-4222
DOI	10.1016/j.ridd.2012.10.009
Schlagwörter	Human Body; Physical Fitness; Classification; Motor Development; Muscular Strength; Cerebral Palsy; Followup Studies; Predictor Variables; Psychomotor Skills; Children; Adolescents; Age Differences; Gender Differences; Symptoms (Individual Disorders); Bruininks Oseretsky Test of Motor Proficiency + Suchen Sie Ihr Suchwort? Menschlicher Körper; Leistungsfähigkeit; Classification system; Klassifikation; Klassifikationssystem; Motorische Entwicklung; Muskelkraft; Hirnlähmung; Follow-up studies; Kontaktstudium; Prädiktor; Psychomotorische Aktivität; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Age; Difference; Age difference; Altersunterschied; Geschlechterkonflikt; Psychiatrische Symptomatik
Abstract	Very few studies have investigated predictors of change in various gross motor outcomes in ambulatory children with cerebral palsy (CP). The aim of this study was to identify potential predictors for change in gross motor outcomes measured during various tasks in children with CP. A group of 45 children (age, 6-15 years) with CP and 7 potential predictors were identified, including age, gender, CP subtypes, gross motor function classification system (GMFCS) levels, abdominal muscle endurance, and muscles strength of knee extensor and knee flexor measured by isokinetic dynanometer. Motor outcome was assessed by means of the gross motor composite (GMC) of Bruininks-Oseretsky Test of Motor Proficiency (BOTMP), including four gross motor subtests: running speed and agility (RSA), balance (BAL), bilateral coordination (BCO), and strength (STR). The outcomes were measured at baseline and 12-week later (follow-up). The regression analyses showed that knee extensor strength was a robust predictor of change in BAL, BCO, and GMC (adjusted R[superscript 2] = 0.07-0.19, P less than 0.05). Additionally, abdominal muscle strength was a negative predictor for the changes in the RSA (adjusted R[superscript 2] = 0.08, P less than 0.05). However, STR model revealed no significant predictors. These findings suggest that ambulatory children with greater knee muscle strength may benefit more from therapy than those with lower strength. The knee muscle strength can be used as a biomarker to predict the changes in the gross motor functions. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10