PMID- 12033716
OWN - NLM
STAT- MEDLINE
DCOM- 20020605
LR  - 20220409
IS  - 0012-1622 (Print)
IS  - 0012-1622 (Linking)
VI  - 44
IP  - 5
DP  - 2002 May
TI  - Neuroimpairments, activity limitations, and participation restrictions in 
      children with cerebral palsy.
PG  - 309-16
AB  - In a representative series of 176 children with cerebral palsy (CP), aged 5 to 8 
      years, associations were studied between additional neuroimpairments, activity 
      limitations, and participation restrictions in the domains of mobility, 
      education, and social relations as proposed in the International Classification 
      of Functioning Disability and Health (ICF). Learning disability occurred in 40%, 
      epilepsy in 35%, visual impairment in 20%, and infantile hydrocephalus in 9% of 
      the children. Additional neuroimpairments were most frequently seen in children 
      with tetraplegia and dystonic CP and in those with antecedents of brain 
      malformations or severe perinatal compromise. Activity limitations were studied 
      with the Gross Motor Function Classification System (GMFCS) and a system for 
      grading bimanual fine motor function (BFMF) was developed. There was a strong 
      correlation of 0.74 between the GMFCS and BFMF (p<0.001). Learning disability, 
      activity limitations, and participation restrictions were all clinically strongly 
      associated with each other (p<0.001). Restriction in mobility was best predicted 
      by the GMFCS, learning disability, and the BFMF; in education by learning 
      disability and the GFMCS; and in social relations by learning disability, the 
      GMFCS, and BFMF. Motor function and learning disability were important predictors 
      for participation restrictions in children with CP. The ICF has the capacity to 
      be a model to help plan interventions for specific functional goals and to 
      ascertain the child's participation in society.
FAU - Beckung, Eva
AU  - Beckung E
AD  - Department of Paediatrics, the Queen Silvia Children's Hospital, Goteborg 
      University, Sweden. eva.beckung@vgregion.se
FAU - Hagberg, Gudrun
AU  - Hagberg G
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Dev Med Child Neurol
JT  - Developmental medicine and child neurology
JID - 0006761
SB  - IM
MH  - Activities of Daily Living
MH  - Cerebral Palsy/*epidemiology/physiopathology/*rehabilitation
MH  - Child
MH  - Child, Preschool
MH  - Comorbidity
MH  - Disability Evaluation
MH  - Educational Status
MH  - Epilepsy/epidemiology
MH  - Humans
MH  - Hydrocephalus/epidemiology
MH  - Learning Disabilities/epidemiology
MH  - Psychomotor Performance
MH  - Social Adjustment
MH  - Sweden/epidemiology
MH  - Vision Disorders/epidemiology
EDAT- 2002/05/30 10:00
MHDA- 2002/06/06 10:01
CRDT- 2002/05/30 10:00
PHST- 2002/05/30 10:00 [pubmed]
PHST- 2002/06/06 10:01 [medline]
PHST- 2002/05/30 10:00 [entrez]
AID - 10.1017/s0012162201002134 [doi]
PST - ppublish
SO  - Dev Med Child Neurol. 2002 May;44(5):309-16. doi: 10.1017/s0012162201002134.