PMID- 28378564 OWN - NLM STAT- MEDLINE DCOM- 20170908 LR - 20181113 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 32 IP - 5 DP - 2017 May TI - Factors Influencing the Gross Motor Outcome of Intensive Therapy in Children with Cerebral Palsy and Developmental Delay. PG - 873-879 LID - 10.3346/jkms.2017.32.5.873 [doi] AB - The study was designed to identify factors influencing the short term effect of intensive therapy on gross motor function in children with cerebral palsy or developmental delay. Retrospectively, total Gross Motor Function Measure-88 (GMFM-88) scores measured during the first and last weeks of intensive therapy were analyzed (n = 103). Good and poor responder groups were defined as those in the top and bottom 25% in terms of score difference, respectively. The GMFM-88 score increased to 4.67 +/- 3.93 after 8 weeks of intensive therapy (P < 0.001). Gross Motor Function Classification System (GMFCS) level (I-II vs. IV-V; odds ratio [OR] = 7.763, 95% confidence interval [CI] = 2.177-27.682, P = 0.002) was a significant factor in a good response to therapy. Age (>/= 36 months; OR = 2.737, 95% CI = 1.003-7.471, P = 0.049) and GMFCS level (I-II vs. IV-V; OR = 0.189, 95% CI = 0.057-0.630, P = 0.007; and III vs. IV-V; OR = 0.095, 95% CI = 0.011-0.785, P = 0.029) were significantly associated with a poor response. GMFCS level is the most important prognostic factor for the effect of intensive therapy on gross motor function. In addition, age >/= 36 months, is associated with a poor outcome. CI - (c) 2017 The Korean Academy of Medical Sciences. FAU - Hong, Bo Young AU - Hong BY AUID- ORCID: 0000-0001-9290-6173 AD - Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. byhong@catholic.ac.kr. FAU - Jo, Leechan AU - Jo L AUID- ORCID: 0000-0001-7375-3626 AD - Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. FAU - Kim, Joon Sung AU - Kim JS AUID- ORCID: 0000-0001-7457-593X AD - Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. FAU - Lim, Seong Hoon AU - Lim SH AUID- ORCID: 0000-0002-5475-4153 AD - Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. FAU - Bae, Jung Min AU - Bae JM AUID- ORCID: 0000-0001-5975-8519 AD - Department of Dermatology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. LA - eng PT - Journal Article PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 SB - IM MH - Cerebral Palsy/physiopathology/rehabilitation/*therapy MH - Child, Preschool MH - Developmental Disabilities/physiopathology/rehabilitation/*therapy MH - Female MH - Humans MH - Male MH - Motor Activity MH - Multivariate Analysis MH - Odds Ratio MH - Prognosis MH - Severity of Illness Index PMC - PMC5383623 OTO - NOTNLM OT - Cerebral Palsy OT - Developmental Disabilities OT - Early Intervention OT - Rehabilitation COIS- The authors have no potential conflicts of interest to disclose. EDAT- 2017/04/06 06:00 MHDA- 2017/09/09 06:00 PMCR- 2017/05/01 CRDT- 2017/04/06 06:00 PHST- 2017/01/06 00:00 [received] PHST- 2017/01/31 00:00 [accepted] PHST- 2017/04/06 06:00 [entrez] PHST- 2017/04/06 06:00 [pubmed] PHST- 2017/09/09 06:00 [medline] PHST- 2017/05/01 00:00 [pmc-release] AID - 32.873 [pii] AID - 10.3346/jkms.2017.32.5.873 [doi] PST - ppublish SO - J Korean Med Sci. 2017 May;32(5):873-879. doi: 10.3346/jkms.2017.32.5.873.