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PEDI and activities in cerebral palsy

Mael Lintanf, Jean-Sébastien Bourseul, Laetitia Houx, Mathieu Lempereur, Sylvain Brochard, Christelle Pons
OBJECTIVE: To determine the effects of ankle-foot orthoses (AFOs) on gait, balance, gross motor function and activities of daily living in children with cerebral palsy. DATA SOURCES: Five databases were searched (Pubmed, Psycinfo, Web of Science, Academic Search Premier and Cochrane Library) before January 2018. REVIEW METHODS: Studies of the effect of AFOs on gait, balance, gross motor function and activities of daily living in children with cerebral palsy were included...
April 1, 2018: Clinical Rehabilitation
Piyapa Keawutan, Kristie L Bell, Stina Oftedal, Peter S W Davies, Robert S Ware, Roslyn N Boyd
BACKGROUND: Children with cerebral palsy (CP) have lower habitual physical activity (HPA) than their typically developing peers. There are limited studies of HPA in young children with CP under the age of 5 years. OBJECTIVE: To investigate the relationships between HPA, sedentary time, motor capacity and capability in children with CP aged 4-5 years. METHODS: Sixty-seven participants were classified using Gross Motor Function Classification System (GMFCS), assessed for motor capacity using Gross Motor Function Measure (GMFM) and wore accelerometers for three days to measure HPA and sedentary time...
April 3, 2018: Disability and Health Journal
Geoffroy Saussez, Marina B Brandão, Andrew M Gordon, Yannick Bleyenheuft
Hand-Arm Bimanual Intensive Therapy (HABIT) promotes hand function using intensive practice of bimanual functional and play tasks. This intervention has shown to be efficacious to improve upper-extremity (UE) function in children with unilateral spastic cerebral palsy (USCP). In addition to UE function deficits, lower-extremity (LE) function and UE-LE coordination are also impaired in children with USCP. Recently, a new intervention has been introduced in which the LE is simultaneously engaged during HABIT (Hand-Arm Bimanual Intensive Therapy Including Lower Extremities; HABIT-ILE)...
2017: Frontiers in Neurology
Kyeongwon Kim, Jin Young Kang, Dae-Hyun Jang
OBJECTIVE: To investigate the factors influencing the development of self-care activity, and the association between mobility and self-care activity in children with cerebral palsy (CP). METHODS: A total of 63 CP children aged ≥4 years, were studied retrospectively. Children with severe intellectual disability or behavioral problems were excluded. The relationship between the Gross Motor Function Classification System (GMFCS), the Manual Ability Classification System (MACS), and the Pediatric Evaluation of Disability Inventory (PEDI) was analyzed...
April 2017: Annals of Rehabilitation Medicine
Benjamin J Shore, Benjamin G Allar, Patricia E Miller, Travis H Matheney, Brian D Snyder, Maria A Fragala-Pinkham
Background: The Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT) is a new clinical assessment for children and youth from birth through 20 years of age. Objective: To determine the discriminant validity of the PEDI-CAT according to the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) in children with cerebral palsy (CP). Design: A prospective convenience cross-sectional sample of 101 school-age children with CP was stratified by GMFCS level...
June 1, 2017: Physical Therapy
Songül Atasavun Uysal, Gül Baltaci
OBJECTIVE: This study aimed at assessing how the addition of Nintendo Wii(™) (NW) system to the traditional therapy influences occupational performance, balance, and daily living activities in children with spastic hemiplegic Cerebral Palsy (CP). MATERIALS AND METHODS: The present study is a single-blind and randomized trial involving 24 children aged 6-14 years, classified as level I or II on the Gross Motor Function Classification System. The children were allocated into two groups: an intervention and a control group, and their families participated in the study...
October 5, 2016: Games for Health
Mary E Gannotti, Mary Law, Amy F Bailes, Margaret E OʼNeil, Uzma Williams, Briano DiRezze
PURPOSE: A step toward advancing research about rehabilitation service associated with positive outcomes for children with cerebral palsy is consensus about a conceptual framework and measures. METHODS: A Delphi process was used to establish consensus among clinicians and researchers in North America. RESULTS: Directors of large pediatric rehabilitation centers, clinicians from large hospitals, and researchers with expertise in outcomes participated (N = 18)...
2016: Pediatric Physical Therapy
Belinda Lipscombe, Roslyn N Boyd, Andrea Coleman, Michael Fahey, Barry Rawicki, Koa Whittingham
BACKGROUND: Children diagnosed with neurodevelopmental conditions such as cerebral palsy (CP) are at risk of experiencing restrictions in social activities negatively impacting their subsequent social functioning. Research has identified motor and communication ability as being unique determinants of social function capabilities in children with CP, to date, no research has investigated whether communication is a mediator of the relationship between motor ability and social functioning...
June 2016: Research in Developmental Disabilities
Maria Jaquelini Dias dos Santos, Dionísia Aparecida Cusin Lamônica, Maria Valeriana Leme de Moura Ribeiro, Wendy McCracken, Leandra Tabanez do Nascimento Silva, Orozimbo Alves Costa
OBJECTIVE: Analyze the progress of hearing and language in a group of children with cerebral palsy (CP) who have received cochlear implants (CI) and compare their progress in the clinical and functional domains. METHODS: This is a prospective transdisciplinary study developed within a tertiary referral center, with a group of nine cochlear-implanted children with CP, two- to seven-year-old. The assessments undertaken included audiological, language, and communication assessments complemented by the assessment of functional abilities and the level of independence as evaluated by the Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Classification System (GMFCS)...
July 2015: International Journal of Pediatric Otorhinolaryngology
Derek John Curtis, Penny Butler, Sandy Saavedra, Jesper Bencke, Thomas Kallemose, Stig Sonne-Holm, Marjorie Woollacott
AIM: Improvement of gross motor function and mobility are primary goals of physical therapy in children with cerebral palsy (CP). The purpose of this study was to investigate the relationship between segmental control of the trunk and the corresponding gross motor function in children with CP. METHOD: This retrospective cross-sectional study was based on 92 consecutive referrals of children with CP in Gross Motor Function Classification System (GMFCS) levels I to V, 39 females, 53 males (median age 4y [range 1-14y]), and 77, 12, and 3 with spastic, dyskinetic, and ataxic CP respectively...
April 2015: Developmental Medicine and Child Neurology
Annika Lundkvist Josenby, Philippe Wagner, Gun-Britt Jarnlo, Lena Westbom, Eva Nordmark
AIM: To explore changes in performance in daily activities (self-care and mobility) 10 years after selective dorsal rhizotomy (SDR). METHOD: Twenty-four children with bilateral spastic cerebral palsy were followed; the median age at SDR was 4 years 1 month (range 2y 5mo-6y 4mo) and at 10-year follow-up was 14 years 6 months (range 12y 3mo-16y 9mo). The preoperative Gross Motor Function Classification System (GMFCS) levels were: I (n=1), II (n=7), III (n=4), IV (n=11), and V (n=1)...
March 2015: Developmental Medicine and Child Neurology
Eun Sook Park, Dong Wook Rha, Jung Soon Shin, Soohyeon Kim, Soojin Jung
PURPOSE: The purpose of our study was to investigate the effects of hippotherapy on gross motor function and functional performance in children with spastic cerebral palsy (CP). MATERIALS AND METHODS: We recruited 34 children (M:F=15:19, age: 3-12 years) with spastic CP who underwent hippotherapy for 45 minutes twice a week for 8 weeks. Twenty-one children with spastic CP were recruited for control group. The distribution of gross motor function classification system level and mean age were not significantly different between the two groups...
November 2014: Yonsei Medical Journal
Sílvia L Pavão, Gabriela S Nunes, Adriana N Santos, Nelci A C F Rocha
BACKGROUND: Postural control deficits can impair functional performance in children with cerebral palsy (CP) in daily living activities. OBJECTIVE: To verify the relationship between standing static postural control and the functional ability level in children with CP. METHOD: The postural control of 10 children with CP (gross motor function levels I and II) was evaluated during static standing on a force platform for 30 seconds. The analyzed variables were the anteroposterior (AP) and mediolateral (ML) displacement of the center of pressure (CoP) and the area and velocity of the CoP oscillation...
July 2014: Brazilian Journal of Physical Therapy
Marina B Brandão, Claudio Ferre, Hsing-Ching Kuo, Eugene A A Rameckers, Yannick Bleyenheuft, Ya-Ching Hung, Kathleen Friel, Andrew M Gordon
UNLABELLED: Background High-intensity training aims to improve hand function in children with unilateral spastic cerebral palsy (USCP). However, the extent to which skill training is required is not known. Objectives To compare the effects of intensive bimanual training with and without structured progression of skill difficulty, on manual dexterity, bimanual hand use, daily functioning, and functional goals in children with USCP. Method Twenty-two children were randomized to structured practice group (SPG) or unstructured practice group (UPG), and received 6 h/d training during 15 days...
June 2014: Neurorehabilitation and Neural Repair
Silvia Leticia Pavão, Adriana Neves Dos Santos, Ana Beatriz de Oliveira, Nelci Adriana Cicuto Ferreira Rocha
In this study we studied functional performance and functional balance in children with cerebral palsy (CP) and typically developing (TD) children. The relationship between these components and postural control during sit-to-stand movement (STS) was also investigated. Ten children with CP (GMFCS I and II) and 27 TD children, ages 5-12 years, were included in the study. The Pediatric Evaluation of Disability Inventory (PEDI) and the Pediatric Balance Scale (PBS) were used to measure functional performance and functional balance, respectively...
February 2014: Research in Developmental Disabilities
Dina Elad, Sharon Barak, Etzyona Eisenstein, Orly Bar, Uri Givon, Amichai Brezner
The current study is a cross-sectional study that aimed to investigate the concordance between health care professionals (HCPs) and mothers in rating capabilities and performance of children with cerebral palsy (CP), and the impact of CP gross motor severity on concordance. Seventy-three children with mild-to-severe CP (mean age 8.8 ± 2.10 years) and their mothers participated in this study. Two modes of Pediatric Evaluation Disability Inventory (PEDI) administration were used: mothers' interview by a social worker and HCPs' actual evaluation...
November 2013: Research in Developmental Disabilities
Devra Rich, Patricia Rigby, Virginia Wright
Parents of a child with a disability are often asked about their child's functioning in daily activities. One way to gather this information is through parent-report functional questionnaires such as the Pediatric Evaluation of Disability Inventory (PEDI). The purpose of this study was to explore parental experiences associated with completion of the PEDI before and after a functional therapy intervention. Semi-structured interviews were conducted with 12 mothers of children with cerebral palsy (CP) or developmental delay (DD) who had completed the PEDI within a larger study...
August 2014: Physical & Occupational Therapy in Pediatrics
Sarah James, Jenny Ziviani, Roslyn Boyd
AIM: This study aimed to systematically review the psychometric properties and clinical utility of measures of activities of daily living (ADL) for children with cerebral palsy (CP) aged 5 to 18 years. METHOD: Five electronic databases were searched to identify available ADL measures with published psychometric data for school-aged children with CP. Measures were included if at least 60% of the items addressed ADL in the full assessment or in an independent domain...
March 2014: Developmental Medicine and Child Neurology
Melanie Worth, Johanna Darrah, Joyce Magill-Evans, Lesley Wiart, Mary Law
Secondary analysis using data from a clinical trial was performed to evaluate the stability of individual items of the Mobility and Self-Care functional skills scales of the Pediatric Evaluation of Disability Inventory (PEDI). Parents of 113 children aged 1-6 years old with cerebral palsy completed the PEDI twice by questionnaire 6 months apart. An item was classified "unstable" if the score changed from capable to unable. The number of children with more than five unstable items and the number of items with more than five children having unstable scoring patterns were calculated...
August 2014: Physical & Occupational Therapy in Pediatrics
Marise Bueno Zonta, Isac Bruck, Marilene Puppi, Sandra Muzzolon, Arnolfo de Carvalho Neto, Lúcia Helena Coutinho dos Santos
OBJECTIVE: To compare motor and functional performance of two groups of children with hemiplegic cerebral palsy (HCP). Only the study group (SG) received early treatment of spasticity with botulinum neurotoxin type A (BXT-A). METHODS: Gross Motor Function Measure (GMFM), functional performance (Pediatric Evaluation of Disability Inventory - PEDI), range of movement, gait pattern (Physician Rating Scale - PRS) and the speed of hand movements were considered. RESULTS: The SG, composed of 11 HCP (45...
July 2013: Arquivos de Neuro-psiquiatria
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