Format

Send to

Choose Destination
See comment in PubMed Commons below
JAMA. 2002 Sep 18;288(11):1357-63.

Prognosis for gross motor function in cerebral palsy: creation of motor development curves.

Author information

  • 1Department of Pediatrics, School of Rehabilitation Science, CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada, L8S 1C7. rosenbau@mcmaster.ca

Abstract

CONTEXT:

Lack of a valid classification of severity of cerebral palsy and the absence of longitudinal data on which to base an opinion have made it difficult to consider prognostic issues accurately.

OBJECTIVE:

To describe patterns of gross motor development of children with cerebral palsy by severity, using longitudinal observations, as a basis for prognostic counseling with parents and for planning clinical management.

DESIGN:

Longitudinal cohort study of children with cerebral palsy, stratified by age and severity of motor function and observed serially for up to 4 years during the period from 1996 to 2001.

SETTING:

Nineteen publicly funded regional children's ambulatory rehabilitation programs in Ontario.

PARTICIPANTS:

A total of 657 children aged 1 to 13 years at study onset, representing the full spectrum of clinical severity of motor impairment in children with cerebral palsy.

MAIN OUTCOME MEASURES:

Severity of cerebral palsy, classified with the 5-level Gross Motor Function Classification System; function, formally assessed with the Gross Motor Function Measure (GMFM).

RESULTS:

Based on a total of 2632 GMFM assessments, 5 distinct motor development curves were created; these describe important and significant differences in the rates and limits of gross motor development among children with cerebral palsy by severity. There is substantial within-stratum variation in gross motor development.

CONCLUSIONS:

Evidence-based prognostication about gross motor progress in children with cerebral palsy is now possible, providing parents and clinicians with a means to plan interventions and to judge progress over time. Further work is needed to describe motor function of adolescents with cerebral palsy.

PMID:
12234229
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Support Center