Classifying Cerebral Palsy

Hk, Graham

doi:10.1097/00004694-200501000-00026

Cited by 41 publications

(41 citation statements)

References 2 publications

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“…The mean clinical follow-up, including assignment of GMFCS level by an experienced physiotherapist, was 5 years (SD 2 years 8 months; range 2-12y). The median number of surgical procedures per SEMLS session was eight (range [4][5][6][7][8][9][10][11][12][13][14]. The mean GPS decreased significantly from 15.4°(SD 3.9°; range 8.9-25.9°) to 11.1°(SD 2.5°; range 6.1-18.8°) (p<0.001).…”

Section: Resultsmentioning

confidence: 98%

“…1,2,4 Since the original description by Palisano et al 1 in 1997, the GMFCS has become widely accepted, widely used, and is considered by many to be an essential tool to communicate about gross motor function in CP. 5,6 The GMFCS is a valid and reliable classification tool which is expected to be relatively stable over time, with or without intervention. Palisano et al 3 reported that 73% of 610 children with CP remained at the same GMFCS level at multiple ratings over time, and McCormick et al 7 found that GMFCS level at age 12 years was highly predictive of adult gross motor function.…”

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confidence: 99%

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Stability of the Gross Motor Function Classification System after single‐event multilevel surgery in children with cerebral palsy

Rutz

Tirosh

Thomason

et al. 2012

Develop Med Child Neuro

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ABBREVIATIONS FMSFunctional Mobility Scale GPS Gait Profile Score SEMLS Single-event multilevel surgery AIM There are conflicting reports about the stability of the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP) after orthopaedic surgery. We studied the stability of the GMFCS in children with bilateral spastic CP after single-event multilevel surgery, using the Gait Profile Score (GPS) as the primary outcome measure.METHOD This was a retrospective cohort study of 107 children (46 females, 61 males) with bilateral spastic CP, classified as GMFCS level II or III, who underwent surgery at a single tertiary institution between 1997 and 2008. The mean age at surgery was 10 years 7 months (SD 2y 8mo). The primary outcome measure was the GPS. Changes in GMFCS level were studied at multiple time points before and after intervention.RESULTS Gait dysfunction was partially corrected, with a mean improvement of 28% in the GPS.The GMFCS remained stable and unchanged in 95% of children and improved by one level in 5% of children. The improvement in GPS was three times the minimal clinically important difference. The mean age at final postoperative GPS assessment was 11 years 10 months (SD 2y 10mo) and at final GMFCS assessment was 15 years 7 months (SD 3y 9mo).INTERPRETATION Stability of the GMFCS was confirmed in the majority of children with bilateral spastic CP after single-event multilevel surgery, despite statistically and clinically significant improvements in gait dysfunction and functional mobility. This information is important in realistic goal-setting and in counselling families.The Gross Motor Function Classification System (GMFCS) is a standardized method to classify gross motor function in children with cerebral palsy (CP) from 1 to 18 years of age. 1,2It is a five-level categorical grading system which classifies differences in gross motor function that are meaningful and significant to children with CP and their families.3 Distinctions between GMFCS levels are based on functional limitations with an emphasis on sitting and walking and the need for assistive devices and wheeled mobility. Children may be quickly and easily classified at any given time, such as during a clinic appointment or gait laboratory assessment, by determining which level best corresponds to the child's current gross motor function. A set of age-appropriate descriptive criteria are used and good correlations have been demonstrated between classifications assigned by parents and by health professionals. 1,2,4 Since the original description by Palisano et al. 1 in 1997, the GMFCS has become widely accepted, widely used, and is considered by many to be an essential tool to communicate about gross motor function in CP. 5,6The GMFCS is a valid and reliable classification tool which is expected to be relatively stable over time, with or without intervention. Palisano et al. 3 reported that 73% of 610 children with CP remained at the same GMFCS level at multiple ratings over time , and McCormick et ...

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Section: Resultsmentioning

confidence: 98%

mentioning

confidence: 99%

Stability of the Gross Motor Function Classification System after single‐event multilevel surgery in children with cerebral palsy

Rutz

Tirosh

Thomason

et al. 2012

Develop Med Child Neuro

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“…Within that questionnaire patients were asked about their level of pain, functional development and general satisfaction with the results of surgery. We assessed patients by using the GMFCS [6]. Seven patients had GMFCS level 2, 23 had level 3, 26 had level 4 and 16 had level 5.…”

Section: Methodsmentioning

confidence: 99%

“…Hip pain is closely associated with migration and deformity, and once the femur is deformed, the hip joint is usually painful [1].This situation deteriorates if left untreated and leads to further subluxation or dislocation, pain, loss of function and, consequently, loss of quality of life [2][3][4] . The risk increases with the loss of mobility and ability to walk, which is classified in the Gross Motor Function Classification Scale (GMFCS) [5,6]. In early stages of dislocation, physiotherapy and soft-tissue lengthening of the adductor and iliopsoas muscles can be effective in improving the situation at the hip joint.…”

Section: Introductionmentioning

confidence: 99%

Hip-joint congruity after Dega osteotomy in patients with cerebral palsy: long-term results

Braatz

Staude

Klotz

et al. 2015

International Orthopaedics (SICOT)

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“…A classificação da PC pode ser realizada de acordo com a região acometida no cérebro, segundo o seu grau de comprometimento, pela distribuição topográfica da lesão e também pelas aquisições da função motora grossa (GRAHAM, 2005).…”

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Estudo da independência funcional, motricidade e inserção escolar de crianças com Paralisia Cerebral

Rézio

Cunha²,

Formiga

2012

Rev. bras. educ. espec.

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RESUMO:A Paralisia Cerebral (PC) é uma condição clínica que gera alta prevalência de sequelas funcionais. As crianças com este diagnóstico podem apresentar diversos problemas nas atividades funcionais e no controle dos movimentos voluntários. O objetivo deste trabalho foi analisar o nível de independência funcional, motricidade e inserção escolar de crianças com PC. A amostra foi composta por 14 crianças com idade entre um a 11 anos que frequentam regularmente o Setor Clínico da Associação Pestalozzi de Goiânia, seus respectivos pais e/ou responsáveis e professores do ensino escolar. Os resultados mostraram que quanto maior o nível de independência funcional e melhor o desempenho na função motora grossa das crianças com Paralisia Cerebral, menor é a assistência fornecida pelos cuidadores e menos adaptações são necessárias para que essas crianças realizem as tarefas do ensino escolar. É importante uma parceria entre os profissionais da saúde com os professores, através de orientações e contribuições, no que for necessário para a inclusão escolar das crianças com deficiência. PALAVRAS-CHAVE:Educação Especial. Paralisia cerebral. Independência funcional. Motricidade. Inclusão Educacional.ABSTRACT: Cerebral Palsy is a medical condition that causes high prevalence of functional sequelae. For this reason, children with this diagnosis can present several problems in functional activities related to controlling voluntary movements. The aim of this study was to examine the level of functional independence, motor skills and school integration of children with cerebral palsy. The sample consisted of 14 children aged one to 11 years attending regularly the Clinical Sector of the Pestalozzi Association−Goiânia Unit, their parents and/or guardians and school teachers. The results showed that the higher the level of functional independence and the better their performance in gross motor function of these children with cerebral palsy, the lower the assistance provided by caregivers and fewer the adjustments needed for these children to perform tasks required of them in school. The study showed the importance of health professionals and teachers working together whenever needed, through orientation and contributions, for the educational inclusion of children with disabilities.

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Classifying Cerebral Palsy

Cited by 41 publications

References 2 publications

Stability of the Gross Motor Function Classification System after single‐event multilevel surgery in children with cerebral palsy

Stability of the Gross Motor Function Classification System after single‐event multilevel surgery in children with cerebral palsy

Hip-joint congruity after Dega osteotomy in patients with cerebral palsy: long-term results

Estudo da independência funcional, motricidade e inserção escolar de crianças com Paralisia Cerebral

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