Relationship Between Mobility and Self-Care Activity in Children With Cerebral Palsy

Kim, Kyeongwon; Kang, Jin Young; Jang, Dae-Hyun

doi:10.5535/arm.2017.41.2.266

Cited by 23 publications

(31 citation statements)

References 22 publications

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“…45 A previous study 3 asserted that intellectual disability, type of cerebral palsy, and functional level did not account for significant differences between those with and without psychiatric disorders. Conversely, our study confirmed other previous findings 38 that severity of intellectual disability is strongly correlated with hand functions ( P < .001; OR 9.8) and gross motor levels ( P < .001; OR 6.8). We also found a strong association ( P = .01) between profound intellectual disability and epilepsy as previously reported.…”

Section: Discussionsupporting

confidence: 92%

Identifying Factors Associated With Severe Intellectual Disabilities in Teenagers With Cerebral Palsy Using a Predictive Learning Model

et al. 2019

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Background: Intellectual disability and impaired adaptive functioning are common in children with cerebral palsy, but there is a lack of studies assessing these issues in teenagers with cerebral palsy. Therefore, the aim of this study was to develop and test a predictive machine learning model to identify factors associated with intellectual disability in teenagers with cerebral palsy. Methods: This was a multicenter controlled cohort study of 91 teenagers with cerebral palsy (53 males, 38 females; mean age ± SD = 17 ± 1 y; range: 12-18 y). Data on etiology, diagnosis, spasticity, epilepsy, clinical history, communication abilities, behaviors, motor skills, eating, and drinking abilities were collected between 2005 and 2015. Intellectual disability was classified as “mild,” “moderate,” “severe,” or “profound” based on adaptive functioning, and according to the DSM-5 after 2013 and DSM-IV before 2013, the Wechsler Intelligence Scale for Children for patients up to ages 16 years, 11 months, and the Wechsler Adult Intelligence Scale for patients ages 17-18. Statistical analysis included Fisher’s exact test and multiple logistic regressions to identify factors associated with intellectual disability. A predictive machine learning model was developed to identify factors associated with having profound intellectual disability. The guidelines of the “Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis Statement” were followed. Results: Poor manual abilities (P ≤ .001), gross motor function (P ≤ .001), and type of epilepsy (intractable: P = .04; well controlled: P = .01) were significantly associated with profound intellectual disability. The average model accuracy, specificity, and sensitivity was 78%. Conclusion: Poor motor skills and epilepsy were associated with profound intellectual disability. The machine learning prediction model was able to adequately identify high likelihood of severe intellectual disability in teenagers with cerebral palsy.

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Section: Discussionsupporting

confidence: 92%

Identifying Factors Associated With Severe Intellectual Disabilities in Teenagers With Cerebral Palsy Using a Predictive Learning Model

et al. 2019

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“…The PEDI self-care domain itself is not directly related to mobility. In a previous study, GMFCS levels and PEDI mobility were factors that significantly influenced PEDI self-care in children with CP [36]. Moreover, another study using multivariate analysis indicated that GMFCS and intellectual capacity were the strongest determinants of the development of selfcare activities in children with spastic bilateral and unilateral CP [37].…”

Section: Discussionmentioning

confidence: 85%

Relevant factors of self-care in children and adolescents with spastic cerebral palsy

et al. 2021

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Objective Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful measures that assist in enhancing the capability for self-care among children and adolescents with cerebral palsy (CP). The aim of this study was to investigate the relevant factors of self-care capability and performance in children and adolescents with spastic CP. Methods This was a cross-sectional study. Seventy-six children and adolescents with spastic CP (between 5 and 18 years of age), representing levels I to IV of the Gross Motor Function Classification System-Expanded & Revised version (GMFCS), were analyzed. Multiple linear regression analysis with forward stepwise selection was conducted to examine which determinants were related to self-care capability and performance. Independent variables were age, CP type, GMFCS, Manual Ability Classification System, Box and Block Test, and grip strength in the dominant and non-dominant hands. Dependent variables were scores for the PEDI Functional Skills Scale and the PEDI Caregiver Assistance Scale. Results Results of the multiple regression analysis showed that the PEDI Functional Skills scale scores were correlated with the Box and Block Test in the dominant hand and GMFCS (Adjusted R2 = 0.69). The PEDI Caregiver Assistance Scale scores were correlated with the Box and Block Test in the dominant hand, GMFCS, and age (adjusted R2 = 0.71). Conclusion When considering self-care of children and adolescents with spastic CP, it is necessary to consider the evaluation of upper limb dysfunction in addition to GMFCS.

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“…CYSHCN might be at an increased risk for the development of oral diseases due to their compromised motor, sensory and intellectual abilities [ 26 ]. Maintaining good oral hygiene for CYSHCN is a challenge as they tend to have poor control of lips or tongue, inadequate motor capacity and poor cognitive abilities to understand the importance of oral health [ 27 – 29 ]. A recent study using data from the 2016–2018 National Survey of Children’s Health (NSCH) in the United States, reported that CYSHCN have poorer oral health compared with non-CYSHCN despite receiving more preventive oral health services [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Association between the caregivers’ oral health literacy and the oral health of children and youth with special health care needs

et al. 2022

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Aim Previous studies have shown that children of caregivers with low oral health literacy (OHL) had more untreated caries than children of caregivers with adequate OHL. However, there is a paucity of information on this relationship among children and youth with special health care needs (CYSHCN). Accordingly, this study aims to assess the association between the caregivers’ OHL and the oral health status of CYSHCN. Methods This cross-sectional study was conducted in four schools dedicated for CYSHCN. A 48-item questionnaire gathered information about the demographic and socioeconomic factors, the child/adolescent’s medical condition, dental characteristics, caregiver self-efficacy and the child’s dental attitude. The Comprehensive Measure of Oral Health Knowledge (CMOHK) questionnaire was used to assess the caregivers’ OHL. The Löe & Silness gingival index (GI) and the Silness & Löe plaque index (PI) were used to assess gingival health and plaque levels, respectively. Directed acyclic graphs (DAGs) were utilized for the selection of the appropriate set of confounding variables for regression analysis. The mean score differences and 95% confidence intervals (CI) were estimated to quantify the associations of the various covariates with oral health outcome variables. Results This study included 214 child/caregiver dyads. Most participants were physically disabled (56.1%) followed by children with hearing difficulty (9.8%) and congenital anomalies/syndromes (7.9%). The mean PI and GI of the children was 1.26±0.52 and 1.30±0.47, respectively. The median CMOHK score was 12 and the respondents were dichotomized based on the median value. Low caregiver oral health conceptual knowledge was significantly associated with higher PI scores (β [95% CI] = -0.26 [-0.41, -0.13]; p<0.001. Older participants (12-21-year-olds) had significantly higher plaque scores compared with younger participants (6-12-year-olds) (β [95% CI] = 0.33 [0.18, 0.51]; p<0.001). Participants who brushed their teeth twice or more daily had significantly lower (β [95% CI] = -0.15 [-0.43, -0.01]; p = 0.046). Conceptual knowledge score was not significantly associated with GI. Conclusion This study found lower caregiver OHL levels to be associated with higher plaque scores for their child.

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Relationship Between Mobility and Self-Care Activity in Children With Cerebral Palsy

Cited by 23 publications

References 22 publications

Identifying Factors Associated With Severe Intellectual Disabilities in Teenagers With Cerebral Palsy Using a Predictive Learning Model

Identifying Factors Associated With Severe Intellectual Disabilities in Teenagers With Cerebral Palsy Using a Predictive Learning Model

Relevant factors of self-care in children and adolescents with spastic cerebral palsy

Association between the caregivers’ oral health literacy and the oral health of children and youth with special health care needs

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