Relationships Among Musculoskeletal Impairments and Functional Health Status in Ambulatory Cerebral Palsy

Predicting mobility gains among children with cerebral palsy after application of botulinum toxin A

“…Thus, variables relating to the functional performance of the child (skills and independence) and gait quality appeared in a hierarchically superior position in the predictive models. Similar results have also been observed in other studies 18,19 . Abel et al 18 identified a weak association between musculoskeletal parameters (such as spasticity and joint range of motion) and functional performance, using the standardized GMFM test.…”

“…Similar results have also been observed in other studies 18,19 . Abel et al 18 identified a weak association between musculoskeletal parameters (such as spasticity and joint range of motion) and functional performance, using the standardized GMFM test. According to those authors, children with CP who had greater ankle dorsiflexion range of motion presented lower functional performance than did children with greater limitation in this joint motion, thus indicating that the presence of restrictions on joint range of motion did not necessarily result in detriment to their motor function.…”

Domains of Daily Physical Activity in Children with Mitochondrial Disease: A 3D Accelerometry Approach

“…cycle ergometry (LeMura et al 2001) are not feasible or too burdensome for children with mitochondrial disorders. Besides, measuring performance in a laboratory situation may not always reflect the disabilities experienced in daily life since the performance in daily life may differ from the abilities of the child (Abel et al 2003;Beenakker et al 2005;Parreira et al 2010).…”

Prognóstico motor e perspectivas atuais na paralisia cerebral

“…Entre crianças que utilizam cadeira de rodas para locomover-se, o prognóstico é significantemente melhor para aquelas que podem operá-la do que para aquelas que dependem totalmente de auxílio para fazê-lo. Quando analisadas individualmente, as habilidades de deambulação, manuais e visuais que têm maior gravidade têm o prognóstico pior dos que sofrem de graus graves de disfunções cognitivas 25 .…”

“…Frequentemente associam-se ao pior prognóstico os efeitos de uma epilepsia coexistente, a necessidade de alimentação via gastrostomia e mesmo um possível efeito das circunstâncias econômicas e sociais 25 .…”