Research Paper: The Relationship Between the Parent Report of Gross Motor Function of Children With Cerebral Palsy and Their Participation in Activities of Daily Livings
AbstractIntroduction: This study aimed to assess the relationship between the parent reports of gross motor function of children with Cerebral Palsy in activities of daily living.Materials and Methods: Sixty mothers of children with Cerebral Palsy (CP) who were recruited by convenience sampling method were participated in this cross-sectional study. Children were between 6 to 12 years old. For assessing the participation of children with CP in life areas, the Children Participation Assessment Scale-Parent version (CPAS-P) was used and for assessing the gross motor function level of these children, the Gross Motor Function Classification System-family report was used. For data analysis, the Pearson correlation coefficient, and ANOVA tests were used. All statistical analyses were done by SPSS v.21.Results: The mean age of children was 8.92 years (age range: 6-12 years). A total of 22 of them were males and 30 were females. The relationship between the Gross Motor Function Classification System (GMFCS) of children with CP and their participation in all objective aspects of Activities of Daily Livings (ADL) and Instrumental Activities of Daily Livings (IADL) were moderate to good and this relationship was significant P<0.05. The difference of participation in ADL and IADL between levels of GMFCS was significant (P<0.05). Conclusion: The results of this study showed a good relationship between gross motor function level of CP children with their participation in ADL and IADL.
Lim Y, Seer M, Wong CP. Impact of Cerebral Palsy on the quality of life in patients and their families. Neurology Asia. 2009; 14(1):27-33.
Sankar C, Mundkur N. Cerebral palsy-definition, classification, etiology and early diagnosis. Indian Journal of Pediatrics. 2005; 72(10):865–8. doi: 10.1007/bf02731117
Kamali M, Chabok A. Rehabilitation needs of people with Cerebral Palsy: A qualitative study. Medical Journal of the Islamic Republic of Iran. 2014; 28:16. PMCID: PMC4154271
American Occupational Therapy Asociation. Occupational therapy practice framework: Domain and process. New York: American Occupational Therapy Asociation; 2014.
World Health Organization. International classification of functioning, disability and health. Geneva: World Health Organization; 2001.
Nordmark E, Hägglund G, Lagergren J. Cerebral Palsy in southern Sweden II: Gross motor function and disabilities. Acta Paediatrica. 2007; 90(11):1277–82. doi: 10.1111/j.1651-2227.2001.tb01575.x
Østensjø S, Brogren EKN. Everyday functioning in young children with Cerebral Palsy: Functional skills, caregiver assistance, and modifications of the environment. Developmental Medicine & Child Neurology. 2007; 45(9):603–12. doi: 10.1111/j.1469-8749.2003.tb00964.x
Ottenbacher KJ, Msall ME, Lyon N, Duffy LC, Ziviani J, Granger CV, et al. Functional assessment and care of children with neurodevelopmental disabilities. American Journal of Physical Medicine & Rehabilitation. 2000; 79(2):114–23. doi: 10.1097/00002060-200003000-00002
Engel Yeger B, Jarus T, Law M. Impact of culture on children’s community participation in Israel. American Journal of Occupational Therapy. 2007; 61(4):421-8. doi: 10.5014/ajot.61.4.421
King G, McDougall J, DeWit D, Petrenchik T, Hurley P, Law M. Predictors of change over time in the activity participation of children and youth with physical disabilities. Children’s Health Care. 2009; 38(4):321–51. doi: 10.1080/02739610903237352
Hassani Mehraban A, Hasani M, Amini M. The comparison of participation in school-aged Cerebral Palsy children and normal peers: A preliminary study. Iranian Journal of Pediatrics. 2016; 26(3). doi: 10.5812/ijp.5303
Pashmdarfard M, Amini M, Mehraban AH. Participation of Iranian Cerebral Palsy children in life areas: A systematic review article. Iranian Journal of Child Neurology. 2017; 11(1):1-12. PMCID: PMC5329754
Rostam Zadeh O, Amini M, Hasani Mehraban A. Comparison of participation of children with Cerebral Palsy aged 4 to 6 years in occupations with normal peers. Journal of Rehabilitation. 2016; 17(3):192–9. doi: 10.21859/jrehab-1703192
Hassani M, Hasani Mehraban A, Aliabadi F, Taghizadeh G. Comparison of participation between children with Cerebral Palsy and typically developing peers 8-14 years old in leisure activities. Journal of Modern Rehabilitation. 2013; 7(1):63-9.
Amini M, Mehraban AH, Haghni H, Asgharnezhad AA, Mahani MK. Development and validation of Iranian children’s participation assessment scale. Medical Journal of the Islamic Republic of Iran. 2016; 30:333. PMCID: PMC4898850
Amini M, Hassani Mehraban A, Haghani H, Mollazade E, Zaree M. Factor structure and construct validity of Children Participation Assessment Scale in activities outside of school–Parent version (CPAS-P). Occupational Therapy In Health Care. 2017; 31(1):44–60. doi: 10.1080/07380577.2016.1272733
Riahi A, Rassafiani M, Binesh M. The cross-cultural validation and test-retest and inter-rater reliability of the Persian translation of parent version of the Gross Motor Function Classiﬁcation System for children with Cerebral Palsy. Journal of Rehabilitation. 2013; 13(5):25-30.
Fleiss JL, Levin B, Paik MC. Statistical methods for rates and proportions. Hoboken: John Wiley & Sons; 2013.
Kielhofner G. Research in occupational therapy: Methods of inquiry for enhancing practice. Philadolphia: FA Davis Company; 2006.
Naghdi S, Ansari NN, Raji P, Shamili A, Amini M, Hasson S. Cross-cultural validation of the Persian version of the Functional Independence Measure for patients with stroke. Disability and Rehabilitation. 2015; 38(3):289–98. doi: 10.3109/09638288.2015.1036173
Fauconnier J, Dickinson HO, Beckung E, Marcelli M, McManus V, Michelsen SI, et al. Participation in life situations of 8-12 year old children with Cerebral Palsy: Cross sectional European study. BMJ. 2009; 338(apr23 2):b1458–b1458. doi: 10.1136/bmj.b1458
Kerr C, McDowell B, McDonough S. The relationship between gross motor function and participation restriction in children with Cerebral Palsy: An exploratory analysis. Child: Care, Health and Development. 2007; 33(1):22–7. doi: 10.1111/j.1365-2214.2006.00634.x
Lepage C, Noreau L, Bernard PM. Association between characteristics of locomotion and accomplishment of life habits in children with cerebral palsy. Physical Therapy. 1998; 78(5):458–69. doi: 10.1093/ptj/78.5.458
Lepage, Luc Noreau, Paul Marie Bern C. Profile of handicap situations in children with Cerebral Palsy. Scandinavian Journal of Rehabilitation Medicine. 1998; 30(4):263–72. doi: 10.1080/003655098444011
Bjornson KF, Zhou C, Stevenson RD, Christakis D. Relation of stride activity and participation in mobility-based life habits among children with Cerebral Palsy. Archives of Physical Medicine and Rehabilitation. 2014; 95(2):360–8. doi: 10.1016/j.apmr.2013.10.022
Tobimatsu Y, Nakamura R. Retrospective study of factors affecting employability of individuals with Cerebral Palsy in Japan. The Tohoku Journal of Experimental Medicine. 2000; 192(4):291–9. doi: 10.1620/tjem.192.291