Cerebral Palsy
Conditions
Keywords
cerebral palsy, Gross Motor Function, EARLY MOTOR REPERTOIRE QUALITY, LATER-TERM MOTOR FUNCTION
Brief summary
Cerebral palsy (CP) is a group of disorders attributed to non-progressive disorders occurring in the developing fetal, infantile brain, affecting posture, movement development, and activity limitations. It occurs in approximately 2 to 2.5 per 1,000 live births. The prognosis for gross motor function among children with CP is extremely variable. This variability poses a significant challenge to scientific definitions of motor function for clinicians who regularly deal with practical issues such as examination, prognosis, intervention planning, and outcome assessment in children with CP. Observing the general quality of movement of preterm or term babies can be used to identify babies at risk of developing neurological disorders and can provide information about possible future motor function.
Detailed description
They frequently use the 66-item Gross Motor Function Measurement (GMFM-66) to evaluate gross functions and the Gross Motor Function Classification System (GMFCS) to classify gross motor functions. It is important to use the data obtained from these methods to assist in examination, prognosis, intervention planning and outcome evaluation for children with CP. In addition, the Motor Optimality Score (MOS), which is based on observing the quantity and quality of movement patterns, is used. When we look at the literature, there are very few studies comparing the amount and quality of the motor repertoire obtained using the early motor optimality score with the motor functions in the later period. Therefore, in this study, in addition to evaluating general movements in early infancy (3-5 months), it is aimed to predict the motor function in the future by evaluating the quality and amount of motor repertoire (motor optimality score, MOS) (movement and posture of the baby).
Interventions
None listed
Sponsors
Uskudar University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Months to 5 Months
Healthy volunteers
Yes
Inclusion criteria
* Children with a diagnosis of Cerebral Palsy * Children who applied to the Turkish Spastic Children Foundation between 2011-2023 * Availability of Prechtl General Movements Assessment recordings obtained between 10-20 weeks post-term age * Availability of GMFM-66 assessment data
Exclusion criteria
* Lack of parental or legal guardian consent * Presence of additional diagnoses affecting motor assessment * Cases where GMFM-66 evaluation was not applicable * Incomplete clinical records
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Motor Optimality Score (MOS) | 3 months | Motor optimality score (MOS) have 5 categories to the score. These are fidgety movements (max 12 points), repertoire of co-existent other movements (max 4 points), quality of other movements (max 4 points), posture (max 4 points) and movement character (max 4 points). The category scores are added to a max of 28 points. |
| Gross Motor Function Measurement (GMFM-66) | 3 months | The Gross Motor Function Measure (GMFM) is a tool that has been developed to assess change in gross motor function in children with cerebral palsy aged 5 months to 16 years of age.1 The GMFM measures 'activity' as defined within the Interna- tional Classification of Functioning, Disability and Health.2 To administer the GMFM, a trained therapist observes the child completing a number of gross motor tasks in a standardised environment, and the child's best ability is measured. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORosman çoban, phD
Uskudar University
Outcome results
None listed