Journal article
Effect of environmental setting on mobility methods of children with cerebral palsy
Developmental medicine and child neurology, v 45(2)
Feb 2003
PMID: 12578237
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The aim of this study was to: (1) describe the usual mobility methods of children with cerebral palsy (CP) at home, school, and outdoors or in the community and (2) examine whether children with CP are more dependent on adult assistance for mobility in certain settings. The participants were a stratified random sample of 636 children with CP (355 males and 281 females; 2 to 12 years of age, mean 6.8 years SD 2.7), receiving rehabilitation services in Ontario, Canada. Children were grouped by age and Gross Motor Function Classification System (GMFCS) level. Among the five levels of the GMFCS, there were 185 children classified at level I, 81 children at level II, 113 children at level III, 132 children at level IV, and 125 children at level V. Information on children's usual mobility was obtained by parent report. The results of logistic regression indicated that compared with the school setting, children were more dependent on adult assistance for mobility when outdoors/in the community and less dependent at home. The majority of children aged from 4 to 12 years at levels III to V used wheelchair mobility at school and outdoors or in the community, however, only a small percentage self-propelled their wheelchair or used powered mobility. Of the children aged 4 to 12 years at level V, 39% were carried at home. The findings suggest that environmental setting is an important consideration for assessment and intervention to improve mobility of children with CP. For children who do not walk, attention should be given to the needs of caregivers and factors that are important for successful powered mobility.
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Details
- Title
- Effect of environmental setting on mobility methods of children with cerebral palsy
- Creators
- Robert J Palisano - Programs in Rehabilitation Sciences, Drexel University, Philadelphia, Pennsylvania, USABeth L Tieman - Programs in Rehabilitation Sciences, Drexel University, Philadelphia, Pennsylvania, USAStephen D Walter - Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, CanadaDoreen J Bartlett - School of Physical Therapy, University of Western Ontario, London, CanadaPeter L Rosenbaum - Department of Pediatrics, McMaster University, Hamilton, Ontario, CanadaDiane Russell - School of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaSteven E Hanna - Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
- Publication Details
- Developmental medicine and child neurology, v 45(2)
- Publisher
- Cambridge University Press; Cambridge, UK
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000182178000007
- Scopus ID
- 2-s2.0-0037317711
- Other Identifier
- 991014877986604721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Clinical Neurology
- Pediatrics