Journal article
Limb distribution, motor impairment, and functional classification of cerebral palsy
Developmental medicine and child neurology, v 46(7), pp 461-467
Jul 2004
PMID: 15230459
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This study explored the relationships between the Gross Motor Function Classification System (GMFCS), limb distribution, and type of motor impairment. Data used were collected in the Ontario Motor Growth study, a longitudinal cohort study with a population-based sample of children with cerebral palsy (CP) in Canada (n=657; age 1 to 13 years at study onset). The majority (87.8%) of children with hemiplegia were classified as level I. Children with a bilateral syndrome were represented in all GMFCS levels, with most in levels III, IV, and V. Classifications by GMFCS and ‘limb distribution’ or by GMFCS and ‘type of motor impairment’ were statistically significantly associated (Pearson's χ2 p<0.001), though the correlation for limb distribution (two categories) by GMFCS was low (tau-b=0.43). An analysis of function (GMFCS) by impairment (limb distribution) indicates that the latter clinical characteristic does not add prognostic value over GMFCS. Although classification of CP by impairment level is useful for clinical and epidemiological purposes, the value of these subgroups as an indicator of mobility is limited in comparison with the classification of severity with the GMFCS.
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Details
- Title
- Limb distribution, motor impairment, and functional classification of cerebral palsy
- Creators
- Jan Willem Gorter - Rehabilitation Centre De Hoogstraat, Utrecht, the NetherlandsPeter L Rosenbaum - Department of Clinical Epidemiology and Biostatistics, McMaster University, CanadaSteven E Hanna - Department of Clinical Epidemiology and Biostatistics, McMaster University, CanadaRobert J Palisano - Programs in Rehabilitation Sciences, Drexel University, Philadelphia, PA, USADoreen J Bartlett - School of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, London, Ontario, CanadaDianne J Russell - School of Rehabilitation Science, McMaster University, CanadaStephen D Walter - Department of Clinical Epidemiology and Biostatistics, McMaster University, CanadaParminder Raina - Department of Clinical Epidemiology and Biostatistics, McMaster University, CanadaBarbara E Galuppi - Ontario Motor Growth Study, CanChild Centre for Childhood Disability Research, Hamilton, Ontario, CanadaEllen Wood - Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
- Publication Details
- Developmental medicine and child neurology, v 46(7), pp 461-467
- Publisher
- Cambridge University Press; Cambridge, UK
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000222487000006
- Scopus ID
- 2-s2.0-3042858918
- Other Identifier
- 991014877958404721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Clinical Neurology
- Pediatrics