Determinants of Gross Motor Function in Children With Ambulatory Spastic Cerebral Palsy: A Cross-Sectional Study in Turkey

IF 1.6 4区医学 Q2 PEDIATRICS

Journal of paediatrics and child health Pub Date : 2025-03-18 DOI:10.1111/jpc.70034

Atahan Turhan, Merve Kurt-Aydin, Tülay Tarsuslu

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引用次数: 0

Abstract

Aim

This study aims to explore the determinants of gross motor function in ambulatory children with spastic cerebral palsy (CP).

Methods

Sixty-eight children diagnosed with spastic CP type were included in the study. Sociodemographic and clinical information of children with CP and their families was recorded. Children's gross motor function level was classified using the Gross Motor Function Classification System; gross motor function was assessed using the Gross Motor Function Measure-66 (GMFM-66); and parental quality of life was assessed using the Paediatric Quality of Life Scale Family Effects Module (PedsQL-FIM).

Results

No significant differences were observed in gross motor function or parental quality of life between hemiparetic and diparetic CP groups. However, children residing in urban areas showed significantly higher gross motor function and parental quality of life compared to those in rural areas (p < 0.05). Moderate correlations were found between gross motor function and physical functioning as well as place of residence (p < 0.05). Multiple regression indicated that physical functioning and urban residence were significant predictors of gross motor function, accounting for 37.9% of the variance in the GMFM-66 score.

Conclusion

This study shows that the quality of life of parents of children and residence in the urban area are independent predictors of gross motor function in children with CP. These findings highlight the importance of considering family well-being and environmental factors when developing interventions to improve gross motor function outcomes in children with CP.

Trial Registration: NCT06439446

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运动痉挛性脑瘫患儿大运动功能的决定因素：土耳其的横断面研究。

目的：本研究旨在探讨痉挛性脑瘫（CP）患儿大运动功能的影响因素。方法：68例诊断为痉挛性CP型的儿童纳入研究。记录CP患儿及其家庭的社会人口学和临床资料。采用大运动功能分级系统对儿童大运动功能水平进行分级；使用大运动功能量表-66 （GMFM-66）评估大运动功能；使用儿科生活质量量表家庭效应模块（pedsl - fim）评估父母的生活质量。结果：半瘫和重瘫CP组在大运动功能和父母生活质量方面无显著差异。然而，与农村地区的儿童相比，居住在城市地区的儿童的大肌肉运动功能和父母的生活质量明显更高(p结论：本研究表明，儿童父母的生活质量和居住在城市地区是CP儿童大运动功能的独立预测因素。这些研究结果强调了在制定改善CP儿童大运动功能结局的干预措施时考虑家庭幸福和环境因素的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.