Evaluation of the association between gross motor function classification system levels and implementation of home programs in children with cerebral palsy

The aim of this study is to evaluate the association between gross motor function classification system levels and implementation of home programs in children with cerebral palsy. Material-Method: This study is a cross-sectional study. The study group consists of 247 cerebral palsy patients who referred to rehabilitation centers and who agreed to participate in the study and their relatives. Gross Motor Function Classification System was used to find out the severity of cerebral palsy. The state of implementing home program was questioned through the parents of the children within the rehabilitation program. 51.6% of the children in the study were male, while 48.4% were female. Average age of the participants was 9.5±0.5 years (min.:0, max.:21). When the reasons for cerebral palsy were examined, 17.5% were found to be prenatal, 54.2% were found to be natal and 27.3% were found to be postnatal. Distribution of the children in terms of Gross Motor Function Classification System levels was found as 4.9% in level 1, as 21.9% in level 2, 34.4% in level 3, 25.1% in level 4, and 13.8% in level 5. Average age of the participant parents was found as 36.4±12.4 years (min.:18, max.:73). 93.8% of the parents were mothers, while 6.2% were fathers. Home program given by physiotherapist was applied to only 35.6% of the children by the parent. In this study, statistically significant difference was found between Gross Motor Function Classification System levels and application of home programs (p

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Elbasan B, Türker D. Serebral palside fizyoterapi rehabilitasyon. pediatrik fizyoterapi rehabilitasyon. Elbasan B, edition. İstanbul Tip Kitabevleri. İstanbul, 2016;87-123.

Günel MK. Rehabilitation of children with cerebral palsy from a physiotherapist’s perspective. Acta Orthop Traumatol Turc. 2009; 43:173-80.

O’Shea TM. Diagnosis treatment and prevention of cerebral palsy in nearterm/ term infants. Clin Obstet Gynecol. 2008;51:816-28.

Serdaroğlu A, Cansu A, Özkan S, et al. Prevalance of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol. 2006;48:413-6.

Young JA, Tolentino M. Neuroplasticity and Its applications for rehabilitation. Am J Ther. 2011;18:70-80.

Novak I, Cusick A. Home programs in pediatric occupational therapy for children with cerebral palsy: Where to start? Aust J of Occup Ther. 2006;53:251-64.

Kaya Z, Akel BS. Investigation of factors effecting the applicability of home program in children with special needs. Ergoterapi ve Rehabilitasyon Dergisi. 2017;5:179-88.

Katz-Leurer M, Rotem H, Keren O, et al. The effects of a home-based taskoriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury. Clin Rehabil. 2009;23:714-24.

Schnackers M, Beckers L, Janssen PY. Home-based bimanual training based on motor learning principles in children with unilateral cerebral palsy and their parents (the COAD-study): rationale and protocols. BMC Pediatrics. 2018;18:139-42.

Ozel S, Çulha C, Delialioglu S, et al. The relationship between the gross motor function classification system and treatment modalities in children with cerebral palsy. Turk J Phys Med Rehab. 2016;62:116-22.

Palisano R, Rosenbaum P, Walter S, et al. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39:214-23.

Huang C, Tseng, M, Chen K, et al. Determinants of school activity performance in children with cerebral palsy: multi-dimensional approach using the ICF-CY as a framework. Res Dev Disabil. 2013;34:4025-33.

Himmelmann K, Beckung E, Hagberg G, et al. Gross and fine motor function and accompanying impairments in cerebral palsy. Dev Med Child Neurol. 2006;48:417-23.

Erkin G, Delialioglu SU, Ozel S, et al. Risk factors and clinical profiles in Turkish children with cerebral palsy: analysis of 625 cases. Int J Rehabil Res. 2008;31:89-9.

Johnson RW, Williams SA, Gucciardi DF. Evaluating the effectiveness of home exercise programs using an online exercise prescription tool in children with cerebral palsy: protocol for a randomized controlled trial. BMJ Open 2018;8:e018316.

Straus SE, Richardson WS, Glasziou P, et al. Evidence-based medicine: how to practice and teach. EBM. 2005;353-44.

Novak I. Parent experience of implementing effective home programs. Phys Occup Ther Pediatr. 2011;31:198-213.

Rone-Adams SA, Stern DF, Walker V. Stress and compliance with a home exercise program among caregivers of children with disabilities. Pediatr Phys Ther. 2004;16:140-8.

Basaran A, Karadavut KI, Uneri SO. Adherence to home exercise program among caregivers of children with cerebral palsy. Turk J Phys Med Rehabil. 2014;60:85-91.

Mutlu A, Tarsuslu T, Günel MK, et al. The evaluation of home exercise program efficiency in children with cerebral palsy. Turk Arch Ped. 2007;42:112-6.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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