Predictors of Gross Motor Function Level in Spastic Type Cerebral Palsy: A Retrospective Study

Authors : Seda Ayaz Taş, Seda Yakıt Yeşilyurt, Tansu Birinci Olgun, Ayşegül Danış

Pages : 281-289

Doi:10.21653/tjpr.1443503

View : 75 | Download : 37

Publication Date : 2024-12-23

Article Type : Research Paper

Abstract :Purpose: This study aimed to identify the predictors of gross motor function in spastic-type Cerebral Palsy (CP) over two years. Methods: 108 children with spastic-type CP (mean age: 6.43±4.83 years) underwent two assessments over two years. The outcomes were the Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS), and Eating and Drinking Ability Classification System (EDACS). Binary logistic regression analysis was used to determine whether factors such as age, sex, topographical distribution, and levels of GMFCS, MACS, CFCS, and EDACS could predict the improvement in GMFCS level after two years of physiotherapy. Results: Compared to the children with CFCS Level I, children with CFCS Level II, Level III, and Level IV were 0.001, 0.005, and 0.006 times less likely to improve in GMFCS level, respectively. Similarly, children with EDACS Level III and Level IV were respectively 1.605 and 1.548 times less likely to improve in GMFCS level compared to those with Level I. Those with EDACS levels IV and V remained stable for two years in all age groups. Conclusion: CFCS and EDACS were significant predictors of gross motor function level in spastic-type CP. Healthcare professionals can use CFCS and EDACS to predict the progression of gross motor function levels, thereby providing more appropriate interventions and more realistic predictions.
Keywords : Serebral Palsi, Sınıflandırma Sistemleri, Kaba Motor Fonksiyon, Öngörü, Prognoz