Volume 8, Issue 1 (Continuously Updated 2025)
Func Disabil J 2025, 8(1): 0-0 |
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Riyahi A, Abdolrazaghi H, Nobakht Z. The Relationship Between the Functional Status of Children With Cerebral Palsy and Physiological and Topographical Classification. Func Disabil J 2025; 8 (1)
URL: http://fdj.iums.ac.ir/article-1-308-en.html
URL: http://fdj.iums.ac.ir/article-1-308-en.html
1- Department of Occupational Therapy, School of Rehabilitation, Arak University of Medical Sciences, Arak, Iran.
2- Department of Hand and Reconstructive Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
3- Department of Occupational Therapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,nobakht.zahra@gmail.com
2- Department of Hand and Reconstructive Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
3- Department of Occupational Therapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,
Abstract: (36 Views)
Background and Objectives: Cerebral palsy (CP) refers to a group of permanent disorders of posture and movement caused by non-progressive disturbances to the developing fetal or infant brain. The dominant clinical sign is the impairment of gross motor functions. Additionally, more than half of these children experience limitations in their hand function. Gross motor function and manual ability limitation are differently disturbed in the physiological and topographical classification of CP. This study aimed to determine the functional status of children with CP and its relationship with the physiological and topographical classification of CP.
Methods: This cross-sectional study was conducted in 2023 and involved children with CP aged between 4 and 18 years. The participants were conveniently recruited from various clinics, rehabilitation centers, and exceptional schools in Tehran and Arak cities, Iran.
Results: A total of 305 CP children (174 males and 131 females) aged 4–18 years were evaluated in this study. The results indicated a significant relationship between the physiologic classification of CP and the level obtained from the manual abilities classification system (MACS) scale (P<0.01). According to the results, a significant correlation was observed between the levels of the gross motor function classification system and MACS in children (P<0.01). Children with spastic diplegia were predominantly distributed in levels I and II of the MACS. In contrast, children with spastic quadriplegia were mostly distributed in levels III, IV, and V of the MACS. Due to using the unaffected hand, hemiplegic children were mostly distributed in levels I and II of MACS.
Conclusion: These results highlight the significance of understanding the relationship between the physiological classification of CP and its associated functional abilities. The significant correlations observed in this study suggest that targeted interventions can be developed to enhance motor function and the overall quality of life for children with CP, particularly focusing on the specific needs associated with their classification levels.
Methods: This cross-sectional study was conducted in 2023 and involved children with CP aged between 4 and 18 years. The participants were conveniently recruited from various clinics, rehabilitation centers, and exceptional schools in Tehran and Arak cities, Iran.
Results: A total of 305 CP children (174 males and 131 females) aged 4–18 years were evaluated in this study. The results indicated a significant relationship between the physiologic classification of CP and the level obtained from the manual abilities classification system (MACS) scale (P<0.01). According to the results, a significant correlation was observed between the levels of the gross motor function classification system and MACS in children (P<0.01). Children with spastic diplegia were predominantly distributed in levels I and II of the MACS. In contrast, children with spastic quadriplegia were mostly distributed in levels III, IV, and V of the MACS. Due to using the unaffected hand, hemiplegic children were mostly distributed in levels I and II of MACS.
Conclusion: These results highlight the significance of understanding the relationship between the physiological classification of CP and its associated functional abilities. The significant correlations observed in this study suggest that targeted interventions can be developed to enhance motor function and the overall quality of life for children with CP, particularly focusing on the specific needs associated with their classification levels.
Keywords: Cerebral palsy (CP) classification system, Physiological classification, Topographical distribution
Type of Study: Research |
Subject:
Occupational Therapy
Received: 2025/02/8 | Accepted: 2025/05/5 | Published: 2025/03/2
Received: 2025/02/8 | Accepted: 2025/05/5 | Published: 2025/03/2
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All the work in this journal are licensed under a Creative Commons
ATTRIBUTION-NONCOMMERCIAL-SHAREALIKE 4.0
INTERNATIONAL International License.