學院	醫學院
系所	職能治療學系
題名	Developmental profiles and temperament patterns in children with spastic cerebral palsy: Relationships to subtypes and severity
作者	Chen, C-L., Lin, K-C., Wu, C-Y., Chen, C-H., Liu, W-Y. & Chen, C-Y.
期刊名稱	Journal of the Formosan Medical Association (SCI期刊)
發表日期	2011
著作性質	原著
語文
關鍵字	Assessment, Cerebral Palsy, Developmental Function, Outcome, Temperament,
摘要	Background/Purpose: Elucidating developmental profiles and temperament patterns in children with cerebral palsy (CP) could help clinicians elaborate more flexible strategies for treating these children. This study investigated the developmental profiles and temperament patterns in children with spastic CP (sCP) of different subtypes and severities. Methods: One hundred and five children, aged 3–6 years, with sCP and 66 children with typical development(TD) were analyzed. Children with sCP were classified into spastic diplegia (SD; n = 60), and spastic quadriplegia (SQ; n = 45) groups. Motor severity was classified via the Gross Motor Function Classification System (GMFCS). Development quotients (DQs) of eight domains and temperament scores of nine dimensions were evaluated. Results: The SQ group had lower DQs in all developmental functions than the SD group (p < 0.01). The DQ distributions of developmental profiles showed the same trend in SD and SQ groups, and both groups displayed lowest DQs in the gross motor domain. The SQ group was less adaptable and approachable than the TD group (p < 0.05), and both sCP groups had lower attention span and persistence and a higher threshold of responsiveness than the TD group (p < 0.05). Correlation analysis showed that GMFCS levels were highly related to all developmental functions (r<−0.54, p < 0.01) and weakly related to some temperament dimensions in children with sCP. Conclusion: The subtype and severity of sCP were associated with developmental profiles in children with sCP. Temperament patterns were different between SD and SQ groups, but only weakly related to motor deficit. These data could allow clinicians to anticipate the developmental profiles and temperament patterns and plan appropriate therapeutic strategies for children with sCP.