學院

醫學院

系所

職能治療學系

題名

Relationships of Developmental Profiles to Ambulatory Ability in A Follow-up Study of Preschool Children with Spastic Quadriplegic Cerebral Palsy

作者

Chen, C-L., Chen, K-H., Lin, K-C., Wu C-Y., Chen, C-Y., Wong A-M., Chung, C-Y., & Liu, W-Y.

期刊名稱

Chang Gung Medical Journal

發表日期

2010

著作性質

原始論著

語文

英文

關鍵字

cerebral palsy, developmental function, outcome, ambulation, longitudinal study

摘要

Background: To investigate the follow-up course of developmental profiles in preschool children with spastic quadriplegic (SQ) cerebral palsy (CP) who had varying ambulatory abilities. Methods: Forty-eight children with SQ CP between 1 and 5 years old were classified into 2 groups, the ambulatory and non-ambulatory groups, based on Gross Motor Function Classification System (GMFCS) levels during the initial assessment. The developmental profiles, consisting of development quotients (DQs) of 8 domains, were evaluated during the initial assessment and the final assessment one year later. The DQ change index (%) was calculated as 100% × (final DQ – initial DQ)/initial DQ. Results: The DQs of all developmental domains in the non-ambulatory group were lower than those in the ambulatory group on both initial and final assessments (p < 0.01). As indicated by the DQ change indices, most DQs in the ambulatory group decreased slightly, whereas those in the non-ambulatory group decreased considerably (p < 0.05). Furthermore, fine motor function increased proportionally with age in the ambulatory group, but not in the non-ambulatory group. Conclusion: The DQs of the developmental profiles varied in preschool CP children with different ambulatory abilities. The course of developmental profiles in preschool children with SQ CP evolves with age and relates to the degree of ambulatory function. Knowledge of these developmental profiles may be helpful in understanding, predicting, and managing the developmental problems of these children. (Chang Gung Med J 2010;33:524-31)