Relationship between changes in motor capacity and objectively measured motor performance in ambulatory children with spastic cerebral palsy

Autor: Halma, Elisabeth, Bussmann, Johannes Bernardus Josephus, van den Berg-Emons, Hendrika Johanna Gerarda, Sneekes, Emanuel Maria, Pangalila, Robert, Schasfoort, Fabienne Carmen, Stam, Henk, Becher, Jules, Steyerberg, Ewout, Horemans, Herwin, Dallmeijer, Annet, Polinder, Suzanne, Bolster, Eline, Viola, Irma, van Beek, Karlijn, Verheijden, Johannes
Přispěvatelé: Rehabilitation Medicine, Erasmus School of Law, Public Health
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
Actigraph
physical behaviour
Motor Activity
Ambulatory Care Facilities
Cerebral palsy
Disability Evaluation
03 medical and health sciences
0302 clinical medicine
Spastic cerebral palsy
Physical medicine and rehabilitation
International Classification of Functioning
Disability and Health
030225 pediatrics
Bayesian multivariate linear regression
Outcome Assessment
Health Care
Developmental and Educational Psychology
medicine
Spastic
Humans
0501 psychology and cognitive sciences
Muscle Strength
Prospective Studies
Child
Research Articles
Physical Therapy Modalities
business.industry
Cerebral Palsy
05 social sciences
Public Health
Environmental and Occupational Health
Gross Motor Function Classification System
medicine.disease
Walking Speed
Preferred walking speed
Motor Skills
motor performance
Child
Preschool
Pediatrics
Perinatology and Child Health
Ambulatory
Female
business
motor capacity
Research Article
050104 developmental & child psychology
Zdroj: Child Care Health and Development, 46(1), 66-73. Wiley-Blackwell Publishing Ltd
Child
ISSN: 1365-2214
0305-1862
DOI: 10.1111/cch.12719
Popis: Background Different interventions are offered to children with cerebral palsy (CP) to improve the activity domain of the international classification of functioning (ICF). In therapy settings, the focus is mostly on motor capacity, but the ultimate goal is to improve motor performance. We therefore examined if changes in motor capacity outcomes are accompanied by changes in objectively measured motor performance after a 3-month intensive treatment period in ambulatory children with CP. Methods A secondary analysis on prospective clinical trial data was performed using multivariate linear regression. Sixty-five children (37 boys and 28 girls) with spastic CP, mean age 7 years and 3 months, Gross Motor Function Classification System (GMFCS) levels I-III were involved in a distinct 3-month intensive treatment period. Motor capacity (Gross Motor Function Measure [GMFM], functional muscle strength [FMS], and walking speed [WS]) and motor performance (using three Actigraph-GT3X+-derived outcome measures) were measured at baseline, 12 and 24 weeks. Results No significant associations were found for any of the change scores ( increment (12)) between motor capacity and motor performance after a 12-week intensive treatment period. After 24 weeks, increment 24FMS (p = .042) and increment 24WS (p = .036) were significantly associated with changes in motor performance outcome measure percentage of time spent sedentary ( increment (24)%sedentary). In this model, 16% of variance of increment (24)%sedentary was explained by changes in motor capacity (p = .030). Conclusions Changes in motor capacity are mostly not accompanied by changes in objectively measured motor performance after an intensive treatment period for ambulatory children with CP. These findings should be taken into account during goal setting and are important to manage expectations of both short- and longer term effects of treatment programmes.
Databáze: OpenAIRE
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