Developmental trajectories of mobility and self-care capabilities in young children with cerebral palsy

Title

Developmental trajectories of mobility and self-care capabilities in young children with cerebral palsy

Creator

Ketelaar M; Gorter JW; Westers P; Hanna S; Verhoef M

Publisher

The Journal Of Pediatrics

Date

2014

Subject

Child; Female; Humans; infant; Male; Prospective Studies; Cerebral Palsy; Child Development; Self Care; Preschool; PEDI Study

Description

OBJECTIVE: To describe development of mobility and self-care capabilities in young children (aged 1-4 years) with cerebral palsy, and to examine whether the development of mobility and self-care capabilities differs by cerebral palsy severity in terms of 5 distinct Gross Motor Function Classification System (GMFCS) levels. STUDY DESIGN: This prospective longitudinal cohort study included 100 children with cerebral palsy (aged 1.5 or 2.5 years at baseline) and their parents. Mobility and self-care capabilities were assessed by the Pediatric Evaluation of Disability Inventory during yearly assessments from inclusion up to age 4.5 years. Longitudinal data for 92 children were available for analysis. Repeated-measures analyses with random coefficient analysis were performed using linear mixed models. RESULTS: Despite large variations among individuals in the development of mobility and self-care capabilities in young children with cerebral palsy, distinct developmental trajectories were found for children in different GMFCS levels. The estimated change per month differed significantly by GMFCS level for both outcomes. CONCLUSIONS: This longitudinal study provides an evidence base for prognosis in daily mobility and self-care skills in young children with cerebral palsy. The developmental trajectories for GMFCS levels can be helpful in communication between professionals and also in discussions of expectations and goal setting with families regarding mobility and self-care in the daily life of young children with cerebral palsy in neonatal follow-up and pediatric practice.
2014-04

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

769-774.e2

Issue

4

Volume

164

Citation

Ketelaar M; Gorter JW; Westers P; Hanna S; Verhoef M, “Developmental trajectories of mobility and self-care capabilities in young children with cerebral palsy,” Pediatric Palliative Care Library, accessed August 2, 2021, https://pedpalascnetlibrary.omeka.net/items/show/15043.

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