Correlation between Gross Motor Function Classification System and Communication Function Classification System in Children with Cerebral Palsy

Vindy Margaretha, Marietta Shanti Prananta, Anggraini Alam

Abstract


Background: Cerebral Palsy (CP) is a group of movement and posture disorder commonly accompanied by comorbidities such as sensation, cognition, communication abnormalities and many more. This study aimed to identify the correlation between gross motor function(measured by Gross Motor Function Classification System, GMFCS) and communication function (measured by Communication Function Classification System, CFCS) in children with CP.

Methods: Thirty six children with CP aged 0–12 years were examined. Samples were taken from Department of Physical Medicine and Rehabilitation Dr. Hasan Sadikin General Hospital Bandung on September to October 2015. Patients’ descriptive data, levels of GMFCS and CFCS were collected by the researcher and residents previously standardized. Kendall’s tau b correlation coefficient was used to analyze the inter-relationship between the GMFCS and CFCS.

Results: Levels of GMFCS and CFCS in all samples were moderately correlated (r=0.405; p=0.004). In patients with spastic quadripledic type, correlation were found moderate(r=0.495; p=0.014). No significant correlation was found when CP spastic quadriplegic patients were excluded (r=0.048, p=0.829).

Conclusions: Levels of GMFCS and CFCS should be described to provide the complete gross motor and communication picture of CP children.Gross motor function in a child with spastic quadriplegic CP might be correctly predicted from his/ her communication function and vice versa.

 

DOI: 10.15850/amj.v4n2.1092


Keywords


Cerebral palsy, children, Communication Function Classification System, Gross Motor Function Classification System

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References


Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109(Suppl 109):S8–14.

Oskoui M, Coutinho F, Dykeman J, Jette N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(6):509–19.

Killian L, Bryant E, Sellers D. The clinical use of functional classification systems for children and young people with cerebral palsy. Dev Med Child Neurol. 2014;56(Suppls4):32.

Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214–23.

Compagnone E, Maniglio J, Camposeo S, Vespino T, Losito L, De Rinaldis M, et al. Functional classifications for cerebral palsy: correlations between the gross motor function classification system (GMFCS), the manual ability classification system (MACS) and the communication function classification system (CFCS). Res Div Disabil. 2014;35(11):2651–7.

Hidecker MJC, Ho NT, Dodge N, Hurvitz EA, Slaughter J, Workinger MS, et al. Inter-relationships of functional status in cerebral palsy: analyzing gross motor function, manual ability, and communication function classification systems in children. Dev Med Child Neurol. 2012;54(8):737–42.

van der Zwart K. Communication performance of children with cerebral palsy: relation with spoken language comprehensionand contextual factors [thesis]. Netherlands: Universiteit Utrecht; 2012.

Hidecker MJC, Paneth N, Rosenbaum P, Kent RD, Lillie J, Eulenberg JB, et al. Communication Function Classification System 2011. [cited 2015 March 31]. Available from: http://cfcs.us/.

Berker N, Yalçin S, Root L, Staheli L. The HELP guide to cerebral palsy. 2nded. Seattle: Global HELP Organization; 2010.

Shevell MI, Dagenais L, Hall N, The Repacq C. The relationship of cerebral palsy subtype and functional motor impairment: a population-based study. Dev Med Child Neurol. 2009;51(11):872–7.

Hidecker MJC, Paneth N, Rosenbaum PL, Kent RD, Lillie J, Eulenberg JB, et al. Developing and validating the communication function classification system for individuals with cerebral palsy. Dev Med Child Neurol. 2011;53(8):704–10.

Himmelmann K, Beckung E, Hagberg G, Uvebrant P. Gross and fine motor function and accompanying impairments in cerebral palsy. Dev Med Child Neurol. 2006;48(6):417–23.

Parkes J, Hill NAN, Platt MJ, Donnelly C. Oromotor dysfunction and communication impairments in children with cerebral palsy: a register study. Dev Med Child Neurol. 2010;52(12):1113–9.

Ghasia F, Brunstrom J, Gordon M, Tychsen L. Frequency and severity of visual sensory and motor deficits in children with cerebral palsy: gross motor function classification scale. InvestOphthalmol VisSci. 2008;49(2):572–80.

Pruitt DW, Tsai T. Common medical comorbidities associated with cerebral palsy. Phys Med Rehabil Clin N Am. 2009;20(3):453–67.

Mayston Am M. From ‘one size fits all’ to tailor-made physical intervention for cerebral palsy. Dev Med Child Neurol. 2011;53(11):969–70.

Choi Y, Lee SH, Chung CY, Park MS, Lee KM, Sung KH, et al. Anterior knee pain in patients with cerebral palsy. Clin Orthop Surg. 2014;6(4):426–31.

Coleman A, Weir K, Ware RS, Boyd R. Predicting functional communication ability in children with cerebral palsy at school entry. Dev Med Child Neurol. 2015;57(3):279–85.




DOI: https://doi.org/10.15850/amj.v4n2.1092

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