Wednesday, July 28, 2010

Functional Skills of Children with Cerebral Palsy

A cross sectional study of 562 Swedish children with cerebral palsy (ages 3-18 years) was performed from 1990-2005. The researchers analyzed data regarding how a child sits, stands, stands up, sits down and the use of assistive devices.

The results indicated the following:
- 57% of children used standard chairs
- 62% could stand independently
- 62% could stand up without external support
- 63% could sit down without external support
- 42% used adaptive seating
- 31% used external support to stand
- 19% used external support to stand up
- 13% used external support to sit down

Combining the children who used external support (including adaptive seating) with the children who could perform the skills independently the results indicated the following:
- 99% of the children could sit
- 96% could stand
- 81% could stand up
- 81% could sit down.

The Gross Motor Function Classification System was a good predictor of the ability to sit and stand. Children ages 3-6 years old used support more frequently.

To read the full text article go to BMC Musculoskeletal Disorders.

Reference: Elisabet Rodby-Bousquet and Gunnar Hägglund. Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study BMC Musculoskeletal Disorders 2010, 11:131doi:10.1186/1471-2474-11-131


TherExtras said...

Thanks for this report of very good research, Margaret.

My thoughts....regarding meaning to us therapists...notice that the conclusion relates the type of CP with the ability to sit. I sincerely believe a dependent factor is the type of therapy provided - probably not research-able within the format of this study.

European countries (and I assume Sweden) do not save severely premature or affected newborns in the same way that American newborns are. The numbers/percentages are likely skewed compared to what would be found if the same study was done here.

Your Therapy Source Inc said...

I agree, the degree that therapy plays a role is not measurable with this cross sectional study. I did think some of the numbers were high based on my experience especially the 81% of children standing up with or without external support. Interesting comment about European countries - I did not know that.

TherExtras said...

I came back to add a link to this guest post from a Swedish Mom whose child has CP:

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