Functional abilities of children and adolescents with cerebral palsy and their relationship with motor compromise and intellectual disability in Argentina.

Introduction: Motor compromise characterizes cerebral palsy (CP), and is often associated with intellectual disability (ID). Standardized classification systems have been developed to describe the functions of people with CP. The aim was to functionally characterize children and adolescents aged 0 t...

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Detalles Bibliográficos
Autores principales: Ruiz Brunner, Maria de las Mercedes, Escobar Zuluaga, L. Johana, Sánchez, E. Federico, Cieri, M. Elisabeth, Condinanzi, Ana Laura, Herrera Sterren, Natalia, Zinni, Ana Carolina, Barilla, Marcelo Francisco, Cernadas, Mailen Araceli, Cuestas, Eduardo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
cerebral palsy
child
intellectual disability
child development
Motor Skills
parálisis cerebral
niño
habilidades motoras
discapacidad intelectual
desarrollo infantil
paralisia cerebral
criança
deficiência intelectual
desenvolvimento infantil
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/40834
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
Descripción
Sumario:Introduction: Motor compromise characterizes cerebral palsy (CP), and is often associated with intellectual disability (ID). Standardized classification systems have been developed to describe the functions of people with CP. The aim was to functionally characterize children and adolescents aged 0 to 18 years with CP in Argentina and to investigate the association between motor compromise (GMFCS), ID and functional classifications. Methods: Cross-sectional study. Data were collected through family interviews and medical records review. Individuals with CP were included. Data were collected from 19 institutions in different cities of Argentina. Fisher's test and odds ratio [IC95%] were used for data analysis, with significance <0.05. Results: 182 children and adolescents with CP participated. According to GMFCS classification, level V prevailed with 36.3%. Those with more severe motor compromise (GMFCS IV-V) were 72 [25.4;206.0] times and 13 [5.9;28.2] times more likely to present a severe level of MACS and CFCS, respectively. But they were 34 [7.9;146.0] times more likely to have a mild to moderate level of EDACS. Those with DI were 10 [5.1;20.5] times more likely to have severe GMFCS, 6 [3.4;13.2] times more likely to have severe MACS and 4 [2.0;7.8] times more likely to have severe CFCS. On the contrary, they are 4 [1.9;9.5] times more likely to present a mild-moderate EDACS level. Conclusion: the level of GMFCS and the presence of DI influence general functionality and increase severity in engagement, manual and communication skills.

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