Article

OBJECTIVE: To investigate the relations between changes in motor capacity (can
do, in standardized environment), motor capability (can do, in daily
environment), and motor performance (does do, in daily environment) among
children with cerebral palsy (CP). DESIGN: Prospective longitudinal study. After
baseline measurements (at the age of 18 mo, 30 mo, 5 y, 7 y, 9 y, 11 y, or 13 y),
2-year follow-up measurements were performed. Change scores were calculated, and
Pearson correlations were used for change score relations. SETTING: Outpatient
clinic. PARTICIPANTS: Toddlers, school-age children, and adolescents with CP
(N=321; 200 boys, 121 girls). Levels of severity according to the Gross Motor
Function Classification System included level I (42%), level II (15%), level III
(17%), level IV (13%), and level V (13%). INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURES: Change in motor capacity was assessed with the Gross Motor
Function Measure-66. Changes in motor capability and motor performance were
assessed with the Pediatric Evaluation of Disability Inventory using the
Functional Skills Scale and Caregiver Assistance Scale, respectively. RESULTS:
Within the total group, change score correlations were moderate (.52-.67) and
significant (P<.001). For age groups, correlations were significantly higher in
toddlers than school-age children and adolescents. For severity levels,
correlations were significantly higher in children at level III than level I, IV,
and V. CONCLUSIONS: Results imply that change in motor capacity does not
automatically translate to change in motor capability and change in motor
capability does not automatically translate to change in motor performance.
Results also show different relations for clinically relevant subgroups. These
are important insights for clinical practice because they can guide
evidence-based interventions with a focus on activities.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS