Article

This cross-sectional study aimed to map the functional profile of
individuals with dyskinetic cerebral palsy (CP), to determine interrelationships
between the functional classification systems, and to investigate the
relationship of functional abilities with dystonia and choreoathetosis severity.
METHODS: Fifty-five children (<15y) and young people
(15-22y) (30 males, 25
females; mean age 14y 6mo, standard deviation 4y 1mo)
with dyskinetic CP were
assessed using the Gross Motor Function Classification System (GMFCS), Manual
Ability Classification System (MACS), Communication Function Classification
System (CFCS), Eating and Drinking Ability Classification System (EDACS), and
Viking Speech Scale (VSS), as well as the Dyskinesia Impairment Scale. RESULTS:
Over 50 per cent of the participants exhibited the highest limitation levels in
GMFCS, MACS, and VSS. Better functional abilities were seen in EDACS and CFCS.
Moderate to excellent interrelationship was found among the classification
scales. All scales had significant correlation (rs =0.65 - 0.81) with dystonia
severity except for CFCS in the young people group. Finally, only MACS (rs =0.40)
and EDACS (rs =0.55) in the young people group demonstrated significant
correlation with choreoathetosis severity. INTERPRETATION: The need for inclusion
of speech, eating, and drinking in the functional assessment of dyskinetic CP is
highlighted. The study further supports the strategy of managing dystonia in
particular at a younger age followed by choreoathetosis in a later stage.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS