Article

OBJECTIVE: To examine associations over longitudinal measurements between
neuromusculoskeletal function and gross motor capacity in children and youth with
cerebral palsy (CP). DESIGN:
A prospective cohort study. SETTING: Rehabilitation
departments of university medical centers and rehabilitations centers.
PARTICIPANTS: A sample (N=327) consisting of 148 children (aged 5-9y) and 179
youth (aged 11-20y) with CP, Gross Motor Function Classification System level I
(n=180), level II (n=44), level III (n=36), level IV (n=34), and level V (n=33).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Gross motor capacity was
assessed with the Gross Motor Function Measure-66 over a period of 2 to 4 years
in different age cohorts. Neuromusculoskeletal function included selective motor
control (SMC), muscle strength, spasticity, and range of motion (ROM) of the
lower extremities. RESULTS: Multilevel analyses showed that SMC was significantly
associated with gross motor capacity in children and youth with CP, showing
higher values and a more favorable course of gross motor capacity in those with
better SMC. Strength was only associated with gross motor capacity in youth.
Reduced ROM of hip (children) and knee extension (youth) and spasticity of the
hip adductors (youth) were additionally-but more weakly-associated with lower
values and a less favorable course of gross motor capacity. CONCLUSIONS: Results
indicate that children and youth with more severely impaired SMC and youth with
reduced muscle strength have a less favorable course of gross motor capacity,
while spasticity and reduced ROM are less determinative.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS