The Effects of Associated Impairments on Severity of Cerebral Palsy: Insights from a Single-Center

Cemil Özal; Kübra Seyhan Bıyık; Özge Çankaya; Kıvanç Delioğlu; Sefa Üneş; Merve Tunçdemir; Fulya İpek Erdem; Mintaze Kerem Günel

Makale detayları

The Effects of Associated Impairments on Severity of Cerebral Palsy: Insights from a Single-Center

Yazarlar:

Cemil Özal | Kübra Seyhan Bıyık | Özge Çankaya | Kıvanç Delioğlu | Sefa Üneş | Merve Tunçdemir | Fulya İpek Erdem | Mintaze Kerem Günel

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Fizyoterapi

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 25, pp.196-207

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001346544

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: The aim of the study was to describe the distribution of the impairment index across Cerebral Palsy CP subtypes and Gross Motor Function Classification System GMFCS levels and investigate the relationship between CP subtypes, birth weight, gestational age, and the impairment index. Method: This retrospective study was conducted with 423 children with CP aged between 0-18 years. Data were gathered from the medical records of children. Birth weight and week, functional classification levels, intellectual impairment, presence of vision, hearing problems, epilepsy recorded. All children were classified according to the GMFCS, Manual Abilities Classification System MACS, Communication Function Classification System CFCS, Eating and Drinking Abilities Classification System EDACS, and CP subtypes. Participants were categorized according to Impairment Index II that consist of gross motor, intellectual, vision and hearing impairments and epilepsy. Multivariate backward modelling linear regression model was used to explain relations between impairment index and functional classification systems, birth weight and birth week. Results: Amongst the 423 children mean age 6.384.57 years analyzed, 130 30.7 of the children had low impairment, 159 31.7 of them had moderate impairment, and 134 31.7 of them had high impairment according to the II. In unilateral spastic type CP, 61.5 had a low impairment index p0.05, in bilateral spastic CP, 44.2 of children had a moderate impairment index p0.05, in dyskinetic CP 67.9 of children had a high impairment index p0.05. In ataxic type there were not any difference significantly between impairment index levels p0.06. As a result of regression analysis gross motor function level Beta0.85, p0.01 and birth weight Beta-0.05, p0.04 were predictors of the Impairment Index, and explained 73 of the variance. Conclusion: Nearly one third of the children had high II; birth weight and gross motor functional level are the predictors of II. These results can help improve rehabilitation and social services.

 Aim: The aim of the study was to describe the distribution of the impairment index across Cerebral Palsy CP subtypes and Gross Motor Function Classification System GMFCS levels and investigate the relationship between CP subtypes, birth weight, gestational age, and the impairment index. Method: This retrospective study was conducted with 423 children with CP aged between 0-18 years. Data were gathered from the medical records of children. Birth weight and week, functional classification levels, intellectual impairment, presence of vision, hearing problems, epilepsy recorded. All children were classified according to the GMFCS, Manual Abilities Classification System MACS, Communication Function Classification System CFCS, Eating and Drinking Abilities Classification System EDACS, and CP subtypes. Participants were categorized according to Impairment Index II that consist of gross motor, intellectual, vision and hearing impairments and epilepsy. Multivariate backward modelling linear regression model was used to explain relations between impairment index and functional classification systems, birth weight and birth week. Results: Amongst the 423 children mean age 6.384.57 years analyzed, 130 30.7 of the children had low impairment, 159 31.7 of them had moderate impairment, and 134 31.7 of them had high impairment according to the II. In unilateral spastic type CP, 61.5 had a low impairment index p0.05, in bilateral spastic CP, 44.2 of children had a moderate impairment index p0.05, in dyskinetic CP 67.9 of children had a high impairment index p0.05. In ataxic type there were not any difference significantly between impairment index levels p0.06. As a result of regression analysis gross motor function level Beta0.85, p0.01 and birth weight Beta-0.05, p0.04 were predictors of the Impairment Index, and explained 73 of the variance. Conclusion: Nearly one third of the children had high II; birth weight and gross motor functional level are the predictors of II. These results can help improve rehabilitation and social services.

 Aim: The aim of the study was to describe the distribution of the impairment index across Cerebral Palsy CP subtypes and Gross Motor Function Classification System GMFCS levels and investigate the relationship between CP subtypes, birth weight, gestational age, and the impairment index. Method: This retrospective study was conducted with 423 children with CP aged between 0-18 years. Data were gathered from the medical records of children. Birth weight and week, functional classification levels, intellectual impairment, presence of vision, hearing problems, epilepsy recorded. All children were classified according to the GMFCS, Manual Abilities Classification System MACS, Communication Function Classification System CFCS, Eating and Drinking Abilities Classification System EDACS, and CP subtypes. Participants were categorized according to Impairment Index II that consist of gross motor, intellectual, vision and hearing impairments and epilepsy. Multivariate backward modelling linear regression model was used to explain relations between impairment index and functional classification systems, birth weight and birth week. Results: Amongst the 423 children mean age 6.384.57 years analyzed, 130 30.7 of the children had low impairment, 159 31.7 of them had moderate impairment, and 134 31.7 of them had high impairment according to the II. In unilateral spastic type CP, 61.5 had a low impairment index p0.05, in bilateral spastic CP, 44.2 of children had a moderate impairment index p0.05, in dyskinetic CP 67.9 of children had a high impairment index p0.05. In ataxic type there were not any difference significantly between impairment index levels p0.06. As a result of regression analysis gross motor function level Beta0.85, p0.01 and birth weight Beta-0.05, p0.04 were predictors of the Impairment Index, and explained 73 of the variance. Conclusion: Nearly one third of the children had high II; birth weight and gross motor functional level are the predictors of II. These results can help improve rehabilitation and social services.

 Amaç: Çalışmanın amacı, Serebral Palsi SP alt tipleri ve Kaba Motor Fonksiyon Sınıflandırma Sistemi GMFCS seviyeleri arasında Bozukluk İndeksi Bİ dağılımını tanımlamak ve Bİ, SP alt tipleri, doğum ağırlığı ve doğum haftası arasındaki ilişkiyi incelemektir. Yöntem: Bu retrospektif çalışma 0-18 yaş aralığında 423 SPli çocukla yürütüldü. Veriler çocukların tıbbi kayıtlarından toplandı. Doğum ağırlığı ve haftası, fonksiyonel sınıflandırma seviyeleri, bilişsel bozukluk, görme, işitme sorunları, epilepsi varlığı kaydedildi. Tüm çocuklar GMFCS, El Becerileri Sınıflandırma Sistemi MACS, Yeme ve İçme Becerileri Sınıflandırma Sistemi EDACS, İletişim Fonksiyonu Sınıflandırma Sistemi CFCS ve SP alt tiplerine göre sınıflandırıldı. Katılımcılar, kaba motor, bilişsel, görme ve işitme bozuklukları ile epilepsiden oluşan Bİye göre kategorize edildi. Bİ ile fonksiyonel sınıflandırma sistemleri, doğum ağırlığı ve doğum haftası arasındaki ilişkileri açıklamak multivariat doğrusal regresyon modeli kullanıldı. Bulgular: Analiz edilen 423 çocuktan ortalama yaş 6,384,57 yıl Bİye göre 130unda 30,7 düşük düzeyde bozukluk, 159unda 31,7 orta düzeyde bozukluk ve 134ünde 31,7 yüksek düzeyde bozukluk saptandı. Unilateral spastik SPli çocukların 61,5inde düşük düzeyde Bİ p0,05, bilateral spastik SPli çocukların 44,2sinde orta düzeyde Bİ p0,05, diskinetik SPli çocukların 67,9unda yüksek düzeyde Bİ p0,05 saptandı. Ataksik tipte ise Bİ düzeyleri arasında anlamlı bir fark yoktu p0,06. Regresyon analizi sonucunda kaba motor fonksiyon düzeyi Beta0,85; p0,01 ve doğum ağırlığının Beta-0,05; p0,04 Bİnin yordayıcıları olduğu ve varyansın 73ünü açıkladığı görüldü. Sonuç: Çocukların yaklaşık üçte biri yüksek Bİye sahipti; doğum ağırlığı ve kaba motor fonksiyonel seviyesi Bİnin prediktörleridir. Bu sonuçlar, SPde rehabilitasyona yönelik yaklaşımların geliştirilmesine ve sosyal hizmetlerin iyileştirilmesine yardımcı olabilir.

Makale detayları

The Effects of Associated Impairments on Severity of Cerebral Palsy: Insights from a Single-Center

Yazarlar:

Cemil Özal | Kübra Seyhan Bıyık | Özge Çankaya | Kıvanç Delioğlu | Sefa Üneş | Merve Tunçdemir | Fulya İpek Erdem | Mintaze Kerem Günel

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Fizyoterapi

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 25, pp.196-207

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001346544

pISSN:

2536-4499

Cerebral palsy

physiotherapy

impairment

ICFSerebral palsi

fizyoterapi

bozukluk

ICF

Sayı

Makale detayları

Yazarlar: Cemil Özal | Kübra Seyhan Bıyık | Özge Çankaya | Kıvanç Delioğlu | Sefa Üneş | Merve Tunçdemir | Fulya İpek Erdem | Mintaze Kerem Günel

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Fizyoterapi

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 25, pp.196-207

Belge Tipi: Makale

Yayın Tarihi: 4/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001346544

pISSN: 2536-4499

Sayı

Yazarlar:

Cemil Özal | Kübra Seyhan Bıyık | Özge Çankaya | Kıvanç Delioğlu | Sefa Üneş | Merve Tunçdemir | Fulya İpek Erdem | Mintaze Kerem Günel

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Fizyoterapi

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 25, pp.196-207

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001346544

pISSN:

2536-4499