The association of GMFCS levels with education, type of motion, pain, and employability in adults with cerebral palsy

Authors

  • Natali Zanelato Associação de Assistência a Criança Deficiente
  • Giselle Cristina Lopes Rosanova Associação de Assistência a Criança Deficiente
  • Fernanda Santucci Associação de Assistência a Criança Deficiente
  • Debora da Silva Fragoso de Campos Associação de Assistência a Criança Deficiente
  • Lisa Carla Narumia Associação de Assistência a Criança Deficiente
  • Márcia Harumi Uema Ozu Associação de Assistência a Criança Deficiente

DOI:

https://doi.org/10.5935/0104-7795.20140031

Keywords:

Cerebral Palsy, Mobility Limitation, Pain, Employment, Educational Status

Abstract

Adults with cerebral palsy (CP) have experienced premature aging associated with function decline. And despite improvements in health care, studies show that these individuals have fewer opportunities to have some kind of education and employment, in addition to presenting complaints of pain and alterations in their ability to walk. Objective: The aim of this study was to check the association of GMFCS levels with the parameters of employability, education, level of ambulation, and pain in adults with CP. Method: 671 medical records were selected to analyze the correlations among the variables mentioned above. Result: It was noticed that those with the more severe levels of CP have fewer chances to get any level of education and employment, in addition to presenting a worse gait. Conclusion: No association was found between levels of GMFCS and the parameter for pain.

Downloads

Download data is not yet available.

References

Morris C. Definition and classification of cerebral palsy: a historical perspective. Dev Med Child Neurol Suppl. 2007;109:3-7. 17370476 DOI: http://dx.doi.org/10.1111/j.1469-8749.2007.tb12609.x

Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.

Haak P, Lenski M, Hidecker MJ, Li M, Paneth N. Cerebral palsy and aging. Dev Med Child Neurol. 2009;51 Suppl 4:16-23. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03428.x

Hemming K, Hutton JL, Pharoah PO. Long-term survival for a cohort of adults with cerebral palsy. Dev Med Child Neurol. 2006;48(2):90-5. DOI: http://dx.doi.org/10.1017/S0012162206000211

Margre ALM, Reis MGL, Morais RLS. Caracterização de adultos com paralisia cerebral. Rev Bras Fisioter. 2010;14(5):417-25. DOI: http://dx.doi.org/10.1590/S1413-35552010000500011

Binha AMP, Silveira VC. Avaliação clínicoepidemiológica de adultos com paralisia cerebral: estudo retrospectivo. Med Reabil. 2008;27(3):76-81.

Strauss D, Brooks J, Rosenbloom L, Shavelle R. Life expectancy in cerebral palsy: an update. Dev Med Child Neurol. 2008;50(7):487-93. 18611196 DOI: http://dx.doi.org/10.1111/j.1469-8749.2008.03000.x

Donkervoort M, Roebroeck M, Wiegerink D, van der Heijden-Maessen H, Stam H; Transition Research Group South West Netherlands. Determinants of functioning of adolescents and young adults with cerebral palsy. Disabil Rehabil. 2007;29(6):453-63. DOI: http://dx.doi.org/10.1080/09638280600836018

Zaffuto-Sforza CD. Aging with cerebral palsy. Phys Med Rehabil Clin N Am. 2005;16(1):235-49. DOI: http://dx.doi.org/10.1016/j.pmr.2004.06.014

Paterson M. Progression and correction of deformities in adults with cerebral palsy. Adv Clin Neurosci Rehabil. 2004;4(3):27-31.

Horstmann HM, Hosalkar H, Keenan MA. Orthopaedic issues in the musculoskeletal care of adults with cerebral palsy. Dev Med Child Neurol. 2009;51 Suppl 4:99-105. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03417.x

Ohata K, Tsuboyama T, Ichihashi N, Minami S. Measurement of muscle thickness as quantitative muscle evaluation for adults with severe cerebral palsy. Phys Ther. 2006;86(9):1231-9. DOI: http://dx.doi.org/10.2522/ptj.20050189

Moreau NG, Teefey SA, Damiano DL. In vivo muscle architecture and size of the rectus femoris and vastus lateralis in children and adolescents with cerebral palsy. Dev Med Child Neurol. 2009;51(10):800-6. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03307.x

Henderson RC, Kairalla J, Abbas A, Stevenson RD. Predicting low bone density in children and young adults with quadriplegic cerebral palsy. Dev Med Child Neurol. 2004;46(6):416-9. DOI: http://dx.doi.org/10.1017/S0012162204000672

Sheridan KJ. Osteoporosis in adults with cerebral palsy. Dev Med Child Neurol. 2009; 51 Suppl 4:38-51. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03432.x

Jahnsen R, Villien L, Stanghelle JK, Holm I. Fatigue in adults with cerebral palsy in Norway compared with the general population. Dev Med Child Neurol. 2003;45(5):296-303. DOI: http://dx.doi.org/10.1111/j.1469-8749.2003.tb00399.x

Opheim A, Jahnsen R, Olsson E, Stanghelle JK. Walking function, pain, and fatigue in adults with cerebral palsy: a 7-year follow-up study. Dev Med Child Neurol. 2009;51(5):381-8. DOI: http://dx.doi.org/10.1111/j.1469-8749.2008.03250.x

Vogtle LK. Pain in adults with cerebral palsy: impact and solutions. Dev Med Child Neurol. 2009; 51 Suppl 4:113-21. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03423.x

Jensen MP, Engel JM, Schwartz L. Coping with cerebral palsy pain: a longitudinal study. Pain Med. 2006; 7(1):30-7. DOI: http://dx.doi.org/10.1111/j.1526-4637.2006.00086.x

Bottos M, Feliciangeli A, Sciuto L, Gericke C, Vianello A. Functional status of adults with cerebral palsy and implications for treatment of children. Dev Med Child Neurol. 2001;43(8):516-28.

Bottos M, Gericke C. Ambulatory capacity in cerebral palsy: prognostic criteria and consequences for intervention. Dev Med Child Neurol. 2003; 45(11):786-90. DOI: http://dx.doi.org/10.1111/j.1469-8749.2003.tb00890.x

Liptak GS. Health and well-being of adults with cerebral palsy. Curr Opin Neurol. 2008;21(2):136-42. DOI: http://dx.doi.org/10.1097/WCO.0b013e3282f6a499

Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-23. DOI: http://dx.doi.org/10.1111/j.1469-8749.1997.tb07414.x

Palisano R, Rosenbaum P, Barlett D, Livingston MH, Content validity of expanded and revised gross motor function classification system. Dev Med Child, 2008;50(10):744-50. DOI: http://dx.doi.org/10.1111/j.1469-8749.2008.03089.x

McCormick A, Brien M, Plourde J, Wood E, Rosenbaum P, McLean J. Stability of the Gross Motor Function Classification System in adults with cerebral palsy. Dev Med Child Neurol. 2007;49(4):265-9. 17376136 DOI: http://dx.doi.org/10.1111/j.1469-8749.2007.00265.x

Viosca E, Martínez JL, Almagro PL, Gracia A, González C. Proposal and validation of a new functional ambulation: classification scale for clinical use. Arch Phys Med Rehabil. 2005;86(6):1234-8. 15954065 DOI: http://dx.doi.org/10.1016/j.apmr.2004.11.016

Jahnsen R, Villien L, Aamodt G, Stanghelle JK, Holm I. Physiotherapy and physical activity - experiences of adults with cerebral palsy, with implications for children. Adv Physiother. 2003;5(1):21-32.

Sandström K, Alinder B, Öberg B. Descriptions of functioning and health and relations to a gross motor classification in adults with cerebral palsy. Disabil Rehabil. 2004;26(17):1023-31.

Wood E, Rosenbaum P. The gross motor function classification system for cerebral palsy: a study of reliability and stability over time. Dev Med Child Neurol. 2000;42(5):292-6.

Magill-Evans J, Galambos N, Darrah J, Nickerson C. Predictors of employment for young adults with developmental motor disabilities. Work. 2008;31(4):433-42.

Tobimatsu Y, Nakamura R. Retrospective study of factors affecting employability of individuals with cerebral palsy in Japan. Tohoku J Exp Med. 2000;192(4):291-9. DOI: http://dx.doi.org/10.1620/tjem.192.291

Michelsen SI, Uldall P, Kejs AM, Madsen M. Education and employment prospects in cerebral palsy. Dev Med Child Neurol. 2005;47(8):511-7. 16108450 DOI: http://dx.doi.org/10.1017/S0012162205001015

Hilberink SR, Roebroeck ME, Nieuwstraten W, Jalink L, Verheijden JM, Stam HJ. Health issues in young adults with cerebral palsy: towards a life-span perspective. J Rehabil Med. 2007;39(8):605-11. DOI: http://dx.doi.org/10.2340/16501977-0103

Published

2014-12-09

Issue

Section

Original Article

How to Cite

1.
Zanelato N, Rosanova GCL, Santucci F, Campos D da SF de, Narumia LC, Ozu MHU. The association of GMFCS levels with education, type of motion, pain, and employability in adults with cerebral palsy. Acta Fisiátr. [Internet]. 2014 Dec. 9 [cited 2024 Nov. 21];21(4):158-61. Available from: https://revistas.usp.br/actafisiatrica/article/view/103863