Association between gross motor function and quality of life in a group of Brazilian adults with cerebral palsy: an exploratory study
DOI:
https://doi.org/10.1590/Keywords:
Cerebral Palsy, Adults, Motor Skills, Quality of LifeAbstract
International studies indicate that gross motor
function can influence the health-related quality of life
(HRQoL) of adults with Cerebral Palsy (CP). However, HRQoL
is a complex construct that may also be influenced by cultural
factors. Objective: To verify the association between Gross
Motor Function (GMF) and HRQoL in a group of Brazilian
adults with CP. Methods: This quantitative, cross-sectional
and exploratory study included 30 individuals with CP, aged
between 18 and 54 years old, living in a small/medium-sized
municipality. Gross motor function was assessed using the the
Gross Motor Function Classification System (GMFCS), while
HRQoL was measured using the Short-Form Health Survey
(SF-36), divided into physical and mental health summaries.
Results: Better GMF explained 37% (adjusted R² = 0.373) of
the variability in HRQoL related to functional capacity, and
22% (adjusted R² = 0.221) of the physical aspects summary.
Conversely, a more compromised GMF explained 15% (adjusted
R² = 0.146) of the variability in HRQoL related to emotional
aspects. Conclusions: Better GMF partially explains higher
HRQoL related to greater physical functioning or summary
of physical aspects. On the other hand, greater impairment in GMF partially explains higher HRQoL related to emotional aspects
in adults with CP residing in a Brazilian municipality. These results
align with findings from international studies
Downloads
References
Armstrong RW. Definition and classification of
cerebral palsy. Dev Med Child Neurol. 2007;49(3):166.
doi: 10.1111/j.1469-8749.2007.00166.x
Alves-Nogueira AC, Silva N, McConachie H, Carona C. A
systematic review on quality of life assessment in adults with
cerebral palsy: Challenging issues and a call for research. Res
Dev Disabil. 2020;96:103514. doi: 10.1016/j.ridd.2019.103514
Palisano RJ, Di Rezze B, Stewart D, Rosenbaum PL, Hlyva
O, et al. Life course health development of individuals with
neurodevelopmental conditions. Dev Med Child Neurol.
;59(5):470-6. doi: 10.1111/dmcn.134024
Eken MM, Lamberts RP, Du Toit J, Verkoeijen PPJL, Kosel E, et
al. The level of accomplishment and satisfaction in activity and 1. Armstrong RW. Definition and classification of
cerebral palsy. Dev Med Child Neurol. 2007;49(3):166.
doi: 10.1111/j.1469-8749.2007.00166.x
Alves-Nogueira AC, Silva N, McConachie H, Carona C. A
systematic review on quality of life assessment in adults with
cerebral palsy: Challenging issues and a call for research. Res
Dev Disabil. 2020;96:103514. doi: 10.1016/j.ridd.2019.103514
Palisano RJ, Di Rezze B, Stewart D, Rosenbaum PL, Hlyva
O, et al. Life course health development of individuals with
neurodevelopmental conditions. Dev Med Child Neurol.
;59(5):470-6. doi: 10.1111/dmcn.134024
Eken MM, Lamberts RP, Du Toit J, Verkoeijen PPJL, Kosel E, et
al. The level of accomplishment and satisfaction in activity and1. Armstrong RW. Definition and classification of
cerebral palsy. Dev Med Child Neurol. 2007;49(3):166.
doi: 10.1111/j.1469-8749.2007.00166.x
Alves-Nogueira AC, Silva N, McConachie H, Carona C. A
systematic review on quality of life assessment in adults with
cerebral palsy: Challenging issues and a call for research. Res
Dev Disabil. 2020;96:103514. doi: 10.1016/j.ridd.2019.103514
Palisano RJ, Di Rezze B, Stewart D, Rosenbaum PL, Hlyva
O, et al. Life course health development of individuals with
neurodevelopmental conditions. Dev Med Child Neurol.
;59(5):470-6. doi: 10.1111/dmcn.134024
Eken MM, Lamberts RP, Du Toit J, Verkoeijen PPJL, Kosel E, et
al. The level of accomplishment and satisfaction in activity and participation of adults with cerebral palsy and spastic diplegia.
J Orthop Sci. 2020;25(3):507-12. doi: 10.1016/j.jos.2019.05.023
Sienko SE. An exploratory study investigating the
multidimensional factors impacting the health and wellbeing
of young adults with cerebral palsy. Disabil Rehabil.
;40(6):660-6. doi: 10.1080/09638288.2016.1274340
Nieuwenhuijsen C, van der Slot WMA, Beelen A, Arendzen JH,
Roebroeck ME, et al. Inactive lifestyle in adults with bilateral
spastic cerebral palsy. J Rehabil Med. 2009;41(5):375-81.
doi: 10.2340/16501977-0340
Polinder S, Haagma JA, van Klaveren D, Steyerberg EW, van
Beeck EF. Health-related quality of life after TBI: a systematic
review of study design, instruments, measurement properties,
and outcome. Popul Health Metr. 2015;13:4. doi: 10.1186/
s12963-015-0037-1
Pagliano E, Casalino T, Mazzanti S, Bianchi E, Fazzi E, et al. Being
adults with cerebral palsy: results of a multicenter Italian study
on quality of life and participation. Neurol Sci. 2021;42(11):4543-
doi: 10.1007/s10072-021-05063-y
van der Slot WMA, Nieuwenhuijsen C, van den Berg-Emons
RJG, Wensink-Boonstra AE, Stam HJ, et al. Participation and
health-related quality of life in adults with spastic bilateral
cerebral palsy and the role of self-efficacy. J Rehabil Med.
;42(6):528-35. doi: 10.2340/16501977-0555
Schmidt S, Markwart H, Rapp M, Guyard A, Arnaud C, et al.
Quality of life and mental health in emerging adults with
cerebral palsy compared to the general population. Health
Qual Life Outcomes. 2022;20:61. doi: 10.1186/s12955-022-01961-7
Jacobson DNO, Löwing K, Tedroff K. Health-related quality
of life, pain, and fatigue in young adults with cerebral
palsy. Dev Med Child Neurol. 2020;62(3):372-8. doi: 10.1111/
dmcn.14413
Lopes PB, Shikako-Thomas K, Cardoso R, Matsukura TS. Social
participation: the perspectives of adolescents with cerebral
palsy and their mothers. Int J Dev Disabil. 2021;67(4):263-72.
doi: 10.1080/20473869.2019.1623596
Margre ALM, Reis MGL, Morais RLS. Caracterização de adultos
com paralisia cerebral. Rev Bras Fisioter. 2010;14(5):417-25.
doi: 10.1590/S1413-35552010000500011
Figueiredo PRP, Nóbrega RAA, Coster WJ, Montenegro
LCC, Sampaio RF, et al. Is mobility sufficient to understand
community participation of adolescents and young adults
with cerebral palsy? The mediating and moderating roles of
contextual factors. Arch Phys Med Rehabil. 2023;104(8):1227-
doi: 10.1016/j.apmr.2022.12.195
Carroll A, Chan D, Thorpe D, Levin I, Bagatell N. A life course
perspective on growing older with cerebral palsy. Qual Health
Res. 2021;31(4):654-64. doi: 10.1177/1049732320971247
Rožkalne Z, Mukāns M, Vētra A. Transition-age young adults
with cerebral palsy: Level of participation and the influencing
factors. Medicina (Kaunas). 2019;55(11):737. doi: 10.3390/
medicina55110737
Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, et al.
Development and reliability of a system to classify gross motor
function in children with cerebral palsy. Dev Med Child Neurol.
;39(4):214-23. doi: 10.1111/j.1469-8749.1997.tb07414.x
Ware JE, Kosinski MA, Keller SD. SF-36 physical and mental
health summary scales: a user’s manual. 1994;(January
:1-147. https://www.researchgate.net/profile/John_Ware/
publication/292390260_
Ciconelli RM. Tradução para o português e validação do
questionário genérico de avaliação de qualidade de vida
“Medical Outcomes Study 36-Item Short-Form Health Survey
(SF-36)” [tese]. São Paulo: Universidade Federal de São Paulo;
[cited 2024 Oct 10]. Available from: http://www.repositorio.
unifesp.br/bitstream/handle/11600/15360/Tese-3099.pdf
Portney LG, Watkins MP. Foundations of Clinical Research:
Applications to Practice. 3rd ed. Upper Saddle River, NJ:
Pearson; 2009.
van der Slot WMA, Nieuwenhuijsen C, van den Berg-Emons
RJG, Bergen MP, Hilberink SR, et al. Chronic pain, fatigue, and
depressive symptoms in adults with spastic bilateral cerebral
palsy. Dev Med Child Neurol. 2012;54(9):836-42. doi: 10.1111/
j.1469-8749.2012.04371.x16
Flanigan M, Gaebler-Spira D, Kocherginsky M, Garrett A,
Marciniak C. Spasticity and pain in adults with cerebral
palsy. Dev Med Child Neurol. 2020;62(3):379-85. doi: 10.1111/
dmcn.14368
Jahnsen R, Aamodt G, Rosenbaum P. Gross motor function
classification system used in adults with cerebral palsy:
agreement of self-reported versus professional rating. Dev Med
Child Neurol 2006;48(9):734-8. doi: 10.1017/S0012162206001575
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Marina Fernandes Ribeiro, Ana Paula de Mendonça, Rosane Luzia de Souza Morais

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.