The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Correlations among Motor Function, Quality of Life, and Caregiver Depression Levels in Children with Cerebral Palsy

  • Yoo, Ji-Na (Department of Physical Therapy, Daegu University)
  • Received : 2016.11.18
  • Accepted : 2016.12.02
  • Published : 2016.12.31
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Abstract

Purpose: This study aimed to evaluate the relationships among quality of life, caregiver depression levels, and disease severity, especially motor function, in children with cerebral palsy. Methods: Data were collected through questionnaires using survey and interview from 80 caregivers of children with cerebral palsy. The caregivers' quality of life was measured using medical outcomes study 36-item short form health survey, and level of depression was scored using the beck depression inventory. In addition, children's motor function was evaluated using gross motor function measure-88 and functional independence measure scores. Results: Among 8 domains of medical outcomes study 36-item short form health survey, "physical functioning," "physical role functioning," "mental health," and "bodily pain" domains were significantly correlated to "total" percentage scores of gross motor function measure-88. In addition, "mental health" and "bodily pain" domains were correlated to each sub-dimension, including "lying and rolling," "sitting," "crawling and kneeling," "standing," and "walking, running, and jumping." Similarly, the "running" and "jumping" dimensions including motor function measures correlated with "transfer," "locomotion," and "motor subtotal" of functional independence measure scores. The beck depression inventory scores were negatively correlated to "lying and rolling," "sitting," "crawling and kneeling," and the "total" percentage scores of gross motor function measure-88. The beck depression inventory scores were negatively correlated to "sphincter control," "communication," "social cognition," "cognitive subtotal," and "total" functional independence measure scores. Conclusion: It is necessary to consider the quality of life and emotional problems of caregivers of CP children and support them both physically and psychologically with comprehensive rehabilitation.

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References

  1. Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil. 2006;28(4):183-97. https://doi.org/10.1080/09638280500158422
  2. Rosenbaum P, Paneth N, Leviton A et al. A report: the definition and classification of cerebral palsy april 2006. Dev Med Child Neurol. 2007;49(6):840.
  3. Hastings RP. Child behavior problems and partner mental health as correlates of stress in mothers and fathers of children with autism. J Intellect Disabil Res. 2003;47(Pt 4-5):231-7. https://doi.org/10.1046/j.1365-2788.2003.00485.x
  4. Ko JY, Lee SM. Funtions (mobility, self-care, social ability) and health-related quality of life in children with cerebral palsy. J Kor Phys Ther. 2010;22(3):37-44.
  5. Song YH. Stress and coping in parents of cerebral palsy children. J Kor Phys Ther. 1994;6(1):49-60.
  6. Shim YW. Intervention methods and comparison analysis of stress for mothers with cerebral palsy. Korean Spec Educ Soc. 1995;25:67-87.
  7. Carr AJ, Thompson PW, Kirwan JR. Quality of life measures. Br J Rheumatol. 1996;35:275-81. https://doi.org/10.1093/rheumatology/35.3.275
  8. Prudente COM, Barbosa MA, Porto CC. Relation between quality of life of mothers of children with cerebral palsy and the children's motor functioning, after ten months of rehabilitation. Rev. Latino-Am. Enfermagem. 2010;18(2):149-55. https://doi.org/10.1590/S0104-11692010000200002
  9. Zanon MA, Batista NA. Quality of life and level of anxiety and depression in caregivers of children with cerebral palsy. Rev Paul Pediatr. 2012;30(3):392-6. https://doi.org/10.1590/S0103-05822012000300013
  10. Unsal-Delialioglu S, Kaya K, Ozel S et al. Depression I mothers of children with cerebral palsy and related factors in Turkey: a controlled study. Int J Rehabil Res. 2009;32(3):199-204. https://doi.org/10.1097/MRR.0b013e32832607b6
  11. Byrne MB, Hurley DA, Daly L et al. Health status of caregivers of children with cerebral palsy. Child Care Health Dev. 2010;36(5):696-702. https://doi.org/10.1111/j.1365-2214.2009.01047.x
  12. Russel DJ, Rosenbaum PL, Cadman DT et al. The gross motor function measure: a means to evaluate the effects of physical therapy. Dev Med Child Neurol. 1989;31(3):341-52. https://doi.org/10.1111/j.1469-8749.1989.tb04003.x
  13. Dodds TA, Martin DP, Stolov WC et al. A validation of the functional independence measurement and its performance among rehabilitation inpatients. Arch Phys Med Rehabil. 1993;74(5):531-6. https://doi.org/10.1016/0003-9993(93)90119-U
  14. Ciconelli RM, Ferraz MB, Santos W et al. Traducao para a lingua portuguesa e validacao do questionario generic de avaliacao de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(3):143-50.
  15. Beck AT, Ward CH, Mendelson M et al. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-7. https://doi.org/10.1001/archpsyc.1961.01710120031004
  16. Cicchetti, Domenic V. “Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology”. Psychological Assessment. 1994;6(4):284-90. https://doi.org/10.1037/1040-3590.6.4.284
  17. Altindag O, Iscan A, Akcan S et al. Anxiety and depression levels in mothers of children with cerebral palsy. Turk J Phys Med Rehab. 2007:22-4.
  18. Cheshire A, Barlow JH, Powell LA. The psychosocial well-being of parents of children with cerebral palsy: a comparison study. Disabil Rehabil. 2010;32(20):1673-7. https://doi.org/10.3109/09638281003649920
  19. Ones K, Yilmaz E, Cetinkaya B et al. Assessment of the quality of life of mothers of children with cerebral palsy (primary caregivers). Neurorehabil Neural Repair. 2005;19(3):232-7. https://doi.org/10.1177/1545968305278857
  20. Eker L, Tuzun EH. An evaluation of quality of life of mothers of children with cerebral palsy. Disabil Rehabil. 2004;26(23):1354-9. https://doi.org/10.1080/09638280400000187
  21. Raina P, O'Donnel M, Rosenbaum P et al. The health and well-being of caregivers of children with cerebral palsy. Pediatrics. 2005;115:e626-36. https://doi.org/10.1542/peds.2004-1689
  22. Kaya K, Unsal-Delialioglu S, Ordu-Gokkaya NK et al. Musculo-skeletal pain, quality of life and depression in mothers of children with cerebral palsy. Disabil Rehabil. 2010;32(20):1666-72. https://doi.org/10.3109/09638281003649912
  23. Tuna H, Unalan H, Tuna F et al. Quality of life of primary caregivers of children with cerebral palsy: a controlled study with short form-36 questionnaire. Dev Med Child Neurol. 2004;46(9):647-8. https://doi.org/10.1111/j.1469-8749.2004.tb01031.x
  24. Basaran A, Karadavut KI, Uneri SO et al. The effect of having a children with cerebral palsy on quality of life, burn-out, depression and anxiety scores: a comparative study. Eru J Phys Rehabil Med. 2013;49(6):815-22.
  25. Hernandez NE, Kolb S. Effect of relaxation on anxiety in primary caregivers of chronically ill children. Pediatr Nurs. 1998;24(1):51-6.
  26. Rone-Adams SA, Stern DF, Walker V. Stress and compliance with a home exercise program among caregivers of children with disabilities. Pedatr Phys Ther. 2004;16(3):140-8. https://doi.org/10.1097/01.PEP.0000136006.13449.DC
  27. Lee NJ, Oh TY. The effect of motor ability in children with cerebral palsy on mastery motivation. J Kor Phys Ther. 2014;26(5):315-23.
  28. Kwon MJ. Satisfaction of utilization of physical therapy and quality of life for caregivers of cerebral palsy children. J Kor Phys Ther. 2009;21(2):55-63. https://doi.org/10.1589/jpts.21.55

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