The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Functional Improvement after the Gross Motor Function Measure-88 (GMFM-88) Item-Based Training in Children with Cerebral Palsy

  • Ko, Jooyeon (Department of Physical Therapy, Daegu Health College)
  • Received : 2017.05.01
  • Accepted : 2017.06.30
  • Published : 2017.06.30
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Abstract

Purpose: The aim of this study was to investigate applicability of the GMFM-88 in planning intervention for CP children. Specifically, this study assessed functional improvement after a four-week GMFM-88 item-based training in CP children divided into three age groups (${\leq}24$ months, 25-48 months, and >48 months) and five levels of the gross motor function classification system (GMFCS). Methods: Subjects were 264 children with CP (mean age 32.90 months) recruited from one CP clinic. The GMFM-88 item-based training was planned for each child, after an interview with its caregiver. To investigate functional improvement after the intervention, minimum important difference (MID) and MID proportion for the change in scores of GMFM-88 were calculated. Results: The GMFM-88 scores increased after the interventions in all three age groups (p<0.05). In particular, children with CP aged ${\leq}24$ months and at the GMFCS level II showed greater functional improvement after training. Conclusion: This study found that the GMFM-88 item-based training would be used to plan activity-oriented intervention both in clinic and home in each CP child.

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References

  1. 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(109):8-14.
  2. Novak I, McIntyre S, Morgan C et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013;55(10):885-910. https://doi.org/10.1111/dmcn.12246
  3. Mastos M, Miller K, Eliasson AC et al. Goal-directed training linking theories of treatment to clinical practice for improved functional activities in daily life. Clin Rehabil. 2007;21(1):47-55. https://doi.org/10.1177/0269215506073494
  4. Russell DJ, Avery LM, Rosenbaum PL et al. Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity. Phys Ther. 2000;80(9):873-85.
  5. McCarthy ML, Silberstein CE, Atkins EA et al. Comparing reliability and validity of pediatric instruments for measuring health and wellbeing of children with spastic cerebral palsy. Dev Med Child Neurol. 2002;44(7): 468-76. https://doi.org/10.1111/j.1469-8749.2002.tb00308.x
  6. Bania TA, Taylor NF, Baker RJ et al. Gross motor function is an important predictor of daily physical activity in young people with bilateral spastic cerebral palsy. Dev Med Child Neurol. 2014;56(12):1163-71. https://doi.org/10.1111/dmcn.12548
  7. Ketelaar M, Vermeer A, Hart H et al. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys. Ther. 2001; 81(9):1534-45. https://doi.org/10.1093/ptj/81.9.1534
  8. Salem Y, Godwin EM. Effects of task-oriented training on mobility function in children with cerebral palsy. NeuroRehabilitation. 2009;24(4): 307-13.
  9. Wright FV, Boschen K, Jutai J. Exploring the comparative responsiveness of a core set of outcome measures in a school based conductive education program. Child Care Health Dev. 2005;31(3):291-302. https://doi.org/10.1111/j.1365-2214.2005.00511.x
  10. Ko J, Kim M. Reliability and responsiveness of the gross motor function measure-88 in children with cerebral palsy. Phys Ther. 2013;93(3):393-400. https://doi.org/10.2522/ptj.20110374
  11. Ko JY, You YG. Reliability and responsiveness of the Korean version of the trunk impairment scale for stroke patients. J Korean Soc Phys Ther. 2015;27(4):175-82. https://doi.org/10.18857/jkpt.2015.27.4.175
  12. Ko J. Sensitivity to functional improvements of GMFM-88, GMFM-66, and PEDI mobility scores in young children with cerebral palsy. Percept Mot Skills. 2014;119(1):305-19. https://doi.org/10.2466/03.25.PMS.119c14z1
  13. Jeong DH. Reliability and validity of the CAP for computer access assessment of persons with physical disabilities. J Korean Soc Phys Ther. 2015;27(1):30-7. https://doi.org/10.18857/jkpt.2015.27.1.30
  14. Kim MH, Weon JH. Intra- and inter-rater reliabilities of infrasternal angle measurement. J Kor Phys Ther 2015:27(3):154-58. https://doi.org/10.18857/jkpt.2015.27.3.154
  15. Ko JY, Jeong JW. Reliability and concurrent validity of Korean version of the trunk control measurement scale (K-TCMS) for children with cerebral palsy. J Phys Ther Sci. 2017;29(1):16-26. https://doi.org/10.1589/jpts.29.16
  16. Seo HJ, Kim JH. The reliability and validity of Korean pediatric functional muscle testing in children with motor disorder. J Kor Phys Ther. 2016;28(4):232-42. https://doi.org/10.18857/jkpt.2016.28.4.232
  17. Berg KO, Norman KE. Functional assessment of balance and gait. Clin Geriatr Med. 1996;12(4):705-23.
  18. Adair B, Said CM, Rodda J et al. Psychometric properties of functional mobility tools in hereditary spastic paraplegia and other childhood neurological conditions. Dev Med Child Neurol. 2012;54(7):596-605. https://doi.org/10.1111/j.1469-8749.2012.04284.x
  19. Haley SM, Fragala-Pinkham MA. Interpreting change scores of tests and measures used in physical therapy. Phys Ther. 2006;86(5):735-43.
  20. Barbeau H, Fung J. The role of rehabilitation in the recovery of walking in the neurological population. Curr Opin Neurol. 2001;14(6):735-40. https://doi.org/10.1097/00019052-200112000-00009
  21. Trahan J, Malouin F. Intermittent intensive physiotherapy in children with cerebral palsy: a pilot study. Dev Med Child Neurol. 2002;44(4): 233-39. https://doi.org/10.1017/S0012162201002006
  22. Gannotti ME, Christy JB, Heathcock JC et al. A path model for evaluating dosing parameters for children with cerebral palsy. Phys Ther. 2014; 94(3):411-21. https://doi.org/10.2522/ptj.20130022
  23. Sloan JA, Cella D, Frost MH et al. Assessing clinical significance in measuring oncology patient quality of life: introduction to the symposium, content overview, and definition of terms. Mayo Clin Proc. 2002;77(4): 371-83. https://doi.org/10.4065/77.4.371
  24. Angsupaisal M, Visser B, Alkema A et al. Therapist-designed adaptive riding in children with cerebral palsy: results of a feasibility study. Phys Ther. 2015;95(8):1151-62. https://doi.org/10.2522/ptj.20140146
  25. Cella D, Bullinger M, Scott C et al. Clinical significance consensus meeting group. Group vs individual approaches to understanding the clinical significance of differences or changes in quality of life. Mayo Clin Proc. 2002;77(4):384-92. https://doi.org/10.4065/77.4.384
  26. Dumas HM, Haley S, Carey TM et al. The relationship between functional mobility and the intensity of physical therapy intervention in children with traumatic brain injury. Pediatr Phys Ther. 2004;16(3):157-64. https://doi.org/10.1097/01.PEP.0000136004.69289.01

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