Evaluation of physical growth in cerebral palsied children and its possible relationship with gross motor development.
The object of this study was to detect any possible relation between the current gross motor function score for cerebral palsy children and their physical growth parameters. We measured 71 children with spastic cerebral palsy (35 diplegic, 25 quadriplegic and 11 hemiplegic) and a control group of 80 normal children. Measures taken for cerebral palsy and normal children included stature, weight, head circumference and mid upper-arm circumference, and, additionally for the cerebral palsied children, duration of the disease, birth weight, presence or absence of orofacial dysfunction, distribution of paralysis and degree of spasticity. Motor abilities were measured using the Gross Motor Function Measure. Results showed a significant decrease in the stature, current weight, head circumference and mid upper-arm circumference of both sexes of the quadriplegic children, and significant decreases in the current weight of the diplegic girls and the head circumference of the hemiplegic girls. There were also significant decreases in all scores of the quadriplegic children compared to the diplegic and hemiplegic children. Diplegic children had significantly decreased standing, walking and running, and total scores, compared to the hemiplegic children. Total score at age of testing was independently predicted by the duration of the disease, distribution of paralysis, presence or absence of orofacial dysfunction, spasticity index and the current body weight. Our findings indicate that in spastic cerebral palsy the physical growth parameters were markedly decreased in the quadriplegic form compared to other forms. Only current body weight, from the growth parameters, in addition to other relevant clinical data, can be considered predictors of the current gross motor abilities of those children.
Ibrahim
Alaa I
AI
Department of Physical Therapy, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan. alaa_ibrahim40@yahoo.com
Hawamdeh
Ziad M
ZM
D000886:Anthropometry; D001132:Arm / Q000033:anatomy & histology; D001827:Body Height / Q000502:physiology; D001835:Body Weight / Q000502:physiology; D016022:Case-Control Studies; D002508:Cephalometry; D002547:Cerebral Palsy / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006130:Growth Disorders / Q000503:physiopathology*; D006429:Hemiplegia / Q000503:physiopathology; D006801:Humans; D008297:Male; D011782:Quadriplegia / Q000503:physiopathology; D012420:Running / Q000502:physiology; D012737:Sex Factors; D016138:Walking / Q000502:physiology