Prognostic Predictors for Ambulation in Thai Children With Cerebral Palsy Aged 2 to 18 Years.
The objectives of this study were to determine prognostic predictors for ambulation among Thai children with cerebral palsy and identify their ambulatory status. A retrospective cohort study was performed at 6 special schools or hospitals for children with physical disabilities. The prognostic predictors for ambulation were analyzed by multivariable ordinal continuation ratio logistic regression. The 533 participants aged 2 to 18 years were divided into 3 groups: 186 with independent ambulation (Gross Motor Function Classification System [GMFCS I-II]), 71 with assisted ambulation (Gross Motor Function Classification System III), and 276 with nonambulation (Gross Motor Function Classification System IV-V). The significant positive predictors for ambulation were type of cerebral palsy (spastic diplegia, spastic hemiplegia, dyskinesia, ataxia, hypotonia, and mixed type), sitting independently at age 2 years, and eating independently. These predictors were used to develop clinical scoring for predicting the future ability to walk among Thai children with cerebral palsy.
Clinical Epidemiology Program, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Faculty of Public Health, Naresuan University, Phitsanulok, Thailand.
Orawan
O
Keeratisiroj
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand nuanlaor.thawinchai@cmu.ac.th.
Nuanlaor
N
Thawinchai
Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand.
Wantana
W
Siritaratiwat
Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Montana
M
Buntragulpoontawee
D000293:Adolescent; D002547:Cerebral Palsy / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D009043:Motor Activity; D015999:Multivariate Analysis; D011379:Prognosis; D012189:Retrospective Studies; D013785:Thailand
ambulation; cerebral palsy; motor function; prognostic predictor