title: The benefits of a comprehensive rehabilitation program in patients diagnosed with spastic quadriplegia.
abstract: Spastic quadriplegia has as an etiopathogenic substrate, a non-progressive brain lesion; however, the clinical manifestations of the disease evolve over time. Children diagnosed with spastic quadriplegia show a variety of symptoms in different areas: sensorimotor, emotional, cognitive, and social. The purpose of this study was to assess the functional status in patients diagnosed with spastic quadriplegia, who followed a complex medical rehabilitation program, during a year, and highlight the importance of using physical and kinetic techniques in improving their status. A total of 10 children diagnosed with spastic quadriplegia were included in the study and the Gross Motor Function Classification System (GMFCS) and manual ability classification system (MACS) were used to evaluate the functionality status of each patient. Every patient was evaluated initially (T1), after six months of program (T2), and after they completed the study. All the children were originally monitored daily, for 5 days per week for a period of one month, then two times a week for a year. A statistically significant difference regarding the modification of the GMFCS and MACS stage was found, which occurred between the first and the third evaluation. The inverse correlation of the statistical significance between the ages of patients and the decrease in GMFCS or MACS stage was highlighted; the younger the patient, the more the scale decreased. A direct link between the gross motor function and the manual ability was noticed. Applying a complex rehabilitation program has proven efficient by improving both the gross motor functionality and the manual ability.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Medicine and Pharmacy of Craiova, Romania.
authors.forename: O C
authors.initials: OC
authors.lastname: Rogoveanu
authors.affiliation: Faculty of Nursing and Midwives, University of Medicine and Pharmacy of Craiova, Romania.
authors.forename: N C
authors.initials: NC
authors.lastname: Tuțescu
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Medicine and Pharmacy of Craiova, Romania.
authors.forename: D
authors.initials: D
authors.lastname: Kamal
authors.affiliation: Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova, Romania.
authors.forename: D O
authors.initials: DO
authors.lastname: Alexandru
authors.affiliation: Department of Family Medicine, University of Medicine and Pharmacy of Craiova, Romania.
authors.forename: C
authors.initials: C
authors.lastname: Kamal
authors.affiliation: Department of Research Methodology, University of Medicine and Pharmacy of Craiova, Romania.
authors.forename: C T
authors.initials: CT
authors.lastname: Streba
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Medicine and Pharmacy of Craiova, Romania.
authors.forename: M R
authors.initials: MR
authors.lastname: Trăistaru
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D011782:Quadriplegia / Q000503:physiopathology / Q000534:rehabilitation*
keywords: GMFCS; MACS; functionality; quadriplegia spastic