Factors Affecting the Independence Level of 4-12-Year-Old Children with Cerebral Palsy in Activities of Daily Living

Abstract

Objectives
Enhancing the independence of children with cerebral palsy in their daily activities can significantly alleviate caregiver stress and challenges, thereby improving the quality of life for caregivers.. This study aimed to identify the influential factors in the independence level of children with CP in Activities of Daily Living (ADL) (selfcare) and Instrumental Activities of Daily Living (IADL) (home participation).
Materials & Methods
In this cross-sectional study, 116 children with different types of CP (61 boys and 55 girls) in the 4-6 age range and their parents were non-randomly selected through convenience sampling. The Iranian-Children Participation Questionnaire was used to measure the children's independence level in self-care activities and home participation. Several instruments, along with a demographic
questionnaire, were used to assess personal factors, such as the Gross Motor Function Classification System, Manual Ability Classification System, Communication Function Classification System, SPARCLE (for determining children's cognitive level), and Eating and Drinking Ability Classification System. Eventually, the collected data were analyzed using stepwise linear regression

Results
The results showed that the level of Gross Motor Function Classification System (GMFCS) and Communication Function Classification System (CFCS) and the child's age had the most correlation with the independence level in self-care activities. Moreover, GMFCS Manual Ability Classification System (MACS), cognitive level, and child's age were most associated with home participation.
Conclusion
Personal factors are more effective than environmental factors in determining the independence of children with CP.

References

1. Amini M, Hassani Mehraban A, Rostamzadeh O, Mehdizadeh FJOtihc. Psychometric properties of the Iranian-Children Participation Questionnaire (I-CPQ) when used with parents of preschool children with cerebral palsy. 2017;31(4):341-51.
2. Riahi A, Rassafiani M, Binesh MJAoR. The cross-cultural validation and test-retest and inter-rater reliability of the Persian translation of parent version of the Gross Motor Function Classification System for children with Cerebral Palsy. 2013;13:25-30.
3. Riyahi A, Rassafiani M, AkbarFahimi N, Karimloo MJJoEC. To Determine the Reliability and Validity of the Persian Translation of the Manual Ability Classification System for Children with Cerebral Palsy. 2012;12(2):17-26.
4. Soleymani Z, Joveini G, Baghestani ARJPn. The Communication Function Classification System: cultural adaptation, validity, and reliability of the Farsi version for patients with cerebral palsy. 2015;52(3):333-7.
5. Sellers D, Mandy A, Pennington L, Hankins M, Morris CJDM, Neurology C. Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. 2014;56(3):245-51.
6. Riyahi A, Rassafiani M, Yazdani S, Moradzadeh RJJoAUoMS. Psychometric Properties of the Persian Version of the Eating and Drinking Ability Classification System in Children with Cerebral Palsy in Iran. 2018;20(11):34-46.
7. Colver AJBph. Study protocol: SPARCLE–a multi-centre European study of the relationship of environment to participation and quality of life in children with cerebral palsy. 2006;6(1):105.
8. Gunel MK, Mutlu A, Tarsuslu T, Livanelioglu AJEjop. Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy. 2009;168(4):477-85.
9. Dunn L, Gardner JJAJoOT. Household task participation of children with and without physical disability. 2013;67(5):e100-e5.
10. King G, Lawm M, King S, Rosenbaum P, Kertoy MK, Young NLJP, et al. A conceptual model of the factors affecting the recreation and leisure participation of children with disabilities. 2003;23(1):63-90.
11. Tan SS, Wiegerink DJ, Vos RC, Smits DW, Voorman JM, Twisk JW, et al. Developmental trajectories of social participation in individuals with cerebral palsy: a multicentre longitudinal study. 2014;56(4):370-7.
12. Fauconnier J, Dickinson HO, Beckung E, Marcelli M, McManus V, Michelsen SI, et al. Participation in life situations of 8-12 year old children with cerebral palsy: cross sectional European study. 2009;338:b1458.
13. Hammal D, Jarvis SN, Colver AFJDM, Neurology C. Participation of children with cerebral palsy is influenced by where they live. 2004;46(5):292-8.
14. Beckung E, Hagberg GJDm, neurology c. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. 2002;44(5):309-16.
15. Livingston MH, Stewart D, Rosenbaum PL, Russell DJJP, pediatrics oti. Exploring issues of participation among adolescents with cerebral palsy: what's important to them? 2011;31(3):275-87.
16. Van Zelst B, Miller MD, Russo RN, Murchland S, Crotty MJDm, neurology c. Activities of daily living in children with hemiplegic cerebral palsy: a cross-sectional evaluation using the assessment of motor and process skills. 2006;48(9):723-7.
17. Rosenberg L, Bart O, Ratzon NZ, Jarus TJJoc, studies f. Personal and environmental factors predict participation of children with and without mild developmental disabilities. 2013;22(5):658-71.
18. Sakzewski L, Carlon S, Shields N, Ziviani J, Ware RS, Boyd RNJDM, et al. Impact of intensive upper limb rehabilitation on quality of life: a randomized trial in children with unilateral cerebral palsy. 2012;54(5):415-23.
19. Sellers D, Mandy A, Pennington L, Hankins M, Morris CJDM, Neurology C. Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. 2014;56(3):245-51.
20. Riyahi A, Rassafiani M, Yazdani S, Moradzadeh RJJoAUoMS. Psychometric Properties of the Persian Version of the Eating and Drinking Ability Classification System in Children with Cerebral Palsy in Iran. 2018;20(11):34-46.
21. Colver AJBph. Study protocol: SPARCLE–a multi-centre European study of the relationship of environment to participation and quality of life in children with cerebral palsy. 2006;6(1):105.
22. Gunel MK, Mutlu A, Tarsuslu T, Livanelioglu AJEjop. Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy. 2009;168(4):477-85.
23. Dunn L, Gardner JJAJoOT. Household task participation of children with and without physical disability. 2013;67(5):e100-e5.
24. Fauconnier J, Dickinson HO, Beckung E, Marcelli M, McManus V, Michelsen SI, et al. Participation in life situations of 8-12 year old children with cerebral palsy: cross sectional European study. 2009;338:b1458.
25. Hammal D, Jarvis SN, Colver AFJDM, Neurology C. Participation of children with cerebral palsy is influenced by where they live. 2004;46(5):292-8.
26. Beckung E, Hagberg GJDm, neurology c. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. 2002;44(5):309-16.
27. Livingston MH, Stewart D, Rosenbaum PL, Russell DJJP, pediatrics oti. Exploring issues of participation among adolescents with cerebral palsy: what's important to them? 2011;31(3):275-87.
28. Van Zelst B, Miller MD, Russo RN, Murchland S, Crotty MJDm, neurology c. Activities of daily living in children with hemiplegic cerebral palsy: a cross-sectional evaluation using the assessment of motor and process skills. 2006;48(9):723-7.
29. Sakzewski L, Carlon S, Shields N, Ziviani J, Ware RS, Boyd RNJDM, et al. Impact of intensive upper limb rehabilitation on quality of life: a randomized trial in children with unilateral cerebral palsy. 2012;54(5):415-23.

留言 (0)

沒有登入
gif