1Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia; 2Josip Juraj Strossmayer University of Osijek, School of Medicine, Osijek, Croatia; 3Department of Neuropediatrics, Zagreb Children's Hospital, School of Medicine, University of Zagreb, Zagreb, Croatia.
Acta Clin Croat. 2021 Jun;60(2):282-289. doi: 10.20471/acc.2021.60.02.15.
The aim was to study functional abilities and to create functional classification of children with cerebral palsy (CP) in Krapina-Zagorje County, based on the classification of gross and fine motor skills and associated impairments. Classification was performed according to the SCPE (Surveillance of Cerebral Palsy in Europe) criteria. We used standardized and complementary functional classification systems for cerebral palsy to create a functional profile. Research included 44 children with CP in the age range of 4 to 18 years. The results showed that the majority of children had bilateral spastic CP (63.6%), followed by unilateral spastic (22.7%) while the representation of dyskinetic CP was 9.09% and ataxic CP 4.55%. Based on the classification of gross and fine motor skills, 43.2% of children had the ability to walk, 11% of children could walk with assistive mobility devices, while 45.4% of children had a low functional level. The study also analyzed the associated impairments where higher classification score of motor impairment correlated with the severity of impairment. The results showed that children with dyskinetic CP and severe motor impairment could have mild cognitive impairment. We systematically present the neuropsychological and functional profile according to the CP type.
目的是研究功能能力,并根据粗大运动和精细运动技能及相关障碍的分类,为克拉皮纳-扎戈里县的脑瘫儿童创建功能分类。分类是根据欧洲脑瘫监测(SCPE)标准进行的。我们使用标准化和补充的脑瘫功能分类系统来创建功能档案。研究包括 44 名 4 至 18 岁的脑瘫儿童。结果表明,大多数儿童患有双侧痉挛性脑瘫(63.6%),其次是单侧痉挛性脑瘫(22.7%),而不随意运动性脑瘫的比例为 9.09%,共济失调性脑瘫为 4.55%。根据粗大运动和精细运动技能的分类,43.2%的儿童有行走能力,11%的儿童可以使用辅助移动设备行走,而 45.4%的儿童功能水平较低。该研究还分析了相关障碍,运动障碍的分类评分越高,损伤程度越严重。结果表明,不随意运动性脑瘫和严重运动障碍的儿童可能存在轻度认知障碍。我们根据脑瘫类型系统地呈现神经心理学和功能档案。