Turhan Atahan, Kurt-Aydin Merve, Tarsuslu Tülay
Department of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Turkey.
Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, İzmir Kâtip Çelebi University, Türkiye.
J Paediatr Child Health. 2025 May;61(5):795-801. doi: 10.1111/jpc.70034. Epub 2025 Mar 18.
This study aims to explore the determinants of gross motor function in ambulatory children with spastic cerebral palsy (CP).
Sixty-eight children diagnosed with spastic CP type were included in the study. Sociodemographic and clinical information of children with CP and their families was recorded. Children's gross motor function level was classified using the Gross Motor Function Classification System; gross motor function was assessed using the Gross Motor Function Measure-66 (GMFM-66); and parental quality of life was assessed using the Paediatric Quality of Life Scale Family Effects Module (PedsQL-FIM).
No significant differences were observed in gross motor function or parental quality of life between hemiparetic and diparetic CP groups. However, children residing in urban areas showed significantly higher gross motor function and parental quality of life compared to those in rural areas (p < 0.05). Moderate correlations were found between gross motor function and physical functioning as well as place of residence (p < 0.05). Multiple regression indicated that physical functioning and urban residence were significant predictors of gross motor function, accounting for 37.9% of the variance in the GMFM-66 score.
This study shows that the quality of life of parents of children and residence in the urban area are independent predictors of gross motor function in children with CP. These findings highlight the importance of considering family well-being and environmental factors when developing interventions to improve gross motor function outcomes in children with CP.
NCT06439446.
本研究旨在探讨痉挛型脑性瘫痪（CP）能独立行走儿童的粗大运动功能的决定因素。
68名被诊断为痉挛型CP的儿童纳入本研究。记录CP患儿及其家庭的社会人口统计学和临床信息。使用粗大运动功能分类系统对儿童的粗大运动功能水平进行分类；使用粗大运动功能测量量表-66（GMFM-66）评估粗大运动功能；使用儿童生活质量量表家庭影响模块（PedsQL-FIM）评估父母的生活质量。
偏瘫型和双瘫型CP组在粗大运动功能或父母生活质量方面未观察到显著差异。然而，与农村地区的儿童相比，城市地区的儿童粗大运动功能和父母生活质量显著更高（p<0.05）。发现粗大运动功能与身体功能以及居住地点之间存在中度相关性（p<0.05）。多元回归表明，身体功能和城市居住是粗大运动功能的重要预测因素，占GMFM-66评分方差的37.9%。
本研究表明，儿童父母的生活质量和城市居住情况是CP患儿粗大运动功能的独立预测因素。这些发现突出了在制定干预措施以改善CP患儿粗大运动功能结果时考虑家庭幸福感和环境因素的重要性。
NCT06439446。
