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Functional outcomes in children and young people with dyskinetic cerebral palsy
Author(s) -
Monbaliu Elegast,
De La Peña MaryGrace,
Ortibus Els,
Molenaers Guy,
Deklerck Jan,
Feys Hilde
Publication year - 2017
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13406
Subject(s) - cerebral palsy , choreoathetosis , dyskinesia , dystonia , gross motor function classification system , psychology , physical medicine and rehabilitation , correlation , movement disorders , medicine , pediatrics , physical therapy , audiology , psychiatry , parkinson's disease , geometry , mathematics , disease
Aim This cross‐sectional study aimed to map the functional profile of individuals with dyskinetic cerebral palsy ( CP ), to determine interrelationships between the functional classification systems, and to investigate the relationship of functional abilities with dystonia and choreoathetosis severity. Methods Fifty‐five children (<15y) and young people (15–22y) (30 males, 25 females; mean age 14y 6mo, standard deviation 4y 1mo) with dyskinetic CP were assessed using the Gross Motor Function Classification System ( GMFCS ), Manual Ability Classification System ( MACS ), Communication Function Classification System ( CFCS ), Eating and Drinking Ability Classification System ( EDACS ), and Viking Speech Scale ( VSS ), as well as the Dyskinesia Impairment Scale. Results Over 50 per cent of the participants exhibited the highest limitation levels in GMFCS , MACS , and VSS . Better functional abilities were seen in EDACS and CFCS . Moderate to excellent interrelationship was found among the classification scales. All scales had significant correlation ( r s =0.65 – 0.81) with dystonia severity except for CFCS in the young people group. Finally, only MACS ( r s =0.40) and EDACS ( r s =0.55) in the young people group demonstrated significant correlation with choreoathetosis severity. Interpretation The need for inclusion of speech, eating, and drinking in the functional assessment of dyskinetic CP is highlighted. The study further supports the strategy of managing dystonia in particular at a younger age followed by choreoathetosis in a later stage.