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Cognitive function affects daily‐life mobility of children with bilateral spastic cerebral palsy due to periventricular leukomalacia
Author(s) -
Yukihiro Kitai,
Kaeko Ogura,
MD,
Kayo Ohmura,
Satori Hirai
Publication year - 2016
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.24_13225
Subject(s) - periventricular leukomalacia , cerebral palsy , spastic , medicine , pediatrics , cognition , physical medicine and rehabilitation , psychology , psychiatry , gestational age , pregnancy , genetics , biology
BACKGROUND / OBJECTIVES Periventricular leukomalacia (PVL), the most common etiology of cerebral palsy (CP) in preterm children, causes not only spastic paresis but also cognitive dysfunction. And the motor performance of children with CP might be influenced by cognitive function, as well as the range of brain lesion and motor capacity. We investigated the influence of the extent of PVL, GMFCS levels in early childhood, and cognitive function on the daily-life mobility at elementary school. RESULT I; Primary analysis Sex, gestational age, and birth weight were not significantly different among the three groups. Children with severe PVL showed globally poor outcomes ; 89% (17/19) had epilepsy, most of which (12/17) were infantile spasms, 58% (11/19) couldn’t speak meaningful words, and 53% (10/19) showed severe visual impairment (couldn’t pursuit moving object with their eyes). As to the daily-life mobility at school, 14 patients with mild PVL were all ambulatory, 19 with severe PVL were all wheelchair, while 119 with moderate PVL were divided into three groups (ambulatory 34, walker 31, wheelchair 52).