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Titre : | Relationship Between Communication Skills and Gross Motor Function in Preschool-Aged Children With Cerebral Palsy (2013) |
Auteurs : | Andrea Coleman ; Kelly A. Weir ; Robert Ware ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/11, 2013) |
Article en page(s) : | pp. 2210-2217 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Communication ; Paralysie cérébrale ; Rééducation et réadaptation |
Mots-clés: | Cerebral Palsy ; Motor Skills ; Aptitudes motrices |
Résumé : |
Objectives To explore the communication skills of children with cerebral palsy (CP) at 24 months' corrected age with reference to typically developing children, and to determine the relationship between communication ability, gross motor function, and other comorbidities associated with CP. Design Prospective, cross-sectional, population-based cohort study. Setting General community. Participants Children with CP (N=124; mean age, 24mo; functional severity on Gross Motor Function Classification System [GMFCS]: I=47, II=14, III=22, IV=19, V=22). Interventions Not applicable. Main Outcome Measures Parents reported communication skills on the Communication and Symbolic Behavior Scales Developmental Profile (CSBS-DP) Infant-Toddler Checklist. Two independent physiotherapists classified motor type, distribution, and GMFCS. Data on comorbidities were obtained from parent interviews and medical records. Results Children with mild CP (GMFCS I/II) had mean CSBS-DP scores that were 0.5 to 0.6 SD below the mean for typically developing peers, while those with moderate-severe impairment (GMFCS IIIV) were 1.4 to 2.6 SD below the mean. GMFCS was significantly associated with performance on the CSBS-DP (F=18.55, P<.001 with gross motor ability accounting for of the variation in communication. poorer communication was strongly associated function and full-term birth.> Conclusions Preschool-aged children with CP, with more severe gross motor impairment, showed delayed communication, while children with mild motor impairment were less vulnerable. Term-born children had significantly poorer communication than those born prematurely. Because a portion of each gross motor functional severity level is at risk, this study reinforces the need for early monitoring of communication development for all children with CP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |