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  • Relationship between communication skills and gross motor function in preschool-aged children with cerebral palsy

    Author(s)
    Coleman, Andrea
    Weir, Kelly A
    Ware, Robert S
    Boyd, Roslyn N
    Griffith University Author(s)
    Weir, Kelly A.
    Ware, Robert
    Year published
    2013
    Metadata
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    Abstract
    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 ...
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    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 III–V) 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 38% of the variation in communication. Poorer communication was strongly associated with gross motor 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.
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    Journal Title
    Archives of Physical Medicine and Rehabilitation
    Volume
    94
    Issue
    11
    DOI
    https://doi.org/10.1016/j.apmr.2013.03.025
    Subject
    Paediatrics
    Neurology and neuromuscular diseases
    Allied health and rehabilitation science
    Publication URI
    http://hdl.handle.net/10072/173402
    Collection
    • Journal articles

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