Relationship Between Communication and Gross Motor Function in Quadriparetic Cerebral Palsy

NCT06591689 | Completed

• 1 other identifier: Ali Demir
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Communication problems are frequently encountered in quadriparetic cerebral palsy. Additionally, motor impairments often accompany this condition. Communication problems can also reduce the benefits gained from treatments, which in turn negatively affects individuals functional independence as motor impairments persist. In this study, the researchers aimed to examine the relationship between communication function, gross motor function and functional independence level.

Conditions

Cerebral Palsy, Spastic Quadriplegic; Communication Disorder, Childhood; Gross Motor Delay

Outcome Measures

Primary Outcomes (3)

• Communication Function Classification System (CFCS)

  The communication functions of patients were evaluated using the "Communication Function Classification System (CFCS)." CFCS assesses the daily communication performance of individuals with cerebral palsy (CP) across five levels. It evaluates all methods that affect communication performance, such as speech, facial expressions, gestures, eye contact, facial cues, and the use of augmentative and alternative communication methods. In CFCS, Level I indicates a better condition, while Level V represents more impaired situations.

  1 month

• The Pediatric Functional Independence Measure (WeeFIM)

  The Pediatric Functional Independence Measure (WeeFIM) is a useful, brief, and comprehensive assessment method for identifying the functional limitations of children with developmental disorders. It consists of 18 items under the categories of self-care, sphincter control, transfers, mobility, communication, and social interaction. Each item is scored between 1 and 7. A child receives a score of 1 when performing an item with full assistance, and a score of 7 when completing it independently, safely, and in a timely manner. Afterwards, all scores are summed to calculate a percentage of independence. The WeeFIM assessments were carried out by physiotherapists based on information obtained from families. High scores on this scale indicate a high level of independence.

  1 month

• The Gross Motor Function Measure-88 (GMFM-88)

  The Gross Motor Function Measure-88 (GMFM-88) was used to determine the functional performance of children. GMFM-88 is a standardized, validated observational scale, and it is mandatory to use the user manual for scoring each item. GMFM-88 evaluates five domains: lying and rolling, sitting, crawling and kneeling, standing, and walking. Each section is assessed individually, and a percentage score is calculated. The total score is obtained by averaging the percentage scores of the five sections. The items in the sections are scored as 0, 1, 2, or 3. The GMFM-88 scores were calculated by physiotherapists in strict adherence to the user manual. Total GMFM-88 score is evaluated out of 100, and higher scores indicate good gross motor development.

  1 month

Interventions

Evaluation of Cases with Quadriparetic Cerebral Palsy OTHER

20 quadriparetic cerebral palsy cases were evaluated with the Communication Function Classification System (CFCS), Pediatric Functional Independence Scale (WeeFIM) and Gross Motor Function Measure-88 (GMFM-88).

Eligibility Criteria

• Age: 0 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Twenty quadriparetic cerebral palsy individuals between the ages of 0-17 were included in the study.

You may qualify if:

• Ages between 0-17,
• Diagnosed with quadriparetic cerebral palsy,
• Participants and parents willing to participate in the study voluntarily.

You may not qualify if:

• Having different types of cerebral palsy such as dyskinetic, ataxic and mixed type,
• Having spastic diparetic or hemiparetic type cerebral palsy,
• Having any history of surgery on the musculoskeletal system,
• Having received Botulinum Toxin injections in the last 6 months

Sponsors & Collaborators

• Acıbadem Atunizade Hospital: lead

Study Sites (1)

Acıbadem Altunizade Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cerebral Palsy; Communication Disorders

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Study Record Dates

• First Submitted: September 7, 2024
• First Posted: September 19, 2024
• Study Start: January 1, 2019
• Primary Completion: December 31, 2022
• Study Completion: August 31, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)