Article

OBJECTIVE: To explore the relationship between gross motor and intellectual
function in children with cerebral palsy (CP). DESIGN:
A cross-sectional study.
SETTING: Occupational therapy clinic. PARTICIPANTS: Children with CP (N=662; 281
girls, 381 boys; age range, 3-14y). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Intelligence testing was carried out by means of the Wechsler Preschool
and Primary Scale of Intelligence and the Wechsler Intelligence Scale for
Children-Revised. Gross motor function level was determined by the Gross Motor
Function Classification System Expanded and Revised (GMFCS E&R). RESULTS: Of the
children, 10.4% were at level I of the GMFCS E&R, 38% at levels II and III, and
51.5% at levels IV and V. The lowest level of intelligence or profound
intellectual disability was found in children with spastic quadriplegia (n=28,
62.2%). Children at the lowest levels (I-IV, GMFCS E&R) obtained higher ratings
in terms of intelligence in comparison with children at level V. Based on the
present results, the diagnosis was statistically related to the intellectual
level as dependent variable (P<.01); accordingly, hypotonic, quadriplegic, and
hemiplegic patients had the highest odds to assign higher ratings in abnormal
intelligence, respectively. Sex and age were not statistically related to the
dependent variable. CONCLUSIONS: The study results demonstrated a significant
association between GMFCS E&R and intellectual function. Therefore, we suggest
that particular attention should be paid to the intellectual level in terms of
evaluations of gross motor function. These results, in respect, might be
interested for occupational and physical therapists who are involved in
rehabilitation programs for these children.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS