Measuring the gross motor function and Functional limitation among the children with Spastic cerebral palsy.

Abstract

Purpose: To find out the gross motor function and functional limitation among the children with spastic cerebral palsy. Objectives: The objectives of this study was to find out the gross motor function, functional limitation, the socio-demographic information and association between GMFCS with WeeFIM, BMI & delivery type and WeeFIM with BMI, delivery type among the participants of spastic cerebral palsy. Methodology: The study design was cross sectional. The sample size were 70 and Purposive sampling technique was used for sample selection who was attended for treatment in Pediatric unite in Centre for the Rehabilitation of the Paralysed (CRP) in Bangladesh. Results: Among 70 cerebral palsy patients, most of the patients were 2-4 and 6-12 years of age range. The mean age was 65.24 months. Sociodemographic results found large number of participants (44.3%) was underweight. In medical factors, GMFCS level showed majority of the participants (29.9%) were in level 4. Low educational status, 45.7% (n=32) children were born through normal vaginal delivery (NVD) and 54.3% (n=38) children were born through caesarian section. In association between GMFCS and WeeFIM there was significant relationship of self eating in 2-4 years age range, transfer and locomotion in 2-4 years age range and 6-12 years age range, communication and social cognition in 2-4 years age range. Conclusion: Spastic Cerebral palsy causes gross motor functional limitation and functional limitation. The present study found different sociodemographic, medical factors and GMFCS level with status of limitations among children with spastic CP between age range of 2–4 years, 4-6 years and 6-12 years. Key words: Spastic cerebral palsy, Gross motor function and Functional limitation. vii