Motor Development in Children with Cerebral Palsy in Sweden-A Population-Based Longitudinal Register Study

The aim was to explore longitudinal motor development in children with cerebral palsy (CP) in Sweden with respect to the Gross Motor Function Classification System (GMFCS). In this national CP registry-based study, 2138 children aged 0.5-19 years participated (42% girls). The distribution with respe...

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Bibliographic Details
Published in:Children (Basel) 2023, Vol.10 (12), p.1864
Main Authors: Lidbeck, Cecilia, Häbel, Henrike, Martinsson, Caroline, Pettersson, Katina, Löwing, Kristina
Format: Article
Language:English
Subjects:
Age
Analysis
Cerebral palsied children
Cerebral palsy
Child development
children
Children & youth
Clinical medicine
gross motor function classification system
gross motor function measure 66
Medicin och hälsovetenskap
Motor ability
motor activities
Parents & parenting
Quantitative psychology
Surveillance
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Summary:The aim was to explore longitudinal motor development in children with cerebral palsy (CP) in Sweden with respect to the Gross Motor Function Classification System (GMFCS). In this national CP registry-based study, 2138 children aged 0.5-19 years participated (42% girls). The distribution with respect to GMFCS was I: 49%, II: 16%, III: 10%, IV: 14%, and V: 11%. In total, 5538 assessments (mean 2.7, min-max: 1-9) with the Gross Motor Function Measure-66 were included. Data were analysed using non-linear mixed-effects regression models, and the Stable Limit Model was selected to fit data. Five distinct curves of predicted gross motor development with respect to GMFCS levels were obtained. The achieved motor development was maintained over time. The estimated average GMFM-66 limit and the average age when 90% of the expected limits were reached were at GMFCS I: 88 at age 4.5; GMFCS II: 71 at age 4.2; GMFCS III: 54 at age 3.1; GMFCS IV: 38 at age 2.6, and at GMFCS V: 18 at age 0.9. In conclusion, this is the first national population-based study following motor development in CP. Five distinct curves reported in previous controlled research studies were confirmed. Our study adds knowledge about motor development captured in children's everyday context.
ISSN:2227-9067
2227-9067
DOI:10.3390/children10121864