Lower limb functioning and its impact on quality of life in ambulatory children with cerebral palsy.
Identifieur interne : 001400 ( Main/Corpus ); précédent : 001399; suivant : 001401Lower limb functioning and its impact on quality of life in ambulatory children with cerebral palsy.
Auteurs : Ellen Jaspers ; An Verhaegen ; Fien Geens ; Anja Van Campenhout ; Kaat Desloovere ; Guy MolenaersSource :
- European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society [ 1532-2130 ] ; 2013.
English descriptors
- KwdEn :
- Adolescent (MeSH), Cerebral Palsy (complications), Cerebral Palsy (pathology), Cerebral Palsy (psychology), Child (MeSH), Child, Preschool (MeSH), Disability Evaluation (MeSH), Female (MeSH), Gait Disorders, Neurologic (etiology), Humans (MeSH), Lower Extremity (physiopathology), Male (MeSH), Parents (psychology), Quality of Life (MeSH), Statistics as Topic (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- complications : Cerebral Palsy.
- etiology : Gait Disorders, Neurologic.
- pathology : Cerebral Palsy.
- physiopathology : Lower Extremity.
- psychology : Cerebral Palsy, Parents.
- Adolescent, Child, Child, Preschool, Disability Evaluation, Female, Humans, Male, Quality of Life, Statistics as Topic, Surveys and Questionnaires.
Abstract
BACKGROUND
Children with cerebral palsy (CP) are confronted on a daily basis with their motor problems affecting gait, which might impact on their quality of life (QOL).
AIM
The goal of this study was to evaluate the impact of gross motor and gait function on QOL in ambulatory children with CP attending regular school.
METHODS
A condition-specific questionnaire (CP QOL-Child), including a parent/proxy and child self-report, was used to assess the relation between patient characteristics, lower limb impairments and functioning, and the different aspects of the child's QOL. Data on therapy management, lower limb impairments, and gross motor and gait function was collected for 81 children with CP (10.5 ± 3.0 years). CP QOL-Child questionnaires were completed by a parent/proxy for all 81 children and by 39 of the children over 9 years.
RESULTS
The mean self-reported QOL score (78.2 ± 9.6) was significantly higher than the mean parent/proxy reported score (73.9 ± 10.2). Lower limb spasticity and higher frequency of BTX-A injections correlated with worse scores for the pain and impact of disability domain. Results further showed the adverse impact of the severity of gait pathology on QOL perception for the parents/proxy and the child self-report. Gait speed was an important factor for the parents/proxy, though correlated less with self-perceived QOL for the children.
CONCLUSIONS
Children and parents identified similar factors that adversely affect QOL, whereby the amount of gait pathology was shown to play a crucial role. Only gait speed seemed to be of higher importance for the parents compared to the children.
DOI: 10.1016/j.ejpn.2013.04.006
PubMed: 23755939
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Department of Health Sciences and Technology, ETH Zurich, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaegen, An" sort="Verhaegen, An" uniqKey="Verhaegen A" first="An" last="Verhaegen">An Verhaegen</name></author><author><name sortKey="Geens, Fien" sort="Geens, Fien" uniqKey="Geens F" first="Fien" last="Geens">Fien Geens</name></author><author><name sortKey="Van Campenhout, Anja" sort="Van Campenhout, Anja" uniqKey="Van Campenhout A" first="Anja" last="Van Campenhout">Anja Van Campenhout</name></author><author><name sortKey="Desloovere, Kaat" sort="Desloovere, Kaat" uniqKey="Desloovere K" first="Kaat" last="Desloovere">Kaat Desloovere</name></author><author><name sortKey="Molenaers, Guy" sort="Molenaers, Guy" uniqKey="Molenaers G" first="Guy" last="Molenaers">Guy Molenaers</name></author></analytic><series><title level="j">European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society</title><idno type="eISSN">1532-2130</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Cerebral Palsy (complications)</term><term>Cerebral Palsy (pathology)</term><term>Cerebral Palsy (psychology)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Disability Evaluation (MeSH)</term><term>Female (MeSH)</term><term>Gait Disorders, Neurologic (etiology)</term><term>Humans (MeSH)</term><term>Lower Extremity (physiopathology)</term><term>Male (MeSH)</term><term>Parents (psychology)</term><term>Quality of Life (MeSH)</term><term>Statistics as Topic (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cerebral Palsy</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Cerebral Palsy</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lower Extremity</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cerebral Palsy</term><term>Parents</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Quality of Life</term><term>Statistics as Topic</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Children with cerebral palsy (CP) are confronted on a daily basis with their motor problems affecting gait, which might impact on their quality of life (QOL).</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>The goal of this study was to evaluate the impact of gross motor and gait function on QOL in ambulatory children with CP attending regular school.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A condition-specific questionnaire (CP QOL-Child), including a parent/proxy and child self-report, was used to assess the relation between patient characteristics, lower limb impairments and functioning, and the different aspects of the child's QOL. Data on therapy management, lower limb impairments, and gross motor and gait function was collected for 81 children with CP (10.5 ± 3.0 years). CP QOL-Child questionnaires were completed by a parent/proxy for all 81 children and by 39 of the children over 9 years.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The mean self-reported QOL score (78.2 ± 9.6) was significantly higher than the mean parent/proxy reported score (73.9 ± 10.2). Lower limb spasticity and higher frequency of BTX-A injections correlated with worse scores for the pain and impact of disability domain. Results further showed the adverse impact of the severity of gait pathology on QOL perception for the parents/proxy and the child self-report. Gait speed was an important factor for the parents/proxy, though correlated less with self-perceived QOL for the children.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Children and parents identified similar factors that adversely affect QOL, whereby the amount of gait pathology was shown to play a crucial role. Only gait speed seemed to be of higher importance for the parents compared to the children.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23755939</PMID><DateCompleted><Year>2014</Year><Month>07</Month><Day>03</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2130</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>6</Issue><PubDate><Year>2013</Year><Month>Nov</Month></PubDate></JournalIssue><Title>European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society</Title><ISOAbbreviation>Eur J Paediatr Neurol</ISOAbbreviation></Journal><ArticleTitle>Lower limb functioning and its impact on quality of life in ambulatory children with cerebral palsy.</ArticleTitle><Pagination><MedlinePgn>561-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejpn.2013.04.006</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1090-3798(13)00063-9</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Children with cerebral palsy (CP) are confronted on a daily basis with their motor problems affecting gait, which might impact on their quality of life (QOL).</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The goal of this study was to evaluate the impact of gross motor and gait function on QOL in ambulatory children with CP attending regular school.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A condition-specific questionnaire (CP QOL-Child), including a parent/proxy and child self-report, was used to assess the relation between patient characteristics, lower limb impairments and functioning, and the different aspects of the child's QOL. Data on therapy management, lower limb impairments, and gross motor and gait function was collected for 81 children with CP (10.5 ± 3.0 years). CP QOL-Child questionnaires were completed by a parent/proxy for all 81 children and by 39 of the children over 9 years.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean self-reported QOL score (78.2 ± 9.6) was significantly higher than the mean parent/proxy reported score (73.9 ± 10.2). Lower limb spasticity and higher frequency of BTX-A injections correlated with worse scores for the pain and impact of disability domain. Results further showed the adverse impact of the severity of gait pathology on QOL perception for the parents/proxy and the child self-report. Gait speed was an important factor for the parents/proxy, though correlated less with self-perceived QOL for the children.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Children and parents identified similar factors that adversely affect QOL, whereby the amount of gait pathology was shown to play a crucial role. Only gait speed seemed to be of higher importance for the parents compared to the children.</AbstractText><CopyrightInformation>Copyright © 2013 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jaspers</LastName><ForeName>Ellen</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>KU Leuven, Department of Rehabilitation Sciences, Belgium; Department of Health Sciences and Technology, ETH Zurich, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verhaegen</LastName><ForeName>An</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Geens</LastName><ForeName>Fien</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Van Campenhout</LastName><ForeName>Anja</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Desloovere</LastName><ForeName>Kaat</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Molenaers</LastName><ForeName>Guy</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>06</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Paediatr Neurol</MedlineTA><NlmUniqueID>9715169</NlmUniqueID><ISSNLinking>1090-3798</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002547" MajorTopicYN="Y">Cerebral Palsy</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004185" MajorTopicYN="N">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020233" MajorTopicYN="N">Gait Disorders, Neurologic</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010290" MajorTopicYN="N">Parents</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013223" MajorTopicYN="N">Statistics as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cerebral palsy</Keyword><Keyword MajorTopicYN="N">Gait pathology</Keyword><Keyword MajorTopicYN="N">Lower limb function</Keyword><Keyword MajorTopicYN="N">Quality of life</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>09</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>03</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>04</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>6</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>6</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>7</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23755939</ArticleId><ArticleId IdType="pii">S1090-3798(13)00063-9</ArticleId><ArticleId IdType="doi">10.1016/j.ejpn.2013.04.006</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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