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http://dx.doi.org/10.5762/KAIS.2019.20.8.431

Changes in Activities of Daily Living of Children with Spastic Cerebral Palsy According to Gross Motor Function Classification System After One Year of Physical and Occupational Therapy  

Lee, Kwon-Woo (Department of Physical Therapy, Daegu Haany University)
Kim, Won-Ho (Department of Physical Therapy, Ulsan College)
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Journal of the Korea Academia-Industrial cooperation Society / v.20, no.8, 2019 , pp. 431-440 More about this Journal
Abstract
This study was conducted to investigate changes in activities of daily living (ADLs) according to the Gross Motor Function Classification System (GMFCS) after one year of physical and occupational therapy and to compare the responsiveness of ADL tools. A total of 48 children with spastic cerebral palsy participated in the study. The GMFCS, Functional Independence Measure for Children (WeeFIM), and Pediatric Evaluation of Disability Inventory (PEDI) were measured. The results showed that the GMFCS was significantly correlated with the PEDI (p<0.05), while there was a significant difference in the change of ADLs measured by the PEDI, but not the WeeFIM. There was a significant difference in the changes in ADLs according to the GMFCS, and the change in ADLs in the high functional level group was significantly higher than in the low functional level group (p<0.05). After physical and occupational therapy, the degree of improvement of ADLs varied according to the GMFCS, but seemed to be improved in a clinically meaningfully way. The PEDI is sensitive to changes in ADLs, so it may be used widely in clinical practice.
Keywords
Cerebral Palsy; GMFCS; PEDI; WeeFIM; ADLs;
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