Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study

Objective: To compare quality of life (QOL) according to ambulatory status and to investigate association with habitual physical activity (HPA) in children with cerebral palsy (CP) aged 5 years. Methods: Fifty-eight participants were classified using Gross Motor Function Classification System(GMFCS)...

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Main Authors: Keawutan, P., Bell, K., Oftedal, S., Davies, P., Ware, R., Boyd, Roslyn
Format: Journal Article
Published: Pergamon Press 2018
Online Access:http://hdl.handle.net/20.500.11937/67273
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author Keawutan, P.
Bell, K.
Oftedal, S.
Davies, P.
Ware, R.
Boyd, Roslyn
author_facet Keawutan, P.
Bell, K.
Oftedal, S.
Davies, P.
Ware, R.
Boyd, Roslyn
author_sort Keawutan, P.
building Curtin Institutional Repository
collection Online Access
description Objective: To compare quality of life (QOL) according to ambulatory status and to investigate association with habitual physical activity (HPA) in children with cerebral palsy (CP) aged 5 years. Methods: Fifty-eight participants were classified using Gross Motor Function Classification System(GMFCS) as level I = 33, II = 8, III = 6, IV = 3 and V = 8 and assessed for motor function using 66-item Gross Motor Function Measure (GMFM-66). Participants wore an ActiGraph® triaxial accelerometer for 3 days to measure HPA. Parents completed the parent proxy Cerebral Palsy Quality of Life questionnaire for Children (CP QOL-Child). Linear regression analyses were performed. Results: Ambulant children with CP (GMFCS I–III) had better parent-reported QOL than non-ambulant children (GMFCS IV–V) in domains of feelings about functioning (mean difference (MD) = 20.0; 95% confidence interval (CI) = 11.7, 28.2), participation and physical health (MD = 14.5; 95%CI = 4.7, 24.4), and emotional well-being and self-esteem (MD = 12.5; 95%CI = 4.8, 20.1). HPA was not associated with QOL domains after controlling for motor function. GMFM scores accounted for 39% of variation for feelings about functioning domain (MD = 0.4; 95%CI = 0.2, 0.6). Conclusions: In children with CP aged 5 years, HPA was not associated with parent-reported QOL. Gross motor function contributed to QOL domains of feelings about functioning.
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spelling curtin-20.500.11937-672732018-08-07T03:05:36Z Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study Keawutan, P. Bell, K. Oftedal, S. Davies, P. Ware, R. Boyd, Roslyn Objective: To compare quality of life (QOL) according to ambulatory status and to investigate association with habitual physical activity (HPA) in children with cerebral palsy (CP) aged 5 years. Methods: Fifty-eight participants were classified using Gross Motor Function Classification System(GMFCS) as level I = 33, II = 8, III = 6, IV = 3 and V = 8 and assessed for motor function using 66-item Gross Motor Function Measure (GMFM-66). Participants wore an ActiGraph® triaxial accelerometer for 3 days to measure HPA. Parents completed the parent proxy Cerebral Palsy Quality of Life questionnaire for Children (CP QOL-Child). Linear regression analyses were performed. Results: Ambulant children with CP (GMFCS I–III) had better parent-reported QOL than non-ambulant children (GMFCS IV–V) in domains of feelings about functioning (mean difference (MD) = 20.0; 95% confidence interval (CI) = 11.7, 28.2), participation and physical health (MD = 14.5; 95%CI = 4.7, 24.4), and emotional well-being and self-esteem (MD = 12.5; 95%CI = 4.8, 20.1). HPA was not associated with QOL domains after controlling for motor function. GMFM scores accounted for 39% of variation for feelings about functioning domain (MD = 0.4; 95%CI = 0.2, 0.6). Conclusions: In children with CP aged 5 years, HPA was not associated with parent-reported QOL. Gross motor function contributed to QOL domains of feelings about functioning. 2018 Journal Article http://hdl.handle.net/20.500.11937/67273 10.1016/j.ridd.2018.01.008 Pergamon Press restricted
spellingShingle Keawutan, P.
Bell, K.
Oftedal, S.
Davies, P.
Ware, R.
Boyd, Roslyn
Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study
title Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study
title_full Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study
title_fullStr Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study
title_full_unstemmed Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study
title_short Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study
title_sort quality of life and habitual physical activity in children with cerebral palsy aged 5 years: a cross-sectional study
url http://hdl.handle.net/20.500.11937/67273