Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study
© 2018 Mac Keith Press Aim: To describe longitudinal development of self-care and its relationship to manual ability in children with cerebral palsy (CP) aged 18 months to 5 years across all functional abilities. Method: This was a prospective longitudinal population-based study of 290 children with...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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Wiley-Blackwell Publishing Ltd.
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/73371 |
| _version_ | 1848762996961050624 |
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| author | Burgess, A. Boyd, Roslyn Ziviani, J. Ware, R. Sakzewski, L. |
| author_facet | Burgess, A. Boyd, Roslyn Ziviani, J. Ware, R. Sakzewski, L. |
| author_sort | Burgess, A. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2018 Mac Keith Press Aim: To describe longitudinal development of self-care and its relationship to manual ability in children with cerebral palsy (CP) aged 18 months to 5 years across all functional abilities. Method: This was a prospective longitudinal population-based study of 290 children with CP (178 [61%] males, 112 [39%] females). Self-care was assessed using the Pediatric Evaluation of Disability Inventory (PEDI). At 60 months (n=242), children were classified using the Manual Ability Classification System (MACS); 113 in level I (47%), 61 in MACS level II (25%), 24 in MACS level III (10%), 14 in MACS level IV (6%), and 30 in MACS level V (12%). Measures were taken at 18 months, 24 months, 30 months, 36 months, 48 months, and 60 months of age. Longitudinal analyses were performed using mixed-effects linear regression models. Results: Self-care development achieved by 60 months was negatively associated with the severity of manual ability impairment. Distinct self-care developmental trajectories were found with estimated changes in PEDI self-care scaled scores per month: 0.61 for MACS level I, 0.46 for MACS levels II, 0.31 for MACS level III, 0.16 for MACS level IV, and 0.03 for MACS level V. Children classified in MACS level V had the lowest level of self-care skills at 18 months and showed no progress in self-care development. Interpretation: This study reports rate of self-care development in preschool children with CP. Self-care performance was highest in children with greatest manual ability. Clinicians may use rates of change to predict or monitor self-care performance. PEDI trajectories inform goal setting in discussions with families regarding expected levels of independence in self-care. What this paper adds: Distinct self-care developmental trajectories in children with cerebral palsy were found according to Manual Ability Classification System (MACS) levels. Children in MACS levels IV and V with epilepsy did not show any significant change in self-care. Children in MACS levels IV and V without epilepsy demonstrated small yet significant gains in self-care performance. |
| first_indexed | 2025-11-14T10:56:27Z |
| format | Journal Article |
| id | curtin-20.500.11937-73371 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:56:27Z |
| publishDate | 2018 |
| publisher | Wiley-Blackwell Publishing Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-733712018-12-13T09:35:41Z Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study Burgess, A. Boyd, Roslyn Ziviani, J. Ware, R. Sakzewski, L. © 2018 Mac Keith Press Aim: To describe longitudinal development of self-care and its relationship to manual ability in children with cerebral palsy (CP) aged 18 months to 5 years across all functional abilities. Method: This was a prospective longitudinal population-based study of 290 children with CP (178 [61%] males, 112 [39%] females). Self-care was assessed using the Pediatric Evaluation of Disability Inventory (PEDI). At 60 months (n=242), children were classified using the Manual Ability Classification System (MACS); 113 in level I (47%), 61 in MACS level II (25%), 24 in MACS level III (10%), 14 in MACS level IV (6%), and 30 in MACS level V (12%). Measures were taken at 18 months, 24 months, 30 months, 36 months, 48 months, and 60 months of age. Longitudinal analyses were performed using mixed-effects linear regression models. Results: Self-care development achieved by 60 months was negatively associated with the severity of manual ability impairment. Distinct self-care developmental trajectories were found with estimated changes in PEDI self-care scaled scores per month: 0.61 for MACS level I, 0.46 for MACS levels II, 0.31 for MACS level III, 0.16 for MACS level IV, and 0.03 for MACS level V. Children classified in MACS level V had the lowest level of self-care skills at 18 months and showed no progress in self-care development. Interpretation: This study reports rate of self-care development in preschool children with CP. Self-care performance was highest in children with greatest manual ability. Clinicians may use rates of change to predict or monitor self-care performance. PEDI trajectories inform goal setting in discussions with families regarding expected levels of independence in self-care. What this paper adds: Distinct self-care developmental trajectories in children with cerebral palsy were found according to Manual Ability Classification System (MACS) levels. Children in MACS levels IV and V with epilepsy did not show any significant change in self-care. Children in MACS levels IV and V without epilepsy demonstrated small yet significant gains in self-care performance. 2018 Journal Article http://hdl.handle.net/20.500.11937/73371 10.1111/dmcn.14049 Wiley-Blackwell Publishing Ltd. restricted |
| spellingShingle | Burgess, A. Boyd, Roslyn Ziviani, J. Ware, R. Sakzewski, L. Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study |
| title | Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study |
| title_full | Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study |
| title_fullStr | Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study |
| title_full_unstemmed | Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study |
| title_short | Self-care and manual ability in preschool children with cerebral palsy: a longitudinal study |
| title_sort | self-care and manual ability in preschool children with cerebral palsy: a longitudinal study |
| url | http://hdl.handle.net/20.500.11937/73371 |