Relevant factors of self-care in children and adolescents with spastic cerebral palsy.

<h4>Objective</h4>Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful m...

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Autores principales:	Yasuaki Kusumoto, Kenji Takaki, Tadamitsu Matsuda, Osamu Nitta
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/424d2446577e454c88b8c0439cff1df9
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spelling	oai:doaj.org-article:424d2446577e454c88b8c0439cff1df92021-12-02T20:06:43ZRelevant factors of self-care in children and adolescents with spastic cerebral palsy.1932-620310.1371/journal.pone.0254899https://doaj.org/article/424d2446577e454c88b8c0439cff1df92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254899https://doaj.org/toc/1932-6203<h4>Objective</h4>Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful measures that assist in enhancing the capability for self-care among children and adolescents with cerebral palsy (CP). The aim of this study was to investigate the relevant factors of self-care capability and performance in children and adolescents with spastic CP.<h4>Methods</h4>This was a cross-sectional study. Seventy-six children and adolescents with spastic CP (between 5 and 18 years of age), representing levels I to IV of the Gross Motor Function Classification System-Expanded & Revised version (GMFCS), were analyzed. Multiple linear regression analysis with forward stepwise selection was conducted to examine which determinants were related to self-care capability and performance. Independent variables were age, CP type, GMFCS, Manual Ability Classification System, Box and Block Test, and grip strength in the dominant and non-dominant hands. Dependent variables were scores for the PEDI Functional Skills Scale and the PEDI Caregiver Assistance Scale.<h4>Results</h4>Results of the multiple regression analysis showed that the PEDI Functional Skills scale scores were correlated with the Box and Block Test in the dominant hand and GMFCS (Adjusted R2 = 0.69). The PEDI Caregiver Assistance Scale scores were correlated with the Box and Block Test in the dominant hand, GMFCS, and age (adjusted R2 = 0.71).<h4>Conclusion</h4>When considering self-care of children and adolescents with spastic CP, it is necessary to consider the evaluation of upper limb dysfunction in addition to GMFCS.Yasuaki KusumotoKenji TakakiTadamitsu MatsudaOsamu NittaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254899 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yasuaki Kusumoto Kenji Takaki Tadamitsu Matsuda Osamu Nitta Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
description	<h4>Objective</h4>Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful measures that assist in enhancing the capability for self-care among children and adolescents with cerebral palsy (CP). The aim of this study was to investigate the relevant factors of self-care capability and performance in children and adolescents with spastic CP.<h4>Methods</h4>This was a cross-sectional study. Seventy-six children and adolescents with spastic CP (between 5 and 18 years of age), representing levels I to IV of the Gross Motor Function Classification System-Expanded & Revised version (GMFCS), were analyzed. Multiple linear regression analysis with forward stepwise selection was conducted to examine which determinants were related to self-care capability and performance. Independent variables were age, CP type, GMFCS, Manual Ability Classification System, Box and Block Test, and grip strength in the dominant and non-dominant hands. Dependent variables were scores for the PEDI Functional Skills Scale and the PEDI Caregiver Assistance Scale.<h4>Results</h4>Results of the multiple regression analysis showed that the PEDI Functional Skills scale scores were correlated with the Box and Block Test in the dominant hand and GMFCS (Adjusted R2 = 0.69). The PEDI Caregiver Assistance Scale scores were correlated with the Box and Block Test in the dominant hand, GMFCS, and age (adjusted R2 = 0.71).<h4>Conclusion</h4>When considering self-care of children and adolescents with spastic CP, it is necessary to consider the evaluation of upper limb dysfunction in addition to GMFCS.
format	article
author	Yasuaki Kusumoto Kenji Takaki Tadamitsu Matsuda Osamu Nitta
author_facet	Yasuaki Kusumoto Kenji Takaki Tadamitsu Matsuda Osamu Nitta
author_sort	Yasuaki Kusumoto
title	Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
title_short	Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
title_full	Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
title_fullStr	Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
title_full_unstemmed	Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
title_sort	relevant factors of self-care in children and adolescents with spastic cerebral palsy.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/424d2446577e454c88b8c0439cff1df9
work_keys_str_mv	AT yasuakikusumoto relevantfactorsofselfcareinchildrenandadolescentswithspasticcerebralpalsy AT kenjitakaki relevantfactorsofselfcareinchildrenandadolescentswithspasticcerebralpalsy AT tadamitsumatsuda relevantfactorsofselfcareinchildrenandadolescentswithspasticcerebralpalsy AT osamunitta relevantfactorsofselfcareinchildrenandadolescentswithspasticcerebralpalsy
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Relevant factors of self-care in children and adolescents with spastic cerebral palsy.

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