The Relationship Between Early Motor Repertoire Quality and Later-term Motor Function in Children With CP

Uskudar University

Status: Completed

Conditions: Cerebral Palsy

Study type: Observational

Funder types: Other

Identifiers

NCT07498101

Uskudaraysesav

Details and patient eligibility

About

Cerebral palsy (CP) is a group of disorders attributed to non-progressive disorders occurring in the developing fetal, infantile brain, affecting posture, movement development, and activity limitations. It occurs in approximately 2 to 2.5 per 1,000 live births. The prognosis for gross motor function among children with CP is extremely variable. This variability poses a significant challenge to scientific definitions of motor function for clinicians who regularly deal with practical issues such as examination, prognosis, intervention planning, and outcome assessment in children with CP. Observing the general quality of movement of preterm or term babies can be used to identify babies at risk of developing neurological disorders and can provide information about possible future motor function.

Full description

They frequently use the 66-item Gross Motor Function Measurement (GMFM-66) to evaluate gross functions and the Gross Motor Function Classification System (GMFCS) to classify gross motor functions. It is important to use the data obtained from these methods to assist in examination, prognosis, intervention planning and outcome evaluation for children with CP. In addition, the Motor Optimality Score (MOS), which is based on observing the quantity and quality of movement patterns, is used. When we look at the literature, there are very few studies comparing the amount and quality of the motor repertoire obtained using the early motor optimality score with the motor functions in the later period. Therefore, in this study, in addition to evaluating general movements in early infancy (3-5 months), it is aimed to predict the motor function in the future by evaluating the quality and amount of motor repertoire (motor optimality score, MOS) (movement and posture of the baby).

Enrollment: 40 patients

Sex: All

Ages: 3 to 5 months old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Children with a diagnosis of Cerebral Palsy
• Children who applied to the Turkish Spastic Children Foundation between 2011-2023
• Availability of Prechtl General Movements Assessment recordings obtained between 10-20 weeks post-term age
• Availability of GMFM-66 assessment data

Exclusion criteria

• Lack of parental or legal guardian consent
• Presence of additional diagnoses affecting motor assessment
• Cases where GMFM-66 evaluation was not applicable
• Incomplete clinical records

Trial design

40 participants in 1 patient group

1

Description:

Babies aged between 3 months and 5 months (corrected age) who applied to the Turkish Spastic Children Foundation for risky baby evaluation between 2011 and 2023, whose videos were recorded for GM's evaluation, and who were later diagnosed with cerebral palsy will be included in the study. The quality of the early engine repertoire will be evaluated with MOS (Motor Optimality Score) based on GM's video footage. The evaluation will be carried out by a physiotherapist who has received advanced GM's evaluation training.