%0 Journal Article %1 Rosenbaum2002 %A Rosenbaum, Peter L %A Walter, Stephen D %A Hanna, Steven E %A Palisano, Robert J %A Russell, Dianne J %A Raina, Parminder %A Wood, Ellen %A Bartlett, Doreen J %A Galuppi, Barbara E %D 2002 %J JAMA %K Adolescent; Cerebral Palsy; Child; Child, Preschool; Humans; Longitudinal Studies; Motor Skills; Prognosis; Reproducibility of Results; Severity Illness Index %N 11 %P 1357--1363 %T Prognosis for gross motor function in cerebral palsy: creation of motor development curves. %V 288 %X CONTEXT: Lack of a valid classification of severity of cerebral palsy and the absence of longitudinal data on which to base an opinion have made it difficult to consider prognostic issues accurately. OBJECTIVE: To describe patterns of gross motor development of children with cerebral palsy by severity, using longitudinal observations, as a basis for prognostic counseling with parents and for planning clinical management. DESIGN: Longitudinal cohort study of children with cerebral palsy, stratified by age and severity of motor function and observed serially for up to 4 years during the period from 1996 to 2001. SETTING: Nineteen publicly funded regional children's ambulatory rehabilitation programs in Ontario. PARTICIPANTS: A total of 657 children aged 1 to 13 years at study onset, representing the full spectrum of clinical severity of motor impairment in children with cerebral palsy. MAIN OUTCOME MEASURES: Severity of cerebral palsy, classified with the 5-level Gross Motor Function Classification System; function, formally assessed with the Gross Motor Function Measure (GMFM). RESULTS: Based on a total of 2632 GMFM assessments, 5 distinct motor development curves were created; these describe important and significant differences in the rates and limits of gross motor development among children with cerebral palsy by severity. There is substantial within-stratum variation in gross motor development. CONCLUSIONS: Evidence-based prognostication about gross motor progress in children with cerebral palsy is now possible, providing parents and clinicians with a means to plan interventions and to judge progress over time. Further work is needed to describe motor function of adolescents with cerebral palsy.

@article{Rosenbaum2002, abstract = {CONTEXT: Lack of a valid classification of severity of cerebral palsy and the absence of longitudinal data on which to base an opinion have made it difficult to consider prognostic issues accurately. OBJECTIVE: To describe patterns of gross motor development of children with cerebral palsy by severity, using longitudinal observations, as a basis for prognostic counseling with parents and for planning clinical management. DESIGN: Longitudinal cohort study of children with cerebral palsy, stratified by age and severity of motor function and observed serially for up to 4 years during the period from 1996 to 2001. SETTING: Nineteen publicly funded regional children's ambulatory rehabilitation programs in Ontario. PARTICIPANTS: A total of 657 children aged 1 to 13 years at study onset, representing the full spectrum of clinical severity of motor impairment in children with cerebral palsy. MAIN OUTCOME MEASURES: Severity of cerebral palsy, classified with the 5-level Gross Motor Function Classification System; function, formally assessed with the Gross Motor Function Measure (GMFM). RESULTS: Based on a total of 2632 GMFM assessments, 5 distinct motor development curves were created; these describe important and significant differences in the rates and limits of gross motor development among children with cerebral palsy by severity. There is substantial within-stratum variation in gross motor development. CONCLUSIONS: Evidence-based prognostication about gross motor progress in children with cerebral palsy is now possible, providing parents and clinicians with a means to plan interventions and to judge progress over time. Further work is needed to describe motor function of adolescents with cerebral palsy.}, added-at = {2014-07-19T21:10:26.000+0200}, author = {Rosenbaum, Peter L and Walter, Stephen D and Hanna, Steven E and Palisano, Robert J and Russell, Dianne J and Raina, Parminder and Wood, Ellen and Bartlett, Doreen J and Galuppi, Barbara E}, biburl = {https://www.bibsonomy.org/bibtex/2c35378e288ba011a17ed04059b4d95d1/ar0berts}, groups = {public}, interhash = {de926817dbe745982717decda5acde59}, intrahash = {c35378e288ba011a17ed04059b4d95d1}, journal = {JAMA}, keywords = {Adolescent; Cerebral Palsy; Child; Child, Preschool; Humans; Longitudinal Studies; Motor Skills; Prognosis; Reproducibility of Results; Severity Illness Index}, month = Sep, number = 11, pages = {1357--1363}, pii = {joc20515}, pmid = {12234229}, timestamp = {2014-07-19T21:10:26.000+0200}, title = {Prognosis for gross motor function in cerebral palsy: creation of motor development curves.}, username = {ar0berts}, volume = 288, year = 2002 }