%0 Journal Article %1 Damiano2006a %A Damiano, Diane %A Abel, Mark %A Romness, Mark %A Oeffinger, Donna %A Tylkowski, Chester %A Gorton, George %A Bagley, Anita %A Nicholson, Diane %A Barnes, Douglas %A Calmes, Janine %A Kryscio, Richard %A Rogers, Sarah %D 2006 %J Dev Med Child Neurol %K Adolescent; Analysis of Variance; Cerebral Palsy; Child; Child, Preschool; Disability Evaluation; Educational Status; Extremities; Female; Gait; Hemiplegia; Hospitals, Chronic Disease; Humans; Male; Motor Activity; Reference Values; Reproducibility Results; Severity Illness Index %N 10 %P 797--803 %R 10.1017/S0012162206001733 %T Comparing functional profiles of children with hemiplegic and diplegic cerebral palsy in GMFCS Levels I and II: Are separate classifications needed? %U http://dx.doi.org/10.1017/S0012162206001733 %V 48 %X The goal was to compare children with hemiplegia with those with diplegia within Gross Motor Functional Classification System (GMFCS) levels using multiple validated outcome tools. Specifically, we proposed that children with hemiplegia would have better gait and gross motor function within levels while upper extremity function would be poorer. Data were collected on 422 ambulatory children with cerebral palsy: 261 with diplegia and 161 with hemiplegia, across seven centers. Those with hemiplegia in each level performed significantly and consistently better on gait or lower extremity function and poorer on upper extremity and school function than those with diplegia. In GMFCS Level II, the group with hemiplegia walked faster (p = 0.017), scored 6.6 points higher on Dimension E of the Gross Motor Function Measure (p = 0.017), 6.7 points lower on Upper Extremity subscale of the Pediatric Outcomes Data Collection Instrument, and 9.1 points lower on WeeFIM self-care (p = 0.002). Basing motor prognosis on GMFCS level alone may underestimate lower extremity skills of children with hemiplegia, and overestimate those of children with diplegia.

@article{Damiano2006a, abstract = {The goal was to compare children with hemiplegia with those with diplegia within Gross Motor Functional Classification System (GMFCS) levels using multiple validated outcome tools. Specifically, we proposed that children with hemiplegia would have better gait and gross motor function within levels while upper extremity function would be poorer. Data were collected on 422 ambulatory children with cerebral palsy: 261 with diplegia and 161 with hemiplegia, across seven centers. Those with hemiplegia in each level performed significantly and consistently better on gait or lower extremity function and poorer on upper extremity and school function than those with diplegia. In GMFCS Level II, the group with hemiplegia walked faster (p = 0.017), scored 6.6 points higher on Dimension E of the Gross Motor Function Measure (p = 0.017), 6.7 points lower on Upper Extremity subscale of the Pediatric Outcomes Data Collection Instrument, and 9.1 points lower on WeeFIM self-care (p = 0.002). Basing motor prognosis on GMFCS level alone may underestimate lower extremity skills of children with hemiplegia, and overestimate those of children with diplegia.}, added-at = {2014-07-19T19:17:20.000+0200}, author = {Damiano, Diane and Abel, Mark and Romness, Mark and Oeffinger, Donna and Tylkowski, Chester and Gorton, George and Bagley, Anita and Nicholson, Diane and Barnes, Douglas and Calmes, Janine and Kryscio, Richard and Rogers, Sarah}, biburl = {https://www.bibsonomy.org/bibtex/2338ca8fa4b36c3c06a30b9d17384b245/ar0berts}, doi = {10.1017/S0012162206001733}, groups = {public}, interhash = {f0f883f2afa48e021bd4caf5512dbfe5}, intrahash = {338ca8fa4b36c3c06a30b9d17384b245}, journal = {Dev Med Child Neurol}, keywords = {Adolescent; Analysis of Variance; Cerebral Palsy; Child; Child, Preschool; Disability Evaluation; Educational Status; Extremities; Female; Gait; Hemiplegia; Hospitals, Chronic Disease; Humans; Male; Motor Activity; Reference Values; Reproducibility Results; Severity Illness Index}, month = Oct, number = 10, pages = {797--803}, pii = {S0012162206001733}, pmid = {16978458}, timestamp = {2014-07-19T19:17:20.000+0200}, title = {Comparing functional profiles of children with hemiplegic and diplegic cerebral palsy in GMFCS Levels I and II: Are separate classifications needed?}, url = {http://dx.doi.org/10.1017/S0012162206001733}, username = {ar0berts}, volume = 48, year = 2006 }