Banca de DEFESA: Amanda Larissa Oliveira Lima

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Amanda Larissa Oliveira Lima
DATE: 20/09/2023
TIME: 08:00
LOCAL: Plataforma Teams
TITLE:

Analysis of locomotion performance of Brazilian children and adolescents with Cerebral Palsy

KEY WORDS:

Cerebral Palsy, Gross Motor, Functional Mobility, Classification, Capacity, Performance,

PAGES: 94
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

INTRODUCTION: Children with Cerebral Palsy (CP) present various forms of mobility, which are influenced by the environment, acting as either facilitators or barriers. OBJECTIVE: To describe and characterize the mobility performance of Brazilian children and adolescents with CP at home, school, and in the community using the Functional Mobility Scale (FMS) and to correlate it with Gross Motor Function Classification System (GMFCS) levels; to examine the relationship between mobility capacity, assessed by the Gross Motor Function Measure (GMFM), and mobility performance in three different environments (home, school, and community), evaluated by the FMS. METHODS: Cross-sectional, multicenter, observational, and descriptive study. Children and adolescents diagnosed with CP were included and evaluated from March 2021 to December 2022. In the first study, data collection was conducted remotely through electronic forms: personal information (age, sex, clinical classification) and environmental information (use of assistive technologies, access to health services), along with the GMFCS-FR (Family Report) questionnaire and the FMS to classify mobility in the three environments. Descriptive statistics of FMS scores were used to depict the frequency of mobility performance in GMFCS. Friedman test was used to examine differences in FMS environments across GMFCS levels. Kruskal-Wallis test was used to assess differences in mobility within GMFCS levels for each FMS environment, and Spearman correlation was used to explore correlations between FMS scores and GMFCS levels. In the second study, personal and environmental information was collected in person, and a trained examiner administered the GMFM-66 (capacity) and completed GMFCS and FMS classifications (performance) jointly with the parents. Spearman correlation was used to assess the correlation between GMFM-66 scores (capacity) and FMS scores (performance). RESULTS: Study 1: This study included 174 children and adolescents aged 6 to 17 years. The mean age was 9 years (±2.65), with 104 (59.8%) being boys. GMFCS level I children did not exhibit variation in mobility at home, school, or in the community. GMFCS level II children displayed variability in mobility at school and in the community. GMFCS level III children predominantly used wheelchairs at school and in the community. Half of the GMFCS level IV children lacked independent mobility, and none of the GMFCS level V children were independent in any environment. GMFCS level II children moved significantly differently across various environments. A significant difference was noted in mobility performance at home, school, and in the community among the five GMFCS levels. There was a strong negative correlation between FMS scores and GMFCS levels. Study 2: 80 children aged 4 to 17 years participated, with a mean age of 7.4 years (±3.35), 62% being male, and 76.5% having bilateral impairment. A strong positive correlation was observed between GMFM-66 scores and FMS scores (ρ=0.715, ρ=0.741, and ρ=0.680). CONCLUSION: A significant difference exists in mobility performance across all environments and GMFCS levels. There is a correlation between capacity and performance.

COMMITTEE MEMBERS:
Externa à Instituição - REJANE VALE GONÇALVES - UFMG
Externa à Instituição - DANIELA VIRGÍNIA VAZ - UFMG
Presidente - 1552214 - ALINE MARTINS DE TOLEDO
Externa à Instituição - ANA CRISTINA RESENDE CAMARGOS - UFMG