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Original scientific paper

https://doi.org/10.20471/acc.2021.60.02.15

Functional Classification of Children with Cerebral Palsy in Krapina-Zagorje County

Sunčica Martinec ; Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia; Josip Juraj Strossmayer University of Osijek, School of Medicine, Osijek, Croatia
Gordana Cesarec ; Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia; Josip Juraj Strossmayer University of Osijek, School of Medicine, Osijek, Croatia
Ana Marija Tomečak Krilić ; Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia
Tomislav Radošević ; Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia
Žarko Bakran ; Krapinske Toplice Special Hospital for Medical Rehabilitation, Department of Physical and Rehabilitation Medicine, Krapinske Toplice, Croatia; Josip Juraj Strossmayer University of Osijek, School of Medicine, Osijek, Croatia
Vlatka Mejaški Bošnjak ; Department of Neuropediatrics, Zagreb Children’s Hospital, School of Medicine, University of Zagreb, Zagreb, Croatia


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Abstract

The aim was to study functional abilities and to create functional classification of
children with cerebral palsy (CP) in Krapina-Zagorje County, based on the classification of gross and
fine motor skills and associated impairments. Classification was performed according to the SCPE
(Surveillance of Cerebral Palsy in Europe) criteria. We used standardized and complementary functional
classification systems for cerebral palsy to create a functional profile. Research included 44
children with CP in the age range of 4 to 18 years. The results showed that the majority of children
had bilateral spastic CP (63.6%), followed by unilateral spastic (22.7%) while the representation of
dyskinetic CP was 9.09% and ataxic CP 4.55%. Based on the classification of gross and fine motor
skills, 43.2% of children had the ability to walk, 11% of children could walk with assistive mobility
devices, while 45.4% of children had a low functional level. The study also analyzed the associated
impairments where higher classification score of motor impairment correlated with the severity of
impairment. The results showed that children with dyskinetic CP and severe motor impairment could
have mild cognitive impairment. We systematically present the neuropsychological and functional
profile according to the CP type.

Keywords

Functional classification, Cerebral palsy, Associated impairments, Functional profile

Hrčak ID:

263709

URI

https://hrcak.srce.hr/263709

Article data in other languages: croatian

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