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Comparison of the Gross Motor Function Measure and Paediatric Evaluation of Disability Inventory in assessing motor function in children undergoing selective dorsal rhizotomy

Published online by Cambridge University Press:  01 April 2000

Eva Nordmark ,
Gun-Britt Jarnlo  and
Gunnar Hägglund
Eva Nordmark
Affiliation:
Department of Physical Therapy, Institute for Musculoskeletal Diseases, University of Lund, Lund, Sweden.
Gun-Britt Jarnlo
Affiliation:
Department of Physical Therapy, Institute for Musculoskeletal Diseases, University of Lund, Lund, Sweden.
Gunnar Hägglund
Affiliation:
Department of Orthopaedics, Institute for Musculoskeletal Diseases, University of Lund, Lund, Sweden.
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Abstract

This study was designed to compare assessment with the functional outcome measures Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory (PEDI) over time, in children with cerebral palsy (CP) undergoing selective dorsal rhizotomy combined with individualised physiotherapeutic interventions. Using the Gross Motor Function Classification System (GMFCS), 18 children with spastic diplegia were divided into two groups according to age-related severity of motor function impairment. Data were collected preoperatively, and at 6 and 12 months postoperatively. Both instruments were sensitive to changes in function over time in the series as a whole and in the group with milder impairment, although the PEDI detected significant changes earlier. In the group with more severe impairment, changes in function were detected only with the PEDI, not with the GMFM. Thus, the instruments are to be considered complementary tests, because they measure different aspects of function.

Type
Original Articles
Information
Developmental Medicine and Child Neurology , Volume 42 , Issue 4 , April 2000 , pp. 245 - 252
Copyright
© 2000 Mac Keith Press

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