ABSTRACT
Objective: To assess prevalence of gross and fine motor functional impairments in children with CP
Methods: This cross sectional study was conducted at Department of Developmental and Behavioural Paediatrics, The Children's Hospital and Institute of Child Health, Lahore from October, 2014 to September, 2015. Atotal of 100 CP patients were taken to assess for gross and fine motor functional impairment, using Gross Motor Functional Classification System [GMFCS] and Bimanual Fine Motor Function [BFMF] scales. All data were analyzed using SPSS version 20
Results: In this hospital-based study comprised 100 children with a diagnosis of CP with 2 to 8 years of age were ascertained. The mean age of patients was found as 4.090 +/- 1.672 years. Study group included 32 females and 68 males. GMFCS was found at level I in 5% patients, level II in 18% patients, level III in 16% patients, level IV in 15% patients and level V in 46% patients. The corresponding percentages for BFMF were 21.7% patients, 18% patients, 15% patients, 13% patients and 33% respectively. Among oral musculature problems, drooling was the most common problem [68 %]. Larger proportion of gross motor functional impairment were associated with the spastic type of cerebral palsy [p=0.03], more specifically quadriplegic cerebral palsy [p=0.000]. Also a larger number of patients with fine motor functional impairments were associated with spastic type of cerebral palsy [p=0.009], more precisely quadriplegic cerebral palsy [p=0.000]
Conclusion: It is concluded that quadriplegic spastic CP was the most frequent type that had the worst motor impairment hence making patients functionally dependant in activities of daily livings