Title: Neurological Subtypes of Cerebral Palsy and Functional Classification
Authors: Dr Deepthi .S, Dr Parvathi .R, Dr K.K.Purushothaman
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.92
Abstract
Introduction: Cerebral palsy (CP) is the most common developmental disability in children. There are several classification systems for cerebral palsy. A uniform system based on functional ability is needed for categorization and comparison.
Aim and Objectives: To classify the common neurological subtypes of cerebral palsy, to categorize them functionally as per the Gross motor functional classification system (GMFCS) for mobility and the Manual Ability Classification system (MACS) for manual function and to assess the utility of the functional classification.
Materials and Methods: A hospital - based study conducted over a period of 18 months on hundred children with cerebral palsy aged 2-12 years .The children were categorized into neurological subtypes and functional levels using GMFCS and MACS and the data was analyzed .
Results: Of the 100 cases, spastic quadriplegia, hemiplegia and diplegia, dyskinetic CP and mixed type accounted for 47, 25, 17, 7 and 5% respectively. Spastic quadriplegia was the commonest type .The majority of patients were in GMFCS and MACS levels 5 .The association between the neurological subtypes and GMFCS and MACS levels was found to be statistically significant.
Conclusion: A classification system based on functional limitation is practical and easy to use.
Keywords: Cerebralpalsy, neurological subtypes, functional classification, GMFCS, MACS.References
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