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Health-related quality of life in children and adolescents with cerebral palsy Cover

Health-related quality of life in children and adolescents with cerebral palsy

Open Access
|Jul 2016

Figures & Tables

Table 1

DISABKIDS final scores (transformed to a scale of 1-100) by different modules, items and demographic properties.

SELF - REPORTS
Transformed scores
(0-100; mean, SD)
ALLCHILDRENADOLESCENTSMALESFEMALES
valid itemsscorevalid itemsscorevalid itemsscorevalid itemsscorevalid itemsscore
DCGM-37-S
Independence4870.4, SD 20.12675.6, SD 15.72264.2, SD 23.12369.4, SD 22.82571.3, SD 17.6
Physical4874.6, SD 18.92680.3, SD 11.92268.0, SD 23.52374.5, SD 21.22576.9, SD 12.9
Emotion4885.3, SD 17.72691.1, SD 9.82278.6, SD 22.42385.2, SD 20.52571.5, SD 34.9
Exclusion4880.2, SD 17.02684.9, SD 10.52274.6, SD 21.32378.3, SD 17.72569.5, SD 16.2
Inclusion4865.7, SD 19.52670.4, SD 16.92260.2, SD 21.32361.6, SD 22.22582.0, SD 16.5
Medication1478.6, SD 26.8783.2, SD 12.4774.0, SD 36.9982.5, SD 22.6585.4, SD 15.3
General4875.6, SD 16.02680.8, SD 10.02269.4, SD 19.52374.2, SD 19.02574.8, SD 17.2
DCSM-CPM-S
Impact4476.1, SD 15.02379.3, SD 10.42172.6, SD 18.42074.5, SD 18.32477.5, SD 11.8
Communication4492.3, SD 20.62398.9, SD 3.62185.1, SD 28.12090.0, SD 25.22494.3, SD 16.1
Total4478.8, SD 14.72382.6, SD 8.72174.7, SD 18.72077.1, SD 18.72480.3, SD 10.6
PROXY – REPORTS
Transformed scores
(0-100; mean, SD)
ALLCHILDRENADOLESCENTSMALESFEMALES
valid itemsscorevalid itemsscorevalid itemsscorevalid itemsscorevalid itemsscore
DCGM-37-S
Independence8358.1, SD 24.43767.8, SD 20.84650.3, SD 24.55054.8, SD 24.63363.1, SD 23.7
Physical8366.2, SD 21.23771.2, SD 17.14662.1, SD 23.35063.38, SD 22.53370.4, SD 17.7
Emotion8078.3, SD 20.43682.7, SD 16.84574.7, SD 22.54777.9, SD 22.53378.9, SD 17.3
Exclusion8276.5, SD 19.93682.5, SD 13.74671.7, SD 22.84973.6, SD 21.93380.8, SD 15.8
Inclusion8353.2, SD 24.53665.2, SD 19.24744.0, SD 24.34949.9, SD 24.83458.0, SD 23.7
Medication3479.8, SD 21.01579.8, SD 24.81979.8, SD 18.32378.7, SD 21.71182.1, SD 20.5
General8266.9, SD 18.23675.1, SD 12.54660.5, SD 19.54964.8, SD 19.23370.1, SD 16.3
DCSM-CPM-S
Impact7271.0, SD 17.33374.5, SD 15.63968.1, SD 18.32072.1, SD 16.02276.9, SD 11.1
Communication7478.0, SD 29.23387.9, SD 21.94170.1, SD 32.02088.1, SD 24.52495.8, SD 12.6
Total7472.6, SD 16.93376.8, SD 13.64169.2, SD 18.62074.8, SD 14.92480.9, SD 9.3

Abbreviations: DISABKIDS Chronic Generic Measure Self / Proxy (DCGM-37-S/-P); DISABKIDS Condition Specific Module - Cerebral Palsy Module Self / Proxy (DCSM-CPM-S/-P)

Table 2

Demographic and health-related data of 91 participants.

All participants - proxy reportsSelf-reported participants
Children
(8-12 y)
N 43
(47.3%)
Adolesc.
(13-17 y)
N 48
(52.7%)
All
N 91
Children
(8-12 y)
N 26
(54.2%)
Adolesc.
(13-17 y)
N 22
(45.8%)
All
N 48
Age (mean)10 y 6 mo,
SD 1.2
14 y,
SD 0.9
12 y 4 mo,
SD 2.02
10 y 8 mo,
SD 1.1
13 y 11mo,
SD 0.8
12 y 2 mo,
SD 1.9
Gender
male26 (23.3%)27 (56.3%)53 (58.2%)13 (50.0%)10 (45.5%)23 (47.9%)
female17 (39.5%)21 (43.8%)38 (41.8%)13 (50.0%)12 (54.5%)25 (52.1%)
CP classification
spastic35 (81.4%)
uni 14 (33%)
43 (89.6%)
uni 11 (23%)
78 (85.7%)
uni 25 (27%)
24 (92.3%)
uni 13 (50%)
22 (100%)
uni 7 (32%)
46 (95.8%)
uni 20 (42%)
dyskinetic dystonia7 (16.3%)4 (8.3%)11 (12.1%)2 (7.6%)/2 (4.2%)
dys.choreoathetosis/1 (2.1%)1 (1.1%)///
ataxic1 (2.3%)/1 (1.1%)///
GMFCS
I18 (41.9%)11 (22.9%)29 (31.9%)16 (61.5%)8 (36.4%)24 (50%)
II10 (23.2%)10 (20.8%)20 (22.0%)7 (26.9%)7 (31.8%)14 (29.2%)
III3 (7.0%)8 (16.7%)11 (12.1%)1 (3.8%)4 (18.2%)5 (10.4%)
IV7 (16.3%)8 (16.7%)15 (16.5%)2 (7.7%)3 (13.6%)5 (10.4%)
V5 (11.6%)11 (22.9%)16 (17.6%)///
IQ
> 7025 (58.1%)21 (43.8%)48 (52.7%)26 (100%)22 (100%)48 (100%)
50-707 (16.3%)10 (20.8%)15 (16.5%)///
20-507 (16.3%)11 (22.9%)18 (19.8%)///
< 204 (9.3%)6 (12.5%)10 (11.0%)///
Epilepsy15 (34.9%)17 (35.4%)32 (35.2%)3 (11.5%)3 (13.6%)6 (12.5%)
Speech disorder19 (44.2%)22 (45.8%)41 (45.1%)7 (26.9%)6 (27.3%)13 (27.1%)
Attention disorder14 (32.6%)11 (22.9%)25 (27.5%)10 (38.5%)5 (22.7%)15 (31.3%)
Visual impairment15 (34.9%)19 (39.6%)34 (37.4%)7 (26.9%)9 (40.9%)16 (33.3%)
- severe2 (4.7%)2 (4.2%)4 (4.4%)1 (3.8%)/1 (2.1%)
Hearing impairment4 (9.3%)3 (6.3%)7 (7.7%)1 (3.8%)1 (4.5%)2 (4.2%)
- severe2 (4.7%)1 (2.1%)3 (3.3%)1 (3.8%)1 (4.5%)2 (4.2%)
Reporting pain7 (16.3%)14 (29.2%)21 (23.1%)2 (7.7%)5 (22.7%)7 (14.6%)
Disrupted sleep8 (18.6%)12 (25.0%)20 (22.0%)2 (7.7%)1 (4.5%)3 (6.3%)
Gastrostomy1 (2.3%)/1 (1.1%)///
Reduced bone density4 (9.3%)5 (10.4%)9 (10.0%)///

Abbreviations: the number of cases (N); years (y); months (mo); unilateral (uni); Gross Motor Function Classification Scale (GMFCS); intelligence quotient (IQ)

Table 3

Implemented interventions and socio-economic data of 91 participants.

All participants - proxy reportsSelf-reported participants
Children
(8-12 y)
N 43
(47.3%)
Adolesc.
(13-17 y)
N 48
(52.7%)
All
N 91
Children
(8-12 y)
N 26
(54.2%)
Adolesc.
(13-17 y)
N 22
(45.8%)
All
N 48
Interventions:3.9 per person (min 1, max 11)///
Neurodevelopmental th.91 (100%)///
- age at onset65 (71% ) < 6 months,///
77 (85%) <12 months///
Physiotherapy69 (75.8%)///
Occupational therapy48 (52.7%)///
Speech-language therapy31 (43.1%)///
Special pedagogy25 (27.5%)///
Hypo therapy20 (21.9%)///
Hydrotherapy17 (18.7%)///
Psychological therapy11 (12.1%)///
Social pedagogy9 (9.8%)///
Complementary methods7 (7.7%)///
Orthopedic therapy3 (3.3%)///
Typhlopedagogy2 (2.2%)///
Surdopedagogy2 (2.2%)///
Education (stage):no data12345678no data12345678
- mother (N)1213628131017190131473110
(%)131373114111911902629156230
- father (N)130593016413180251411170
(%)1406103318414117041029232150
Unemployment:
- mother13 (30.2%)20 (41.7%)33 (36.3%)7 (26.9%)6 (27.3%)13 (27.1%)
- mother (part time)6 (14.0%)2 (4.2%)8 (8.8%)2 (7.7%)1 (4.5%)3 (6.3%)
- father4 (9.3%)5 (10.4%)9 (9.9%)/1 (4.5)1 (2.1%)
- both2 (4.7%)3 (6.3%)5 (5.5%)/1 (4.5%)1 (2.1%)
Financial support
- lost income substitute8 (18.6%)20 (41.7%)28 (30.8%)1 (3.8%)5 (22.7%)6 (12.5%)
- child care support25 (58.1%)36 (75.0%)61 (67.0%)10 (38.5%)11 (50.0%)21 (43.8%)
Child residence
- home41 (95.3%)45 (93.8%)86 (94.5%)26 (100%)22 (100%)48 (100%)
- day care centre1 (2.3%)1 (2.1%)2 (2.2%)///
- 24h centre1 (2.3%)2 (4.2%)3 (3.3%)///
Schooling:
- regular25 (58.1%)22 (45.8%)47 (51.6%)25 (96.2%)22 (100%)47 (97.9%)
- adjusted program18 (41.9%)26 (54.2%)44 (48.4%)1 (3.8%)/1 (2.1%)

Abbreviations: the number of cases (N); years (y)

DOI: https://doi.org/10.1515/sjph-2017-0001 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English, Slovenian
Page range: 1 - 10
Submitted on: Mar 15, 2016
Accepted on: May 15, 2016
Published on: Jul 28, 2016
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services

© 2016 Anja Radsel, Damjan Osredkar, David Neubauer, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.