Risk factors affecting developmental functions in children with Cerebral Palsy: an analysis using GMFCS and PEDI scales
Brazilian Journal of Motor Behavior, cilt.20, sa.1, 2026 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.20338/bjmb.v20i1.540
- Dergi Adı: Brazilian Journal of Motor Behavior
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Anahtar Kelimeler: Activity participation, Cerebral palsy, Environmental factors, Family, Gross motor function
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Ankara Üniversitesi Adresli: Hayır
Özet
BACKGROUND: Cerebral palsy (CP) is a neurodevelopmental condition in which motor and functional outcomes are shaped by biological, familial, and environmental factors. AIM: This study examined associations between child-and family-related characteristics and gross motor function, activity, and participation in children with CP. METHODS: This cross-sectional study included 80 children with CP attending a Special Education and Rehabilitation Clinic. Maternal employment, paternal age, consanguinity, school attendance, and prematurity were recorded. Gross motor function was assessed using the Gross Motor Function Classification System (GMFCS), and activity and participation using the Pediatric Evaluation of Disability Inventory (PEDI). Independent t-tests and one-way ANOVA were used for group comparisons, and linear regression identified predictors of outcomes. RESULTS: Higher paternal age was associated with better gross motor function (p = 0.003). School attendance was associated with higher PEDI self-care (p = 0.002) and social function (p < 0.001). Maternal employment was linked to lower GMFCS but higher social function (p = 0.045, p = 0.022). Consanguinity was associated only with social function (p = 0.004). Prematurity was associated with lower PEDI total and mobility scores (p = 0.030, p = 0.041). INTERPRETATION: Familial and environmental factors showed differential associations with motor and participation outcomes in children with CP. School attendance was a consistent positive factor for participation, while prematurity was linked to poorer outcomes. Maternal employment and paternal age showed variable associations across domains, suggesting outcomes are shaped by multiple contextual determinants.