Possibilities of using modern standards to assess the physical development of children with cerebral palsy
https://doi.org/10.22627/2072-8107-2024-23-3-30-34
Abstract
Purpose of the study: to study the characteristics of physical development in 174 children with cerebral palsy using various rating scales (specialized centile tables, international standards of the World Health Organization, as well as regional tables). Research results. When assessed by regional standards, underweight was noted more often (29.9%) than by specialized standards only 20.7% (n = 36). According to WHO standards, excess weight was recorded more often (12.6%). Low growth was noted in 20.7% of children (n = 36) according to WHO standards (SDS < –2), of which almost a quarter (22.2%) had dwarfism (SDS < –3). When assessed by specialized standards, 11.5% of children had a significant decrease in body weight and entered the so-called «red zone». In the group of patients with moderate motor impairment (GMFCS 1—2), the proportion of children with low weight was almost the same when assessed according to WHO standards (23.9%) and specialized tables (22.4%) (p > 0.05). However, with severe motor impairment, the number of cases of underweight increased when WHO standards were applied.
About the Authors
I. A. Leontiev
Yaroslavl State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Yaroslavl.
E. P. Sitnikova
Yaroslavl State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Yaroslavl.
M. V. Kovina
Regional Children’s Clinical Hospital of the Ministry of Health of Russia
Russian Federation
Russian Federation
Yaroslavl.
References
1. Patel D.R., Neelakantan M., Pandher K., Merrick J. Cerebral palsy in children: a clinical overview. Translational Рediatrics. 2020; 9(1):125—135. https://doi.org/10.21037/tp.2020.01.01
2. Cerebral palsy: causes, clinical manifestations, treatment and rehabilitation. V.N. Salkov, S.V. Shmeleva, S.V. Konovalenko. M.: GEOTAR-Media, 2020: 160. (In Russ.)
3. Kalra S., Aggarwal A., Chillar N., Faridi, M.M. Comparison of micronutrient levels in children with cerebral palsy and neurologically normal controls. Indian Journal of Pediatrics. 2015; 82(2):140—144. https://doi.org/10.1007/s12098-014-1543-z
4. Schoendorfer N.C., Vitetta L., Sharp N., DiGeronimo M., Wilson G., Coombes J.S., Boyd R., Davies P.S. Micronutrient, antioxidant, and oxidative stress status in children with severe cerebral palsy. JPEN. Journal of Рarenteral and Еnteral Nutrition. 2013; 37(1):97—101. https://doi.org/10.1177/0148607112447200
5. Brooks, J., Day, S., Shavelle, R., & Strauss, D. Low weight, morbidity, and mortality in children with cerebral palsy: new clinical growth charts. Pediatrics. 2011; 128(2):299—307. https://doi.org/10.1542/peds.2010-2801.
6. Said F.M., Axtyamov I.F., Lur`e D.M., Dzyumenko L.V., & Sharipova R.A. E`ffektivnost` reabilitacii detej s ortopedicheskimi simptomami pri detskom cerebral`nom paraliche. Prakticheskaya Medicina. 2022; 20(6):124—127. (In Russ.)
7. Palisano R.J., Rosenbaum P., Bartlett D., Livingston M.H. Content validity of the expanded and revised Gross Motor Function Classification System. Developmental Мedicine and Сhild Neurology. 2008; 50(10):744—50.
8. Jahan I., Muhit M., Karim T., Smithers-Sheedy H., Novak I., Jones C., Badawi N., Khandaker G. What makes children with cerebral palsy vulnerable to malnutrition? Findings from the Bangladesh cerebral palsy register (BCPR). Disability and Rehabilitation. 2019; 41(19):2247—2254. doi: 10.1080/09638288.2018.1461260.
9. Karim T., Jahan I., Dossetor R., Giang N. T. H., Van Anh N. T., Dung T. Q., Chau C. M., Van Bang N., Badawi N., Khandaker G. & Elliott, E.. Nutritional Status of Children with Cerebral Palsy-Findings from Prospective HospitalBased Surveillance in Vietnam Indicate a Need for Action. Nutrients. 2019; 11(9):2132. https://doi.org/10.3390/nu11092132.
10. Palisano R., Rosenbaum P., Walter S., Russell D., Wood E., Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Мedicine and Сhild Neurology. 1997; 39(4):214—223. doi: 10.1111/j.1469-8749.1997.tb07414.x.
11. Oftedal S., Davies P.S., Boyd R.N., Stevenson R.D., Ware R.S., Keawutan P., Benfer K.A., Bell K.L. Body composition, diet, and physical activity: a longitudinal cohort study in preschoolers with cerebral palsy. The American Journal of Clinical Nutrition. 2017; 105(2):369—378. https://doi.org/10.3945/ajcn.116.137810
Review
For citations:
Leontiev I.A., Sitnikova E.P., Kovina M.V. Possibilities of using modern standards to assess the physical development of children with cerebral palsy. CHILDREN INFECTIONS. 2024;23(3):30-34. (In Russ.) https://doi.org/10.22627/2072-8107-2024-23-3-30-34
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