Quality of life and habitual physical activity in children with cerebral palsy aged 5 years: A cross-sectional study

Publication date: March 2018
Source:Research in Developmental Disabilities, Volume 74
Author(s): Piyapa Keawutan, Kristie L. Bell, Stina Oftedal, Peter S.W. Davies, Robert S. Ware, Roslyn N. Boyd
ObjectiveTo compare quality of life (QOL) according to ambulatory status and to investigate association with habitual physical activity (HPA) in children with cerebral palsy (CP) aged 5 years.MethodsFifty-eight participants were classified using Gross Motor Function Classification System (GMFCS) as level I = 33, II = 8, III = 6, IV = 3 and V = 8 and assessed for motor function using 66-item Gross Motor Function Measure (GMFM-66). Participants wore an ActiGraph^® triaxial accelerometer for 3 days to measure HPA. Parents completed the parent proxy Cerebral Palsy Quality of Life questionnaire for Children (CP QOL-Child). Linear regression analyses were performed.ResultsAmbulant children with CP (GMFCS I–III) had better parent-reported QOL than non-ambulant children (GMFCS IV–V) in domains of feelings about functioning (mean difference (MD) = 20.0; 95% confidence interval (CI) = 11.7, 28.2), participation and physical health (MD = 14.5; 95%CI = 4.7, 24.4), and emotional well-being and self-esteem (MD = 12.5; 95%CI = 4.8, 20.1). HPA was not associated with QOL domains after controlling for motor function. GMFM scores accounted for 39% of variation for feelings about functioning domain (MD = 0.4; 95%CI = 0.2, 0.6).ConclusionsIn children with CP aged 5 years, HPA was not associated with parent-reported QOL. Gross motor function contributed to QOL domains of feelings about functioning.



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