The Functional Prognosis of Ambulation in Each Type of Cerebral Palsy.

, Lee, Jung Hwan; , Koo, Jung Hoi; , Jang, Dae Hyun; , Park, Eun Ha; , Sung, In Young

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2006;30(4):315-321.

Lee, Jung Hwan , Koo, Jung Hoi , Jang, Dae Hyun , Park, Eun Ha , Sung, In Young

¹Department of Rehabilitation Medicine, Asan Medical Center, Korea. iysung@www.amc.seoul.kr
²Gangneung Asan Medical Center, University of Ulsan College of Medicine, Korea.

뇌성마비 유형에 따른 보행 기능의 예후

이정환, 구정회¹, 장대현, 박은하, 성인영

울산대학교 의과대학 서울아산병원 재활의학교실, ¹강릉아산병원 재활의학교실

Abstract

Objective
This study is to investigate the prognosis of functional ambulation in each type of cerebral palsy (CP).
Method
Medical records of 385 patients were retrospectively reviewed that visited outpatients department and were diagnosed as CP. Various information was surveyed including CP type, gestational age at birth, birth weight and associated problems such as mental retardation and seizure and gross motor functional status such as ambulational status and Gross Motor Functional Classification System (GMFCS). All of them were compared between each type. The influences of seizure and mental retardation on gross motor function were also investigated.
Results
Functional ambulation was achieved in 58.2% in overall. Inspecting in each type, 93.7% of spastic hemiplegia, 67.6% of spastic diplegia, 12.2% of spastic quadriplegia, 78.7% of dyskinetic type can ambulate functionally. Birth weight or gestational age had no independent influences on ambulation within each type. Seizure influenced negatively on ambulation of diplegic CPs with significance and mental retardation in diplegic CPs and quadriplegic CPs than any other type.
Conclusion
Over the half of CP patients achieved functional ambulation. Hemiplegia and diplegia had good prognosis among all types. Seizure and mental retardation negatively affected ambulation function of CP patients, especially in diplegic CPs and quadriplegic CPs. (J Korean Acad Rehab Med 2006; 30: 315-321)

Key Words: Cerebral palsy, Ambulation, Gross motor functional classification system, Seizure, Mental retardation