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Functional Communication Profiles in Children with Cerebral Palsy in Relation to Gross Motor Function and Manual and Intellectual Ability

 Ja Young Choi  ;  Jieun Park  ;  Yoon Seong Choi  ;  Yu Ra Goh  ;  Eun Sook Park 
 YONSEI MEDICAL JOURNAL, Vol.59(5) : 677-685, 2018 
Journal Title
Issue Date
Brain/*diagnostic imaging ; Cerebral Palsy/classification/*complications/diagnostic imaging/pathology ; Child ; Preschool Child ; Cognition Disorders/etiology ; *Communication ; Communication Disorders/*classification/diagnosis/*etiology ; Cross-Sectional Studies ; Female ; Humans ; Magnetic Resonance Imaging/*methods ; Male ; Motor Skills ; Motor Skills Disorders/diagnosis ; Prospective Studies ; Severity of Illness Index
Cerebral palsy ; communication ; functional classification ; language ; speech
PURPOSE: The aim of the present study was to investigate communication function using classification systems and its association with other functional profiles, including gross motor function, manual ability, intellectual functioning, and brain magnetic resonance imaging (MRI) characteristics in children with cerebral palsy (CP). MATERIALS AND METHODS: This study recruited 117 individuals with CP aged from 4 to 16 years. The Communication Function Classification System (CFCS), Viking Speech Scale (VSS), Speech Language Profile Groups (SLPG), Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), and intellectual functioning were assessed in the children along with brain MRI categorization. RESULTS: Very strong relationships were noted among the VSS, CFCS, and SLPG, although these three communication systems provide complementary information, especially for children with mid-range communication impairment. These three communication classification systems were strongly related with the MACS, but moderately related with the GMFCS. Multiple logistic regression analysis indicated that manual ability and intellectual functioning were significantly related with VSS and CFCS function, whereas only intellectual functioning was significantly related with SLPG functioning in children with CP. Communication function in children with a periventricular white matter lesion (PVWL) varied widely. In the cases with a PVWL, poor functioning was more common on the SLPG, compared to the VSS and CFCS. CONCLUSION: Very strong relationships were noted among three communication classification systems that are closely related with intellectual ability. Compared to gross motor function, manual ability seemed more closely related with communication function in these children.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Choi, Yoon Seong(최윤성)
Choi, Ja Young(최자영)
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