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Catalin Prazaru

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Articole semnate de acelasi autor in Revista Romana de Pediatrie:

SISTEMUL DE CLASIFICARE A FUNCTIEI MOTORII GROSIERE SI SISTEMUL DE CLASIFICARE A ABILITATII MANUALE IN EVALUAREA PARALIZIEI CEREBRALE

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Revista Romana de PEDIATRIE | Volumul LXV, Nr. 2, An 2016
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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SISTEMUL DE CLASIFICARE A FUNCTIEI MOTORII GROSIERE SI SISTEMUL DE CLASIFICARE A ABILITATII MANUALE IN EVALUAREA PARALIZIEI CEREBRALE

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REZUMAT

Paralizia cerebrală (PC) este o boală cerebrală cronică, definită ca un grup de afecţiuni motorii neprogresive care debutează în primul an de viaţă şi care sunt secundare leziunilor survenite la un creier aflat în dezvoltare. La vârsta pediatrică este principala cauză a tulburărilor motorii severe şi invalidante.
Obiectivul lucrării. Încadrarea comparativă în diverse grade de severitate a PC la copil aplicând cele două clasificări: Sistemul de Clasificare a Funcţiei Motorii Grosiere (Gross Motor Function Classification System – GMFCS) şi Sistemul de Clasificare a Abilităţii Manuale (Manual Ability Classification System – MACS).
Material şi metodă. Grupul de studiu a cuprins 129 de copii (43 de fete şi 86 de băieţi), cu vârste cuprinse între 2-18 ani, diagnosticaţi cu diferite forme de PC. Protocolul de studiu a inclus examen clinic general şi examen neurologic.
Rezultate. Dintre pacienţii cu PC urmăriţi, 24 (18,60%) au fost încadraţi la gradul I atât în clasificarea GMFCS, cât şi în MACS. De asemenea, dintre cei 69 de copii care puteau merge independent (GMFCS I+II), 60 aveau dexteritate manuală bună sau foarte bună (MACS I+II). În formele severe de PC (GMFCS V), 32/35 bolnavi nu puteau mânui obiectele fiind încadraţi în MACS V şi 3 puteau manipula numai anumite obiecte, fiind incluşi în MACS IV.
Concluzii. Funcţia motorie grosieră şi abilitatea manuală evoluează pe paliere diferite de gravitate în funcţie de tipul PC. În PC diskinetică, ataxică şi mixtă, s-a remarcat o mai mare corespondenţă între gradele de severitate conturate de cele două clasificări.

Keywords: paralizie cerebrală, funcţie motorie, abilitate manuală, copil

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GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM AND MANUAL ABILITY CLASSIFICATION IN CEREBRAL PALSY EVALUATION

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Revista Romana de PEDIATRIE | Volumul LXV, Nr. 2, An 2016
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Scopus
NLM Catalog
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM AND MANUAL ABILITY CLASSIFICATION IN CEREBRAL PALSY EVALUATION

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ABSTRACT

Cerebral palsy (CP) is a chronically cerebral disease, which is defined like a group of non-progressives motor diseases that onset in the first year of life and are the secondary lesions for a developed brain. At pediatric age CP is the most frequent cause of severe and infirmity motor problems.
Aim of the study. Comparative framing in various degrees of severity for CP at child applying two classifications: Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS).
Material and Methods. The study group included 129 children (43 girls and 86 boys) aged 2-18 years, diagnosed with various forms of CP. The study protocol included general clinical examination, neurological exam.
Results. Of patients with CP watch, 24 (18,60%) were employed in both the grade I classification GMFCS and MACS. Also, of the 69 children who could walk independently (GMFCS I+II), 60 had good manual dexterity or very good (MACS I+II). Of the 35 patients with severe forms of PC (GMFCS V), 32 could not wield the objects being impressed into MACS V and 3 could handle only certain items being included in MACS IV.
Conclusions. The gross motor function and the manual ability evolve on different levels of severity depending on type of CP. In diskinetic CP, ataxic CP and mixed forms of CP was noticed a higher correlation between the grades of the two classifications.

Keywords: cerebral palsy, motor function, manual ability, child

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