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Characteristics of gross motor function among children with spastic cerebral palsy aged between 2–4 years
Mohammad Habibur Rahman1, Samena Akter Kakuli2, Ehsanur Rahman1, Md. Obaidul Haque3, Md. Shofiqul Islam1, Shamima Islam Nipa4,
1Assistant Professor of Physiotherapy, Bangladesh Health Professions Institute (BHPI), the Academic Institute of Centre for the Rehabilitation of the Paralysed (CRP)
2Senior Clinical Physiotherapists, Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP)
3Associate Professor & Head, Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), the Academic Institute of Centre for the Rehabilitation of the Paralysed (CRP)
4Lecturer, Department of Rehabilitation Science, Bangladesh Health Professions Institute (BHPI), the Academic Institute of Centre for the Rehabilitation of the Paralysed (CRP)

Article ID: 100003P05MR2017
doi:10.5348/P05-2017-3-OA-3

Address correspondence to:
Mohammad Habibur Rahman
Assistant Professor of Physiotherapy, BHPI
CRP, Savar, Dhaka
Bangladesh

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How to cite this article
Rahman MH, Kakuli SA, Rahman E, Haque MO, Islam MS, Nipa SI. Characteristics of gross motor function among children with spastic cerebral palsy aged between 2–4 years. Edorium J Pediatr 2017;1:12–17.


ABSTRACT

Aims: Cerebral palsy (CP) describes a group of disorders the affects movement and posture, causing activity limitations attributed to non-progressive disturbances that occurred in the developing fetal or infant brain. The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition, communication and behaviour by epilepsy and by secondary musculoskeletal problems.
Methods: A cross sectional prospective type of study design was used to find out the characteristics of gross motor function among children with spastic cerebral palsy aged between 2–4 years. The study was conducted at pediatric unit of CRP.
Result: Total participants were 114 whose mean age was 2.96 years. Sociodemographic results found large number of participants (68.4%) was underweight. In medical factors, majority of the participants did not have history of jaundice, pneumonia, visual and auditory problems. GMFCS level showed majority of the participants (28.9%) were in level 5 which means they required assistance for mobility.
Conclusion: Cerebral palsy causes activity limitations and participation restriction. The present study found different sociodemographic, medical factors and GMFCS level with status of limitations among children with spastic CP between age range of 2–4 years.

Keywords: Cerebral Palsy, Gross motor function, Gross-motor functional classification system scale (GMFCS), Spasticity


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Author Contributions
Mohammad Habibur Rahman – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Samena Akter Kakuli – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ehsanur Rahman – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Md. Obaidul Haque – Substantial contributions to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Md. Shofiqul Islam – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Shamima Islam Nipa – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Mohammad Habibur Rahman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

About The Authors

Mohammad Habibur Rahman has been working as Assistant Professor of Physiotherapy in Bangladesh Health Professions Institute (BHPI) affiliated to the Faculty of Medicine, University of Dhaka. He obtained BSc (Hons) in Physiotherapy in 2006 and MSc in Physiotherapy in 2016 from Faculty of Medicine, University of Dhaka. He has published eleven papers in reputed national and international journals. Email: sumonpt1983@gmail.com



Samena Akter Kakuli currently working as Senior Clinical Physiotherapist at Pediatric Unit, Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Bangladesh. She has completed BSc (Hons) in Physiotherapy in 2006 and MSc in Rehabilitation Science in 2016 from University of Dhaka respectively. She has published five papers in national and international journals. Email: kakuliphysio@gmail.com



Ehsanur Rahman working as an Assistant Professor, Department of Physiotherapy, BHPI, academic institute of CRP. He has completed Master of science in Physiotherapy year of 2016. He has published seven papers in national and international journals. Currently, he is working in musculoskeletal unit and wishes to get a fellowship degree in musculoskeletal field. Email: ehsanurrahman09@gmail.com



Md. Obaidul Haque is currently working as Associate Professor and Head of Physiotherapy Department, BHPI, CRP. He obtained BSc (Hons) in Physiotherapy degree in 2001 and MSc in Physiotherapy degree in 2016 respectively from University of Dhaka. In addition, he obtained Master of Public Health in epidemiology from North South University in 2012. He has published thirteen papers in national and international journal. Email: physioobaid@gmail.com



Md. Shofiqul Islam has earned BSc (Hons) degree Physiotherapy in 2006. He has completed Master of Public Health in epidemiology and Biostatistics and Master of Health Informatics from the University of Dhaka in 2009 and 2017 respectively. He has more than ten years professional experience both in the field of academic and clinical setting. His research interests include spinal cord injury, disability and rehabilitation. Email:physio.shofiqul@gmail.com



Shamima Islam Nipa is currently working as Lecturer, Department of Rehabilitation Science, BHPI, CRP, Savar, Dhaka. She obtained BSc (Hons) in Physiotherapy degree in 2006 and MSc in Rehabilitation science degree in 2016 respectively from University of Dhaka. She has published five research papers in national and international academic journals. Her research interests include clinical reasoning, physiotherapy in women’s health and different models of disability. Email: shamimanipa@yahoo.com