IJPR.2021.171

Type of Article:  Original Research

Volume 9; Issue 5 (October 2021)

Page No.: 4001-4007

DOI: https://dx.doi.org/10.16965/ijpr.2021.171

Relationship between modified TUG and WeeFIM in children with cerebral palsy

Praveen Baby *1, Haripriya S 2, Remya N 3, Manju Unnikrishnan 4.

*1 Assistant Professor, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

2 Associate Professor, Laxmi Memorial College Of Physiotherapy, A.J Towers, Balmatta, Mangaluru, Karnatka, India.

3 Professor & HOD, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

4 Professor, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

Corresponding Author: Praveen Baby, Assistant Professor, Little Flower Institute Of Medical Science And Research, Angamaly, Kerala 683574, India. E-Mail: physioprv@gmail.com

ABSTRACT

Background: Cerebral Palsy (CP) refers to permanent, mutable motor development disorders stemming from a primary brain lesion, leading to secondary musculoskeletal alterations, and limitation of activities of daily living. Motor impairment is the main manifestation in children with CP, and it has consequent effects on the biomechanics of the body. The WeeFIM is a short and quick to administer assessment of functional outcome in paediatric rehabilitation. The modified Timed Up and Go test (mTUG) was designed for children with Cerebral Palsy and assesses mobility and requires both static and dynamic balance.

Context and Purpose: Determining if a relationship exists between functional mobility and level of functional independence in daily activities will help to design treatment programs which target improvement in functional mobility in order to improve functional independence in children with Cerebral Palsy. The studies done correlating functional balance and functional performance in children with CP have largely yielded inconclusive results. Hence this study was designed with the aim of finding if a relationship exists between functional mobility measured by mTUG and functional independence measured by WeeFIM in children with CP.

Methods: It was a correlation study conducted on 20 children with spastic cerebral palsy from different CP centers in and around Mangalore. Participants were evaluated using modified TUG and WeeFIM scales and the scores tabulated and subjected to statistical analysis to determine if there is a relationship exists between mTUG and WeeFIM.

Results: When the measured variables were correlated with each other using Pearson’s correlation it was found that the Pearson’s correlation coefficient was – .470, indicating a moderate negative correlation between the mTUG and WeeFIMscores.

Conclusion: There exists a positive relationship between functional mobility and functional independence in children with CP. Improving mobility in children with CP can help them to attain better functional independence. 

KEY WORD: Cerebral Palsy, GMFC, mTUG, WeeFIM.

REFERENCES

[1]. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report the definition and classification of cerebral palsy. Dev Med Child Neurol.2007;49(6):480.
[2]. Arnold GG. Problems of the cerebral palsy child and his family. Va Med Monthly. 1976;103:225-227.
[3]. Bobath K : A neurophysiological basis for the treatment of cerebral palsy, ed 2 of CDM 23, Clinics in Developmental Medicine, no 75, London, 1980, William Heinemann Medical Books, Ltd.
[4]. Yoon YG. The effects of the ADL training on the self-care skills for the children with cerebral palsy. Dissertation of Master’s Degree. Daegu University. Daegu University. 2001.
[5]. Hee-Joo You, Sun-Wook Park Han-Suk Lee. Correlation Between the Activities of Daily Living Assessment and Gross Motor Function Measures in Children with Spastic Cerebral Palsy. J Kor Phys Ther. 2015;27(6):425-429.
[6]. Graham H.K,&Selber P. Musculoskeletal aspects of cerebral palsy. J Bone Joint Surg (Br). 2003;85,157-166.
[7]. Kragloh-Mann, Horber D. The role of magnetic resonance imaging in elucidating the pathogenesis of cerebral palsy A systematic review. Dev Med Child Neurol. 2007;49,144-151.
[8]. Rosenbaum P, Paneth N, Goldstein M, Bax M, Damiano D. A report the definition and classification of cerebral palsy .Dev Med Child Neurol. 2007;109:8-14.
[9]. Rosenbaum P L, Palisano R J, Bartlett D J, Galuppi B E, Rusell D J. Development of the gross motor function classification system for cerebral palsy. Dev Med Child Neurol.2008;50(4):249-253.
[10]. BirkanSonelTur, Ayse A KucukdeveciSehimKutlay, GunesYavuzer, Atilla H Elhan, Alan Tennant. Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey. Dev Med Child Neurol,2009;51(9):732-738.
[11]. SaharHassani, Joseph J krzak, Barbara Johnson. Ann Flanagan, George Gorton, Anita Bagley. One Minute Walk and modified Timed Up and Go tests in children with cerebral palsy: performance and minimum clinically important differences. Dev Med Neurol.2014;56(5):482-489.
[12]. Zaino CA, Marchese VG, Westcott SL. Timed up and down stairs test: preliminary reliability and validity of a new measure of functional mobility. Pediatr Phys Ther. 2004 Summer;16(2):90-8. doi: 10.1097/01.PEP.0000127564.08922.6A. PMID: 17057533.
[13]. Sue-Mae Gan, MS, Li-Chen Tung, MD, Yue-Her Tang, and Chun-Hou Wang. Psychometric Properties of Functional Balance Assessment in Children With Cerebral Palsy. Neurorehabilitation and Neural Repair 2008;22(6):245-253.
[14]. Galea MP, Phillips BA, et al. Investigation of the timed ‘Up & Go’ test in children. Developmental Medicine & Child Neurology. 2005;47:518–24.
[15]. Oeffinger D, Gorton G, Bagley A, Nicholson D, Barnes D, Calmes J, Abel M, Damiano D, Kryscio R, Rogers S, Tylkowski C. Outcome assessments in children with cerebral palsy, part I: descriptive characteristics of GMFCS Levels I to III. Dev Med Child Neurol. 2007 Mar;49(3):172-80. doi: 10.1111/j.1469-8749.2007.00172.x. PMID: 17355472.
[16]. Tur BS, Küçükdeveci AA, Kutlay S, Yavuzer G, Elhan AH, Tennant A. Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey. Dev Med Child Neurol. 2009 Sep;51(9):732-8. doi: 10.1111/j.1469-8749.2008.03255.x. Epub 2009 Jan 29. PMID: 19207295.
[17]. Ring L, Hofer S, McGee H, Hickey A, O’Boyle CA. Individual quality of life: Can it be accounted for by psychological or subjective well-being? Social Indicators Research. 2007;82:443–461.
[18]. Murrell RC, Kenealy PM. Assessing quality of life in persons with severe neurological disability associated with multiple sclerosis: The psychometric evaluation of two quality of life measures. British Journal of Health Psychology. 1999;4:349–362.
[19]. Varni JW, Burwinkle TM, Sherman SA, Hanna K, Berrin SJ, Malcarne VL, et al. Health-related quality of life of children and adolescents with cerebral palsy; hearing the voices of children. Developmental Medicine and Child Neurology. 2005;47:592–597.
[20]. Kenneth J. Ottenbacher, PhD, OTR, Michael E. Msall, MD, Nancy R. Lyon, PNP, Linda C. Duffy, PhD, Carl V. Grunger, MD, Susan Braun, MLS, OTR Interrater agreement and stability of the functional independence measure for children (weefim™): Use in children with developmental disabilities. Arch Phys Med Rehabil 1997;78:1309-15.
[21]. Gan SM, Tung LC, Tang YH, Wang CH. Psychometric properties of functional balance assessment in children with cerebral palsy. Neurorehabil Neural Repair. 2008 Nov-Dec;22(6):745-53. doi: 10.1177/1545968308316474. Epub 2008 Jul 21. PMID: 18645187.
[22]. Dhote SN, Khatri PA, Ganvir SS. Reliability of “Modified timed up and go” test in children with cerebral palsy. J Pediatr Neurosci. 2012 May;7(2):96-100. doi: 10.4103/1817-1745.102564. PMID: 23248683; PMCID: PMC3519092.

Cite this article: Praveen Baby, Haripriya S, Remya N, Manju Unnikrishnan.  Relationship between modified TUG and WeeFIM in children with cerebral palsy. Int J Physiother Res 2021;9(5):4001-4007. DOI: 10.16965/ijpr.2021.171