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. 2023 Spring;17(2):75-91.
doi: 10.22037/ijcn.v17i1.34924. Epub 2023 Mar 15.

Walking Ability, Participation, and Quality of Life in Children with Spastic Diplegic Cerebral Palsy: A Path Analysis Study

Roshank Vameghi  1 , Seyed Ali Hoseini  1 , Samira Heydarian  2 , Hossein Azadeh  3 , Masoud Gharib  4
Affiliations

Walking Ability, Participation, and Quality of Life in Children with Spastic Diplegic Cerebral Palsy: A Path Analysis Study

Roshank Vameghi et al. Iran J Child Neurol. 2023 Spring.

Abstract

Objectives: This study aims to design a conceptual model for the effect of various factors on walking ability, participation, and quality of life in children with spastic diplegic cerebral palsy (SDCP) and test it based on field data using path analysis.

Materials & methods: This cross-sectional study was performed on 181 children with SDCP. The following were used to measure each of the variables: the Modified Ashworth Scale, the Micro Manual Muscle Tester, the Timed Up and Go Test (TUG), the Boyd and Graham test, the goniometer, weight and height, the Gross Motor Function Classification System, the Life Habits Questionnaire, and cerebral palsy Quality of Life Questionnaire for Children. The structural model was tested in Amos 17.

Results: All paths of the proposed model were significant (P <0.05). Among evaluated variables, muscle strength (B = -0.466), balance (B = 0.326), and spasticity (B = 0.143) affected walking ability. Moreover, as an intermediate factor, walking ability affected the subjects' participation (B = -0.819) and quality of life (B = -0.183).

Conclusion: Muscle strength, balance, and spasticity are the most influential factors in the walking ability of children with SDCP. Furthermore, walking ability and participation are two critical factors in promoting the quality of life of these children.

Keywords: Spastic Diplegic Cerebral Palsyو Walking Abilityو Quality of Lifeو Participationو Structural Equations Modeling.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Figure 1
Figure 1
The [proposed] conceptual SEM model
Figure 2
Figure 2
The proposed SEM model
See this image and copyright information in PMC

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References

    1. Schwabe AL. Comprehensive Care in Cerebral Palsy. Physical medicine and rehabilitation clinics of North America. 2020;31(1):1–13. - PubMed
    1. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109(suppl 109):8–14. - PubMed
    1. Schiariti V, Selb M, Cieza A, O'Donnell M. International Classification of Functioning, Disability and Health Core Sets for children and youth with cerebral palsy: a consensus meeting. Developmental Medicine & Child Neurology. 2015;57(2):149–58. - PubMed
    1. Tang-Wai R, Webster RI, Shevell MI. A clinical and etiologic profile of spastic diplegia. Pediatric neurology. 2006;34(3):212–8. - PubMed
    1. Soleimani F, Vameghi R, Kazemnejad A, Fahimi NA, Nobakht Z, Rassafiani M. Psychometric properties of the persian version of cerebral palsy quality of life questionnaire for children. Iranian journal of child neurology. 2015;9(1):76. - PMC - PubMed

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