Functional independence measure in adults with cerebral palsy: relation with cognitive abilities and behavioral profile
DOI:
https://doi.org/10.11606/issn.2317-0190.v16i4a103248Keywords:
Cerebral Palsy, Adult, Cognition, BehaviorAbstract
Objective: To identify the relationship between the functional independence measure and the cognitive and behavioral profile of a group of adult subjects with Cerebral Palsy. Methods: Eighteen institutionalized patients who were diagnosed with Cerebral Palsy (12 males, 6 females) and their respective care-givers participated in the study. The data collection techniques used were the Test of Nonverbal Intelligence (TONI-3), the Adult Behavior Checklist 18-59 (ABCL), and the Functional Independence Measure (FIM). Results: The total score of the FIM showed negative correlations with the anxiety problems scale of ABCL (rho = -0.511, p = 0.030) and positive correlations with the TONI-3 (rho = 0.540, p = 0.021). Some behavioral disturbances of the ABCL were negatively correlated with the TONI-3; for example, the Attention Problems scale (rho = -0.459, p = 0.056) and the Isolation scale (rho = -0.545, p = 0.019). The average of the motor performance values was 35.88, 28.5 for cognitive performance, and 64.38 for overall. Conclusions: There was a correlation between behav-ioral problems, functional independence measure, and cognitive abilities. The results can be used to guide the care-givers and the institution staff in the planning of rehabilitation programs for the researched patients.
Downloads
References
Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, et al. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005;47(8):571-6.
Maranhao MVM. Anestesia e paralisia cerebral. Rev Bras Anestesiol. 2005;55(6):680-702.
Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil. 2006;28(4):183-91.
Hirtz D, Thurman DJ, Gwinn-Hardy K, Mohamed M, Chaudhuri AR, Zalutsky R. How common are the "common" neurologic disorders? Neurology. 2007;68(5):326-37.
Krigger KW. Cerebral palsy: an overview. Am Fam Physician. 2006;73(1):91-100.
Hilberink SR, Roebroeck ME, Nieuwstraten W, Jalink L, Verheijden JM, Stam HJ. Health issues in young adults with cerebral palsy: towards a life-span perspective. J Rehabil Med. 2007;39(8):605-11.
Melo DC, Sousa RN. Avaliaçao funcional dos adultos usuários da ADEFU que desenvolveram a lesao na infância ou apresentam alteraçoes congênitas utilizando a Medida de Independência Funcional (MIF) [texto na Internet]. In: Proceedings of the 1th Simpósio Internacional do Adolescente; 2005. Sao Paulo: [online] 2005 [citado 2009 fev 05]. Disponível em: http://www.proceedings.scielo.br/scielo.php?pid=msc0000000082005000200048&script=sci_arttext
Alahmar-Bianchin M, Saraiva-Storti HC, Fornari-Chueri R, Lucato RV Jr. Prevalence of hand dysfunction in cerebral palsy following Botulinum toxin therapy. Rev Neurol. 2007;45(6):334-7.
Arango-Lasprilla JC, Rosenthal M, Deluca J, Cifu DX, Hanks R, Komaroff E. Functional outcomes from inpatient rehabilitation after traumatic brain injury: how do Hispanics fare? Arch Phys Med Rehabil. 2007;88(1):11-8.
Pasqua F, Biscione GL, Crigna G, Gargano R, Cardaci V, Ferri L, et al. Use of functional independence measure in rehabilitation of inpatients with respiratory failure. Respir Med. 2009;103(3):471-6.
Riberto M, Miyazaki MH, Jorge Filho D, Sakamoto H, Battistella LR. Reprodutibilidade da versao brasileira da Medida de Independência Funcional. Acta Fisiatr. 2001;8(1):45-52. Doi: https://doi.org/10.5935/0104-7795.20010002
van Baalen B, Odding E, van Woensel MP, Roebroeck ME. Reliability and sensitivity to change of measurement instruments used in a traumatic brain injury population. Clin Rehabil. 2006;20(8):686-700.
Cullen NK, Park YG, Bayley MT. Functional recovery following traumatic vs non-traumatic brain injury: a case-controlled study. Brain Inj. 2008;22(13-14):1013-20.
Schwartz I, Tuchner M, Tsenter J, Shochina M, Shoshan Y, Katz-Leurer M, et al. Cognitive and functional outcomes of terror victims who suffered from traumatic brain injury. Brain Inj. 2008;22(3):255-63.
Wertheimer JC, Hanks RA, Hasenau DL. Comparing functional status and community integration in severe penetrating and motor vehicle-related brain injuries. Arch Phys Med Rehabil. 2008;89(10):1983-90.
Guimaraes L, Galdino D, Martins F, Abreu S, Lima M, Vitorino D. Avaliaçao da capacidade funcional de idosos em tratamento fisioterapêutico. Rev Neurocienc. 2004;12(3):130-3.
Riberto M, Pinto PP, Sakamoto H, Battistella LR. Independência funcional de pacientes com lesão muscular. Acta Fisiatr. 2005;12(2):61-6. Doi: https://doi.org/10.5935/0104-7795.20050004
Lopes AB, Gazzola JM, Lemos ND, Ricci N. Independência funcional e os fatores que a influenciam no âmbito da assistência domiciliária ao idoso. Rev Bras Geriatr Gerontol. 2007;10(3):285-300.
Scattolin FAA, Diogo MJD'E, Colombo RCR. Correlaçao entre instrumentos de qualidade de vida relacionada à saúde e independência funcional em idosos com insuficiência cardíaca. Cad Saúde Pública. 2007;23(11):2705-15.
Achenbach TM. Manual for the Adult Behavior Checklist/18-59 and 1991 profile. Burlington: University of Vermont; 1991.
Achenbach TM, Rescorla LA. Manual for the ASEBA School-Age Forms & Profiles. Burlington: University of Vermont; 2001.
Achenbach TM, Rescorla LA. Mental health pratitioners' guide for the Achenbach System of Empirically Based Assessment (ASEBA). Burlington: University of Vermont; 2004.
Hofstra MB, Van der Ende J, Verhulst FC. Continuity and change of psychopathology from childhood into adulthood: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2000;39(7):850-8.
Vila G, Zipper E, Dabbas M, Bertrand C, Robert JJ, Ricour C, et al. Mental disorders in obese children and adolescents. Psychosom Med. 2004;66(3):387-94.
Russell W, Holzer CE 3rd, Robert RS, Thomas C, Blakeney P, Meyer WJ 3rd. Differences in behavioral perceptions between young adult burn survivors and cross-informants. J Burn Care Res. 2008;29(5):750-5.
Silva MCR, Oliveira RJ, Conceiçao MIG. Efeitos da nataçao sobre a independência funcional de pacientes com lesao medular. Rev Bras Med Esporte. 2005;11(4):251-6.
Brown L, Sherbenou RJ, Johnsen SK. Test of Nonverbal Intelligence (TONI). Austin: Pro-Ed; 1997.
Barbosa ACC. Busca por evidências de validade do Teste de Inteligência Nao-Verbal (TONI-3) para escolares surdos [dissertaçao]. Sao Paulo: Universidade Presbiteriana Mackenzie; 2008.
Pueyo R, Junqué C, Vendrell P, Narberhaus A, Segarra D. Raven's Coloured Progressive Matrices as a measure of cognitive functioning in Cerebral Palsy. J Intellect Disabil Res. 2008;52(Pt 5):437-45
van der Dussen L, Nieuwstraten W, Roebroeck M, Stam HJ. Functional level of young adults with cerebral palsy. Clin Rehabil. 2001;15(1):84-91.
Wiegerink DJ, Roebroeck ME, Donkervoort M, Stam HJ, Cohen-Kettenis PT. Social and sexual relationships of adolescents and young adults with cerebral palsy: a review. Clin Rehabil. 2006;20(12):1023-31.
Schenker R, Coster W, Parush S. Personal assistance, adaptations and participation in students with cerebral palsy mainstreamed in elementary schools. Disabil Rehabil. 2006;28(17):1061-9.
Reilly DS, Woollacott MH, van Donkelaar P, Saavedra S. The interaction between executive attention and postural control in dual-task conditions: children with cerebral palsy. Arch Phys Med Rehabil. 2008;89(5):834-42.
Mancini MC, Alves ACM, Shaper C, Figueiredo EM, Sampaio RF, Coelho ZAC, et al. Gravidade da paralisia cerebral e desempenho funcional. Rev Bras Fisioter. 2004;8(5):253-60.
Jerônimo BP, Silveira JA, Borges MBS, Dini PD, David AC. Variáveis espaço-temporais da marcha de crianças com paralisia cerebral submetidas a eletroestimulaçao no músculo tibial anterior. Rev Bras Fisioter. 2007;11(4):261-6.
Brasileiro IC, Moreira TMM. Prevalência de alteraçoes funcionais corpóreas em crianças com paralisia cerebral, Acta Fisiátr. 2008;15(1):37-41.
Strauss D, Ojdana K, Shavelle R, Rosenbloom L. Decline in function and life expectancy of older persons with cerebral palsy. NeuroRehabilitation. 2004;19(1):69-78.
Law M, Darrah J, Pollock N, Rosenbaum P, Russell D, Walter SD, et al. Focus on Function - a randomized controlled trial comparing two rehabilitation interventions for young children with cerebral palsy. BMC Pediatr. 2007;7:31.
Liptak GS. Health and well being of adults with cerebral palsy. Curr Opin Neurol. 2008;21(2):136-42.
Dauvergne F, Eon Y, Gallien P, Bouric S, Duruflé-Tapin A, Cambla N, et al. Disabilities, access to medical care, and way of life of adults with cerebral palsy. APIB study: initial results. Ann Readapt Med Phys. 2007;50(1):20-7.
Krakovsky G, Huth MM, Lin L, Levin RS. Functional changes in children, adolescents, and young adults with cerebral palsy. Res Dev Disabil. 2007;28(4):331-40.
Downloads
Published
Issue
Section
License
Copyright (c) 2009 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
