Affiliations: Physical Medicine and Rehabilitation Education and
Research Hospital, Sıhhiye, Ankara, Turkey | Department of Physical Medicine and Rehabilitation,
Adiyaman State Hospital, Adiyaman, Turkey
Note: [] Correspondence: Dr. Asuman Dogan, Ankara Physical Medicine and
Rehabilitation Education and Research Hospital, 5. PMR Clinic,
Türkocağı Sokak, Sıhhiye, Ankara, Turkey. Tel.: +90
(0) 312 3103230/343; Fax: +90 (0) 312 3118054; E-mail: asudogn@yahoo.ca
Abstract: We determined the developmental level of 107 children (mean age,
66.41 ± 32.92 mo) with cerebral palsy in an inpatient rehabilitation
program and assessed both the difference between calendar age and developmental
age and the effect of developmental level on motor function improvement. The
Denver II test was used to reveal the difference between calendar age and
developmental age, and we determined whether there was a statistically
significant difference between the admission and discharge motor function
measurements of the subjects. The effect of the Denver II developmental levels
of language, fine-motor, personal-social, and gross-motor skills on motor
function was investigated. We found a statistically significant difference
between the developmental levels and calendar ages of the study subjects.
Denver II test results revealed a statistically significant difference between
the personal-social, gross-motor, and fine-motor levels of the subjects. We
found no difference only between personal-social and language levels.
Gross-motor development was the most delayed value by calendar age. Regardless
of developmental level, there was a statistically significant difference
between motor activity levels at admission and discharge as revealed by the
Gross-motor Functional Classification System and the Gross-motor Function
Measure. The developmental ages of the subjects were much lower than their
calendar ages. We concluded that the Denver II language and fine-motor
developmental level did not have an effect on functional gains but that the
subjects with good personal-social and gross-motor function developmental
levels exhibited relatively better motor function gains at the time of
discharge.
Keywords: Cerebral palsy, Denver II, motor function
