Original Article Developmental and Functional Abilities in Children With Cerebral Palsy as Related to Pattern and Level of Motor Function

Abilities among school-aged children with cerebral palsy with different patterns and levels of motor function were evaluated. Chil-dren within spasticity patterns (33 with quadriplegia, 25 with hemiplegia, 19 with diplegia) and Gross Motor Function Classification System levels were compared (level I, walking 47%; level II-III, restricted ambulation 18%; level IV-V, wheelchair needs 34%,). Outcomes included measures of intelligence, behavior, motor, and functional limitations (communication, daily living, socia-lization). Motor performance and prosocial behaviors were lower for children with quadriplegia (F 16.13, 12.71; P <.0001), with no differences for behavioral difficulties between spasticity groups. Prosocial behaviors were different between level IV-V and other groups (F 16.25, P <.0001). Functional limitations weremore likely for children with quadriplegia (P <.0001), but not diplegia or hemiplegia, and for children in level IV-V, but similar for level I and level II-III. Children with quadriplegia, or level IV-V, are more likely to exhibit limitations, whereas children with better motor function (I-III), hemiplegia, or diplegia, exhibit diverse capabilities. A holistic assessment approach is essential to ensure that limitations are addressed comprehensively