Intellectual and mnestic disorders in children with spastic forms of infantile cerebral palsy depending on the level of gross motor functions

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Abstract

Background. The clinical manifestations of infantile cerebral palsy (ICP) are caused by both basic neurological and other comorbid conditions, such as secondary orthopedic and statodynamic disorders, hearing and speech disorders, nutritional disorders, epilepsy and, often, intellectual and mnestic disorders. Accordingly, the approach to treatment and rehabilitation of such patients should be interdisciplinary. To improve the quality of communication between different specialists, the International Classification of Functioning, Disability, and Health (ICF) has been developed and is actively being introduced into clinical practice.

The study aimed to investigate the intellectual and mnestic functions in children with spastic forms of ICP depending on the gross motor function level.

Material and methods. A prospective examination of 73 pediatric patients with spastic forms of ICP, aged 4 to 17 years, included by random sampling, was performed. The patients were divided into five groups based on the classification of the Gross Motor Function Classification System (GMFCS). The study methodological basis is ICF basic provisions. To assess the intellectual and mnestic functions, six categories were used, which are included in the ICF section “Mental functions.”

Results. A correlation between the intellectual and mnestic disorders and the GMFCS level was revealed. Multiple pairwise intergroup comparisons showed statistically significant differences (p < 0.05) for all categories under study between Groups GMFCS 1 and GMFCS 5, GMFCS 2 and GMFCS 5, and GMFCS 3 and GMFCS 5, although the difference between Groups GMFCS 4 and GMFCS 5 was identified in only three categories.

Conclusion. The severity of disorders of the intellectual and mnestic functions in ICP pediatric patients varies widely depending on the level of gross motor functions. A correlation was revealed between the main intellectual and mnestic function indicators and the GMFCS level. Assessment of intellectual and mnestic functions due to its variability in pediatric patients with different levels of GMFCS when choosing the optimal treatment approach is appropriate.

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About the authors

Elnur I. Dzhomardly

G.A. Albrecht Federal scientific center of rehabilitation disabled people

Email: mamedov.ie@yandex.ru
ORCID iD: 0000-0002-0281-3262
Russian Federation, St. Petersburg

Viktoriya V. Lorer

G.A. Albrecht Federal scientific center of rehabilitation disabled people; I.P. Pavlov First Pavlov State Medical University of St. Petersburg

Email: lorer@list.ru
ORCID iD: 0000-0002-7843-3004

MD, PhD

Russian Federation, St. Petersburg

Andrey A. Koltsov

G.A. Albrecht Federal scientific center of rehabilitation disabled people

Author for correspondence.
Email: katandr2007@yandex.ru
ORCID iD: 0000-0002-0862-8826

MD, PhD

Russian Federation, St. Petersburg

Anastasia A. Zolotareva

I.P. Pavlov First Pavlov State Medical University of St. Petersburg

Email: Anazol_97@mail.ru
ORCID iD: 0000-0003-2038-6476
Russian Federation, St. Petersburg

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Supplementary files

Supplementary Files
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1. Figure. Intellectual-mnestic functions and the corresponding ICF categories from the section "Mental functions".

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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