Visual Impairment and Functional Classification in Children with Cerebral Palsy

M. Rauchenzauner; K. Schiller; M. Honold; I. Baldissera; R. Biedermann; B. Tschiderer; U. Albrecht; C. Arnold; K. Rostasy

doi:10.1055/s-0040-1722679

Neuropediatrics, Inhaltsverzeichnis

Neuropediatrics 2021; 52(05): 383-389
DOI: 10.1055/s-0040-1722679

Original Article

Visual Impairment and Functional Classification in Children with Cerebral Palsy

M. Rauchenzauner^*

¹Department of Pediatrics and Neonatology, Kliniken Ostallgäu-Kaufbeuren, Kaufbeuren, Germany

²Division of Pediatric Neurology, Department of Pediatrics, Medical University of Innsbruck, Innsbruck, Austria

,

K. Schiller‡^*

¹Department of Pediatrics and Neonatology, Kliniken Ostallgäu-Kaufbeuren, Kaufbeuren, Germany

,

M. Honold

²Division of Pediatric Neurology, Department of Pediatrics, Medical University of Innsbruck, Innsbruck, Austria

,

I. Baldissera

³Department of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria

,

R. Biedermann

⁴Department of Orthopedics, Medical University of Innsbruck, Innsbruck, Austria

,

B. Tschiderer

³Department of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria

,

U. Albrecht

²Division of Pediatric Neurology, Department of Pediatrics, Medical University of Innsbruck, Innsbruck, Austria

,

C. Arnold

²Division of Pediatric Neurology, Department of Pediatrics, Medical University of Innsbruck, Innsbruck, Austria

,

K. Rostasy

⁵Department of Pediatric Neurology, Children's Hospital Datteln, Witten/Herdecke University, Datteln, Germany

› Institutsangaben

Abstract

Background Cerebral palsy (CP) is the most common motor impairment in childhood and often accompanied by a broad spectrum of comorbidities. Data are sparse concerning visual impairment (VI) and functional classification among CP children.

Objective The objective of this study was to analyze the prevalence of VI among children with CP and to investigate a possible association between VI and Gross Motor Function Classification System (GMFCS) and the Bimanual Fine Motor Function (BFMF).

Methods In this hospital-based study, records of 200 children with CP aged 2 to 17 years were reviewed.

Results Overall, VI was found in 59.5% of children with CP. Prevalence of VI was higher when compared with non-CP children. A correlation between GMFCS as well as BFMF and severity of VI was found. Children with severe CP were at greater risk for severe VI, especially cerebral VI compared with children with mild CP.

Conclusion VI is a significant problem in children with CP and is correlated with motor function. Children with CP should undergo detailed ophthalmologic and orthoptic assessment to enable early intervention.

Keywords

cerebral palsy - visual impairment - functional classification - GMFCS - BFMF

Volltext

Referenzen

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