Effect of goal-oriented mobility training on capacity and performance qualifier of International Classification of Functioning, Disability, and Health in children with cerebral palsy: A Pilot study

Abstract

BACKGROUND: Mobility is the ability to move freely and is essential for social activities and participation. Cerebral palsy (CP) is the disorder of movement and posture. These impairments cause limitations in the capacities of the affected child. The purpose of this study is to examine the effect of goal-oriented mobility training on functional mobility scale (FMS), gross motor function measure (GMFM), and capacity and performance qualifier of International Classification of Functioning, Disability, and Health (ICF), and the secondary objective was to study the association between GMFM and capacity qualifier of ICF also FMS and performance qualifier of ICF. MATERIALS AND METHODS: Ten children with CP (5–10 years) were included in the study after institutional ethics committee approval clearance. Children with gross motor function classification system level II, III, and IV was included in the study. Based on the inclusion and exclusion criteria, children were selected for the study. Capacity was measured using GMFM at three items (44, 67, and 70). Performance was analyzed using FMS. Capacity and performance were measured at (d460, d465) domain of ICF. Goal-oriented mobility training was given for 1 h/day for 6 days/week for 6 months to improve mobility. RESULTS: Pearson's correlation analysis shows a moderate negative correlation between GMFM (67, 70) and capacity qualifier of ICF (r = −0.7, 70; r = −0.7) and strong negative correlations between FMS (5 m) and performance qualifier of ICF (r = −0.9). After mobility training, a significant difference was noticed at FMS (5 m, P = 0.001), GMFM (67, P = 0.015), and ICF (d460 = 0.007, 0.002; d465 = 0.007, 0.007) CONCLUSION: A moderate negative correlation exists between GMFM (67, 70) and capacity qualifier and a strong negative correlation between FMS (5 m) and performance qualifier of ICF. Six-month mobility training could improve capacity and performance of children to walk with assistance in home environment compared to school and community setting.