Mobility development and stability of children, adolescents and young adults with Cerebral Palsy: A Scoping Review (2024)

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Description: Introductionthe knowledge of what is expected in the natural course of the development of a child with CP is crucial to guide prognosis and what to expect in each stage of their lives (HANNA et al., 2009). The first paper reporting the patterns of gross motor development of children with CP was conducted in Canada in 2002. Prognostic curves were created according to the scores on the Gross Motor Function Measure (GMFM) and the levels of the Gross Motor Function classification system (GMFCS), stratified by age (ROSENBAUM et al., 2002). Prospectively, other studies were developed around the globe aiming to monitor and create developmental trajectories on this population (BURGES et al., 2021; ANDREWS et al., 2021). A recent study from our research group, designed to identify and provide a descriptive overview of the development of children, adolescents, and young adults with CP according to the components of the International Classification of Functioning, Disability and Health (ICF) framework (WHO, 2001), showed that 68% of the studies focused on motor performance activities such as walking, moving and handling objects, self-care and mobility (CHAGAS et al., 2022). Although it was not the objective of their study, these authors point preliminary to an enormous variability in motor development trajectories, especially regarding capacity (i.e., how the individual performs a certain skill within a standardized environment) and performance (i.e., how the individual performs a certain skill routinely in their real context environment) motor development of children and adolescents with CP across countries by GMFCS levels (Chagas et al, 2022). Thus, to date there is no study that summarizes and investigates deeply and gathered information from longitudinal data regarding mobility trajectories. Thus, to date there is no study that summarizes and investigates deeply and gathered information from longitudinal data regarding mobility trajectories. The objective of this scoping review was to identify published studies that addressed mobility trajectories in children, adolescents and young adults with CPReview questionHow is the development of mobility capacity and performance in individuals aged 1 to 21 years with Cerebral Palsy?KeywordsCerebral Palsy; Longitudinal study; Scoping Review; Mobility; Capacity; PerformanceEligibility criteriaParticipantsChildren, adolescents and/or young adults with Cerebral Palsy aged between 1 and 21 yearsConceptDevelopment and stability of mobility capacity and performanceContextDevelopment of people with Cerebral PalsyTypes of SourcesThis scoping review will consider prospective longitudinal Observational study designs.MethodsThis scoping review adhered to the JBI methodology for scoping reviews, ensuring a rigorous and systematic approach throughout the process (Petters et al., 2022), according to the following steps: [1] specification of the purpose of the review; [2] search, identification and selection of potential studies; [3] extraction and graphing the data; and [4] reporting of the results (Grant & Booth, 2009)Search strategyThe search for eligible studies will be carried out in the following databases: MEDLINE, PubMed, LILACS, EMBASE, Cochrane, CINAHAL, Scopus. The following descriptors will be used: “Cerebral Palsy” and “longitudinal or prospective or monitoring or trajectory or development” and “gross motor function” and “gross motor function measurement” and “GMFM” or “capacity” or “mobility” or performance ” or “activity” with the descriptors in English. The search strategy, including all identified descriptors, will be adapted for each database included in the search. Manual searches will be carried out in the previous study by Chagas et al. (2022), who recently investigated the development of people with CP.Study/Source of Evidence selectionData organization will be facilitated by the use of Mendeley Software, where identified studies will be systematically loaded and archived. Additionally, the authors will create a dedicated form in Microsoft Excel to extract and manage the relevant data. Two independent reviewers (EDDM and DOS) will independently extract data, discuss results, and continually update the data extraction formData ExtractionData extraction includes: [1] Study characteristics (authors; year of publication; title; country; number of longitudinal evaluations); [2] participant characteristics (sample size, age, clinical type of CP, GMFCS levels and any other information that represented the sample description); [3] The instruments used to measure mobility were categorized by performance or capacity, taking into account the definition proposed by the ICF (2001); [4] results found in studies that reflect or are interconnected with the development of the sample's mobility and the age of motor stability achieved; and [5] study follow-up time in years; [6] The study countries were further classified based on their economic status, distinguishing between high-income countries and low- and middle-income countries, according to the World Bank.Data Analysis and PresentationWe will carry out a descriptive analysis of the variables of interest from all included studies to provide information on the development and stability of the mobility capacity and performance of people with Cerebral Palsy aged 1 to 21 years. The data will have a narrative summary that relates to the central question of the scoping review

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Mobility development and stability of children, adolescents and young adults with Cerebral Palsy: A Scoping Review (2024)
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