Executive function and general intellectual functioning in dyskinetic cerebral palsy: Comparison with spastic cerebral palsy and typically developing controls
Por:
Laporta O, Ballester J, Leiva D, Ribas T, Miralbell J, Torroja-Nualart C, Russi ME, Toro-Tamargo E, Meléndez-Plumed M, Gimeno F, Macaya A and Pueyo R
Publicada:
1 jul 2019
Ahead of Print:
21 may 2019
Resumen:
Aim: To comprehensively describe intellectual and executive functioning (EF) in people with dyskinetic cerebral palsy (DCP), by comparing their performance with that of: 1) age- and sex-matched typically developing controls (TDC); and 2) participants with spastic cerebral palsy (SCP) matched for age, sex, term/preterm and gross motor function classification system (GMFCS).
Method: This cross-sectional study was conducted by the University of Barcelona in collaboration with five institutions. Participants were people with DCP (n = 52; 24 females, median age 20.5 y: 5mo, interquartile range [IQR] = 13.75 y: 7mo; GMFCS I-V). As comparison groups, participants with SCP (n = 20; 10 females, median age = 20.5 y: 5.5mo, IQR = 13.75 y 9mo; GMFCS I-V) and TDC (n = 52; 24 females, median age = 20 y: 4mo, IQR = 12 y 7mo) were included. Intelligence and EF were assessed using common tests in all participants.
Results: Both CP groups had lower intelligence than TDC and performed poorer in almost all EF tasks. Intelligence was higher in DCP than SCP (z = -2.51, p = 0.01). Participants with DCP also performed significantly better in goal-setting tasks (z = 2.27, p = 0.03) and information processing (z = -2.54, p = 0.01) than those with SCP.
Conclusion: People with DCP present lower general intellectual functioning and poorer EF across multiple domains than typically developing controls. People with DCP have higher general intellectual functioning and better EF than people with SCP when levels of motor severity are similar. (C) 2019 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.
Filiaciones:
Laporta O:
Institut de Neurociències, Departament de Psicologia Clínica i Psicobiologia, Universitat de Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950, Esplugues de Llobregat, Spain
Ballester J:
Institut de Neurociències, Departament de Psicologia Clínica i Psicobiologia, Universitat de Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950, Esplugues de Llobregat, Spain
Leiva D:
Departament de Psicologia Social i Psicologia Quantitativa, Universitat de Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Ribas T:
Institut de Neurociències, Departament de Psicologia Clínica i Psicobiologia, Universitat de Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Miralbell J:
Institut de Neurociències, Departament de Psicologia Clínica i Psicobiologia, Universitat de Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Torroja-Nualart C:
Departament de Psicologia Social i Psicologia Quantitativa, Universitat de Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Russi ME:
Servei de Neurologia, Hospital Universitari Sant Joan de Déu, Passeig Sant Joan de Déu 2, 08950, Esplugues de Llobregat, Spain
Toro-Tamargo E:
Servei de Rehabilitació i Medicina Física, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035, Barcelona, Spain
Meléndez-Plumed M:
Servei de Rehabilitació i Medicina Física, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035, Barcelona, Spain
Gimeno F:
Serveis de Salut i Rehabilitació, Associació de la Paràlisi Cerebral (ASPACE), Camí Tres Pins 31-35, 08038, Barcelona, Spain
Macaya A:
Grup de Recerca en Neurologia Pediàtrica, Vall d'Hebron Institut de Recerca, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035, Barcelona, Spain
Pueyo R:
Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950, Esplugues de Llobregat, Spain
Institut de Neurociències, Departament de Psicologia Clínica i Psicobiologia, Universitat de Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Open Access
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