Relationship of Gross Motor Function Classification System Level with The Incidence of Epilepsy

Annisa Fujianti, Nurul Hidayah, Triawanti Triawanti, Fakhrurrazy Fakhrurrazy, Mohammad Bakhriansyah

Abstract


Epilepsy is one of the comorbidities or complications that can occur in cerebral palsy (CP) pediatric, the severity of CP can be measured using the gross motor function classification system (GMFCS) level. The aim of this study was to determine the relationship of GMFCS level with incidence of epilepsy in CP pediatric at RSUD Ulin Banjarmasin. This research used a cross – sectional method. Subjects were CP pediatric outpatients aged 2-18 years at pediatric polyclinic and medical rehabilitation installation RSUD Ulin Banjarmasin. Samples were obtained with total sampling technique during September-November 2021. Data were analyzed univariate and bivariate by Fisher’s exact test with a significance level of p <0,005. There were 33 CP pediatric who fulfilled the inclusion and exclusion criteria. The result showed that most of the patients were aged 2-5 years (63,6%), male sex (57,6%), severe GMFCS levels (75,8%) and had epilepsy (66,7%). There was a significant correlation of GMFCS level with incidence epilepsy (p=0,008, PR=3,2). It can be concluded that GMFCS level is associated with incidence epilepsy in CP pediatric at RSUD Ulin Banjarmasin.

Keywords


Cerebral palsy; Epilepsy; Gross motor function classification system level

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References


Kenneth FS, Stephen A, Donna MF. Pediatric Neurology: Principles & Practice. 6th ed. Philadelphia: Elsevier Health Sciences; 2017.

Kementrian Kesehatan Republik Indonesia. Infodatin: penyandang disabilitas pada anak. Pusat Data dan Informasi Kementrian Kesehatan RI. 2014.

RSUD Ulin Banjarmasin. Buku register kasus cerebral palsy anak di RSUD Ulin Banjarmasin tahun 2018-2021. Banjarmasin: RSUD Ulin. 2021.

Wibowo AR, Saputra DR. Prevalens dan profil klinis pada anak palsi serebral spastik dengan epilepsi. Sari Pediatri. 2016;14(1):1-7

Karatoprak E, Sözen G, Saltık S. Risk factors associated with epilepsy development in children with cerebral palsy. Child’s Nervous System. 2019;35(7):1181–7.

Ekici A, Carman KB, Yimenicioglu S, Kocak O, Yarar C, Yakut A, et al. The evaluation of epilepsy and other contributing disorders in patients with cerebral palsy using the Gross Motor Function Classification System. The European Research Journal. 2017;175–181.

Putri SMAP, Kurniawan CD, Silakarma D. Faktor prenatal, perinatal, dan postnatal kejadian cerebral palsy pada anak di Rumah Sakit Umum Pusat Sanglah Denpasar. Jurnal Medika Udayana. 2019;8(8):2–7.

Michael-Asalu A, Taylor G, Campbell H, Lelea LL, Kirby RS. Cerebral Palsy: Diagnosis, Epidemiology, Genetics, and Clinical Update. Advances in Pediatrics. 2019;66:189–208.

Novak I, Morgan C, Adde L, Blackman J, Maled RN, Brunstrom-Hernandez J, et al. Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment. JAMA Pediatrics. 2017;171(9):897–907.

Chounti A, Hägglund G, Wagner P, Westbom L. Sex differences in cerebral palsy incidence and functional ability: A total population study. Acta Paediatrica Internasional Journal of Paediatrics. 2013;102(7):712–7.

Te Velde A, Tantsis E, Novak I, Badawi N, Berry J, Golland P, et al. Age of diagnosis, fidelity and acceptability of an early diagnosis clinic for cerebral palsy: A single site implementation study. Brain Sciences. 2021;11(8):1–14.

Ibrahim ZZ, Amalia PR, Setiawati OR. Hubungan Fungsi Motorik Kasar terhadap Kualitas Hidup Anak Cerebral Palsy di Instalasi Rehabilitasi Medik RSUD Dr . H . Abdul Moeloek. Jurnal Medika Malahayati. 2016;3(2):79–82.

Pavone P, Gulizia C, Le Pira A, Greco F, Parisi P, Di Cara G, et al. Cerebral palsy and epilepsy in children: Clinical perspectives on a common comorbidity. Children. 2021;8(1):1–11.

Cooper MS, MacKay MT, Fahey M, Reddihough D, Reid SM, Williams K, et al. Seizures in children with cerebral palsy and white matter injury. Pediatrics. 2017;139(3).

Romeo DMM, Cioni M, Battaglia LR, Palermo F, Mazzone D. Spectrum of gross motor and cognitive functions in children with cerebral palsy: Gender differences. European Journal Paediatric Neurology. 2011;15(1):53–8.

Baehr M, Frotscher M. Diagnosis topic neurologi DUUS. 4th ed. Jakarta: EGC; 2010.

Shichuo L, Ding D, Jianzhong W. Definitions and Epidemiology of Epilepsy. In: Oxford Textbook of Epilepsy and Epileptic Seizures. 2013. p. 51.

Simon S. The Causes of Epilepsy. In: Oxford Textbook of Epilepsy and Epileptic Seizures. 2013. p. 61–2.

Vera R, Dewi M, Nursiah N. Sindrom Epilepsi Pada Anak. Majalah Kedokteran Sriwijaya. 2014;46(1):72–6.




DOI: http://dx.doi.org/10.20527/jbk.v20i1.18763

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