Jennifer Dugger
Predictive and Associated Factors of Burnout in Nursing Faculty: An Integrative Review
Nurse educator
cerebral palsy cp complex neuromuscular condition may negatively influence gross motor function children diagnosed cp often exhibit spasticity weakness reduced motor control contracture bony malalignment despite many previous association studies causal impact impairments motor function unknown study proposed causal model estimated effects common impairments motor function children spastic cp measured 66item gross motor function measure gmfm66 estimated direct total effect sizes included variables using linear regression based covariate adjustment sets implied minimally sufficient adjustment sets addition estimated bivariate effect sizes measures comparison retrospectively evaluated 300 consecutive subjects spastic cerebral palsy underwent routine clinical gait analysis model data included standard information collected analysis largest causal effect sizes measured standardized regression coefficients found selective voluntary motor control dynamic motor control followed strength gait deviations contrast common treatment targets spasticity orthopedic deformity relatively small effects effect sizes estimated bivariate models cannot appropriately adjust causal factors substantially overestimated total effect spasticity strength orthopedic deformity understanding effects impairments gross motor function allow clinicians direct treatments impairments greatest potential influence gross motor function provide realistic expectations anticipated changes