Ibrahim Duran, Christina Stark, Ahmet Saglam, Alexandra Semmelweis, Heidrun Lioba Wunram, Karoline Spiess, Eckhard Schoenau
Artificial intelligence to improve efficiency of administration of gross motor function assessment in children with cerebral palsy
Developmental medicine and child neurology
determine gross motor skills schoolaged children fontan procedure compare locomotor object control skills normative data study design study followed crosssectional design study based hospital outpatient visit accelerometry conducted home patients study included 55 patients including 22 girls age group 610 years 51 years fontan main outcome measures test gross motor development version 2 daily activity accelerometer medical history review child parent perceptions activity involved active team sports increased locomotor percentile score 103 points ci 44 161 preference weekend outdoor activities 69 ci 20 118 performing least 30 minutes moderatetovigorous physical activity daily 245 ci 73 418 reporting parents seldom criticise childs physical activity 218 ci 89 348 also associated higher locomotor percentile scores p 001 object control percentile scores higher p 003 involvement formal instruction 59 ci 11 106 restricted activities within comfortable limits 276 ci 77 475 older chronological age r 028 complicated medical history r 036 older age fontan r 028 associated greater skill delay p 004 children fontan attain basic motor skills later age peers deficits continue complex skills age increases suggesting need longitudinal monitoring gross motor skill development elementary school years future research might investigate whether gross motor skill rehabilitation programme provide children motor skills needed successfully participate physically active lifestyle peers