This paper aims to describe the longitudinal changes in disability, defined by the International Classification of Functioning, Disability, and Health – Children and Youth version (ICF-CY) biopsychosocial model, and developmental outcomes in a cohort of 56 very low birth weight children over 14–20 months. We used a neurofunctional assessment, the Griffiths Mental Development Scales-Revised: 2–8 years (Griffiths 2–8) to evaluate psychomotor development and the ICF-CY questionnaire for ages 0–3 and 3–6 to address children’s disability. Extension indexes on the basis of ICF-CY categories were computed, and longitudinal change was tested. Complete follow-up was available for 55 children (mean age 36.7 months, SD 6.7). Considering the sample as a whole, neurofunctional assessment, Griffiths score and disability were basically stable. When the subsample of children with the higher baseline functioning was taken into account, some degree of worsening, in terms of an increase in the number of impairments and limitations, was found. Our results show that disability profiles, neurofunctional assessment and global development were basically stable, except for the subgroup of children who were in the intermediate/high-functioning cluster at baseline. The increased disability among these children might be because of the possibility to observe a wider set of age-specific problems, such as emotional, regulation and social abilities that are not detectable at an early stage of development and that might lead to reduced participation in social activities.

A longitudinal ICF-CY-based evaluation of functioning and disability of children born with very low birth weight / C. Fontana, O. Picciolini, M. Fumagalli, F. Mosca, G. Bernardelli, M. Leonardi, P. Meucci, A. Raggi, A.M. Giovannetti. - In: INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH. - ISSN 0342-5282. - 39:4(2016 Dec 29), pp. 296-301.

A longitudinal ICF-CY-based evaluation of functioning and disability of children born with very low birth weight

C. Fontana;M. Fumagalli;F. Mosca;G. Bernardelli;
2016-12-29

Abstract

This paper aims to describe the longitudinal changes in disability, defined by the International Classification of Functioning, Disability, and Health – Children and Youth version (ICF-CY) biopsychosocial model, and developmental outcomes in a cohort of 56 very low birth weight children over 14–20 months. We used a neurofunctional assessment, the Griffiths Mental Development Scales-Revised: 2–8 years (Griffiths 2–8) to evaluate psychomotor development and the ICF-CY questionnaire for ages 0–3 and 3–6 to address children’s disability. Extension indexes on the basis of ICF-CY categories were computed, and longitudinal change was tested. Complete follow-up was available for 55 children (mean age 36.7 months, SD 6.7). Considering the sample as a whole, neurofunctional assessment, Griffiths score and disability were basically stable. When the subsample of children with the higher baseline functioning was taken into account, some degree of worsening, in terms of an increase in the number of impairments and limitations, was found. Our results show that disability profiles, neurofunctional assessment and global development were basically stable, except for the subgroup of children who were in the intermediate/high-functioning cluster at baseline. The increased disability among these children might be because of the possibility to observe a wider set of age-specific problems, such as emotional, regulation and social abilities that are not detectable at an early stage of development and that might lead to reduced participation in social activities.
Rehabilitation; Physical Therapy, Sports Therapy and Rehabilitation
Settore MED/38 - Pediatria Generale e Specialistica
Settore MED/39 - Neuropsichiatria Infantile
Article (author)
File in questo prodotto:
File Dimensione Formato  
fontana 2016.pdf

non disponibili

Tipologia: Publisher's version/PDF
Dimensione 130.6 kB
Formato Adobe PDF
130.6 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/429209
Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 6
  • ???jsp.display-item.citation.isi??? 6
social impact