Study of Topographicaland GMFCS Pattern of Cerebal Palsy in Children

Introduction: Cerebal Palsy is the most common childhood physical disability representing a group of conditions with heterogenous symptoms that are characterized by decient motor control, spasticity, paralysis and other neurological disturbances that emerge before, during, or in a short time after birth. Methodology: A tertiary hospital based descriptive cross-sectional study among 73 subject of age group 2-12years diagnosed as cerebal palsy. The study was carried to nd the topographical and GMFCS pattern of Cerebal palsy in children. Results- Mean age of the patients was 5.2 ± 3.2 years (Range 2 to 12 years) with male to female ratio of 1.7:1. According to Topographical Pattern, 41.1% patients had spastic diplegia, 31.5% had spastic quadriplegia, 15% had spastic hemiplegia, 4.1% had dystonic type, 2.7% had ataxic type, 2.7% had hypotonic type and 2.7% had choreoathetoid or dyskinetic type of CP. As per GMFCS Pattern, 16.4% patients were in level III,47.9% were in level IV and 35.6% were in level 5 of GMCFS. Conclusion: Topographical classication is helpful in detecting the limb(s) affected. GMFC System is procient in determining in how and where a child is affected by CPand useful in ascertaining treatment protocols.