Measures
Referral source was defined as the professional that referred the
child to physiotherapy. Complicated birth history was defined as
the number of known risk factors for CP, such as stroke, infections, or
seizures (Appendix 1), detectable before 5 months of age. Motor
severity was described using the Gross Motor Function Classification
System (GMFCS) at two years.18 Distinctions between
levels are based on functional abilities, where Level I indicates the
highest and Level V the lowest functional level. Children at GMFCS Level
I-III are ambulatory with or without assistant, while those at GMFCS
Level IV-V are considered non-ambulatory and dependent on wheeled
mobility. Type of CP was described by motor type and topography.