Tuesday, 23 March 2010

It has been a poor old day...

I could do with a laugh

Conductive World should not have tempted Providence this morning by invoking Chaucer's 'droghte of March'. Here in Mercia the weather today has turned out truly vile. It doesn't need to rain: the very air is wet. Hence today's disproportionate number of postings from my dank cave.

Nothing cheers like a heavy statement of the obvious and a call for more of the same from that veritable tribe of jokers, 'the researchers'. Here is this afternoon's beaut, distributed from Sunny Sydney, an unending source of merriment for the desperate, for as long as you keep your sense of humour. The place in Sydney that sends them out does not actually do research itself (correct me if I am wrong) but it does like ensuring that we all have a chance to share what's going round. Actually, this one comes from French Canada –

Majnemer A, Shevell M, Hall N, Poulin C, Law M. ( 2010) Developmental and functional abilities in children with cerebral palsy as related to pattern and level of motor function, Journal of Child Neurology, in press

Abilities among school-aged children with cerebral palsy with different patterns and levels of motor function were evaluated. Children within spasticity patterns (33 with quadriplegia, 25 with hemiplegia, 19 with diplegia) and Gross Motor Function Classification System levels were compared (level I, walking = 47%; level II-III, restricted ambulation = 18%; level IV-V, wheelchair needs = 34%,). Outcomes included measures of intelligence, behavior, motor, and functional limitations (communication, daily living, socialization). Motor performance and prosocial behaviors were lower for children with quadriplegia (F = 16.13, 12.71; P < .0001), with no differences for behavioral difficulties between spasticity groups. Prosocial behaviors were different between level IV-V and other groups (F = 16.25, P < .0001). Functional limitations were more likely for children with quadriplegia (P < .0001), but not diplegia or hemiplegia, and for children in level IV-V, but similar for level I and level II-III. Children with quadriplegia, or level IV-V, are more likely to exhibit limitations, whereas children with better motor function (I-III), hemiplegia, or diplegia, exhibit diverse capabilities. A holistic assessment approach is essential to ensure that limitations are addressed comprehensively.

No joking, this is a serious matter. It has helped keep at the very least the four named authors in employment during these very hard time and, though the final sentence (the conclusion/recommendation of their work) is surely a non sequitur from what follows before, the published article helps them and their colleagues everywhere by restating and reinforcing society's apparently unquestioning need to keep on funding endeavour of this kind in the name of 'research'.

Sorry, this is a totally unfair response to all their hard work on the basis of having read a mere abstract though  aproper abstract is meant to convey a study's absolute essence).. All that '< .0001'... Wow! But you have to laugh, surely, for to start thinking seriously about such matters and what they are all about, especially on a day like today, is surely the fast track to seasonal affective disorder. I am sad enough already about how the world of 'rehab' is like going to the races: everybody seems to win, bar the punters..

1 comment:

  1. Not so much funny as true. Kids with CP provide a lot of cash flow for institutions, studies, etc. When the river starts flowing, it's incredible how many love to stand and watch it; remarking on the little eddies here and there. Argh.