Global functional performance and caregiver assistance in children with pervasive development disorders

Shreya V. Patel, Shraddha Diwan, Nehal Shah


Background: Pervasive developmental disorder (PDD) affects motor, social and communication function of a child which may lead to affection of global function. Pediatric Evaluation of Disability Inventory (PEDI) is used to assess performances, degree of functional limitations as well as the extent of caregiver assistance. Hence, the need of the study was to quantify the functionality and dependence level in children with PDD. The aim of the study was to quantify the overall functional performance and need for caregiver assistance in PDD.

Methods: An observational study was carried out on 12 children (age 6 months - 7.5 years) diagnosed as PDD, taking rehabilitation at pediatric rehab department of SBB college of physiotherapy. After taking consent of primary caregiver PEDI questionnaire was administered by interview method. Demographic details were noted by physiotherapist.

Results: The score of functional skills in three domains were self-care (mean 8.58±5.265), mobility (mean 15.58±15.300) and social function (mean 5.42±4.641). The score of caregiver assistance in three domains were self-care (mean 2.75±3.441), mobility (mean 8.83±11.907) and social function (mean 1.50±2.316). Among six domains 12 children had the lowest score in terms of social function for both caregiver assistance and functional skills.

Conclusions: Present study concludes that social function is majorly affected in terms of caregiver assistance in children with PDD.


Caregiver assistance, Functional skills, PDD, PEDI

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Ozand PT, Al-Odaib A, Merza H, Al Harbi S. Autism: a review. J Pediatr Neurol. 2003;1:55-67.

Klin A. Autism and asperger syndrome: an overview. Br J Psych. 2006;28:S3-S11.

Rinehart NJ, Bellgrove MA, Tonge BJ, Brereton AV, Howells-Rankin D, Bradshaw JL. An examination of movement kinematics in young people with high-functioning autism and asperger’s disorder: further evidence for a motor planning deficit. J Autism Developmental Disorders. 2006;36:757-67.

Sahlander C, Mattsson M, Bejerot S. Motor Function in adults with Asperger’s disorder: a comparative study. Physiotherapy Theory and Practice. 2008;24:73-81.

Freitag CM, Kleser C, Schneider M, Von Gontard A. Quantitative assessment of neuromotor function in adolescents with high functioning autism and Asperger syndrome. J Autism Developmental Disorders. 2007;37:948-59.

Green D, Baird G, Barnett Al, Henderson L, Huber J, Henderson SE. The severity and nature of motor impairment in Asperger’s syndrome: a comparison with specific developmental disorder of motor function. J Child Psychol Psychiatry. 2002;43:655-68.

Weimer AK, Schatz AM, Lincoln A, Ballantyne AO, Tauner DA. Motor impairment in asperger syndrome: evidence for a deficit in proprioception. J Developmental Behavioral Pediatr. 2001;22:92-101.

Pozzato MGG, Minett TSC, Masruha MR, Vilanova LCP. Global functional performance and caregiver assistance in autism and Asperger syndrome. Neurosci Med. 2014;5:42-8.

Dolva AS. Functional performance in children with Down syndrome. Am J Occupational Therapy. November 2004;58(6):621-9.

Haley SM, Coster WI, Kao YC. Lessons from the use of the Pediatric evaluation of disability inventory: where do we go from here? Pediatr Phys Ther. 2010;22(1):69-75.