BACKGROUND: Cerebral palsy (CP) is a chronic condition about which little is known in relation to the long term stability of and factors influencing health. OBJECTIVES: To describe the health status of 4-17 year olds with ambulant CP, compare with the general population and identify factors predicting change in health over time. DESIGN: A longitudinal, clinical survey. SETTING: A regional hospital-based Gait Analysis Laboratory. PARTICIPANTS: Those aged 4-17 years and able to walk at least 10m independently were identified from a case register of people with CP. A total of 184 subjects took part (38% of all eligibles in the region); 154 (84%) returned for a second assessment on average 2.5 years later. METHODS: The Child Health Questionnaire (Parent-form-50) was completed by 184 parents at time 1, and 156 at time 2. RESULTS: Children and young people with CP have significantly poorer health across a number of domains when compared to children in the general child population. Over time improvements occurred in behaviour (p=0.01), family activities (p<0.001) and physical functioning (p=0.05). Linear regression showed that gross motor function (p<0.001) and cerebral palsy subtype (p<0.05) were associated with changes in physical functioning; age was associated with changes in behaviour (p=0.007) and family activities (p=0.01); and communication ability was significantly associated with changes in family activities (p=0.005). CONCLUSIONS: Children and young people with CP have poorer health than their able bodied peers but relatively stable health over 2.5 years. Where change occurred, it was for the better.
BACKGROUND:Cerebral palsy (CP) is a chronic condition about which little is known in relation to the long term stability of and factors influencing health. OBJECTIVES: To describe the health status of 4-17 year olds with ambulant CP, compare with the general population and identify factors predicting change in health over time. DESIGN: A longitudinal, clinical survey. SETTING: A regional hospital-based Gait Analysis Laboratory. PARTICIPANTS: Those aged 4-17 years and able to walk at least 10m independently were identified from a case register of people with CP. A total of 184 subjects took part (38% of all eligibles in the region); 154 (84%) returned for a second assessment on average 2.5 years later. METHODS: The Child Health Questionnaire (Parent-form-50) was completed by 184 parents at time 1, and 156 at time 2. RESULTS:Children and young people with CP have significantly poorer health across a number of domains when compared to children in the general child population. Over time improvements occurred in behaviour (p=0.01), family activities (p<0.001) and physical functioning (p=0.05). Linear regression showed that gross motor function (p<0.001) and cerebral palsy subtype (p<0.05) were associated with changes in physical functioning; age was associated with changes in behaviour (p=0.007) and family activities (p=0.01); and communication ability was significantly associated with changes in family activities (p=0.005). CONCLUSIONS:Children and young people with CP have poorer health than their able bodied peers but relatively stable health over 2.5 years. Where change occurred, it was for the better.
Authors: L E Durán-Carabali; E F Sanches; F K Odorcyk; F Nicola; R G Mestriner; L Reichert; D Aristimunha; A S Pagnussat; C A Netto Journal: Neurochem Res Date: 2019-09-28 Impact factor: 3.996
Authors: Hamdy N El-Tallawy; Wafaa Ma Farghaly; Ghaydaa A Shehata; Tarek A Rageh; Nabil A Metwally; Reda Badry; Mohamed Am Sayed; Mohamed Abd El Hamed; Ahmed Abd-Elwarth; Mahmoud R Kandil Journal: Neuropsychiatr Dis Treat Date: 2014-07-08 Impact factor: 2.570