Epidemiology of Cerebral Palsy

Himmelmann, Kate; McIntyre, Sarah; Goldsmith, Shona; Smithers‐Sheedy, Hayley; Watson, Linda

doi:10.1007/978-3-319-50592-3_9-1

Cited by 4 publications

(7 citation statements)

References 79 publications

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“…1 CP is the most common cause of disability in children, affecting approximately 2 to 3 per 1,000 live births. 2 CP is described as a group of developmental movement and postural disorders that generate activity limitations, which are determined by a brain injury of a nonprogressive nature. 3 More than half of the children with CP present difficulties associated with sensation, perception, cognition, and behavior that could hinder or impede their gross motor abilities.…”

Section: Introductionmentioning

confidence: 99%

“…Communication and feeding can also be hampered, creating the need for alternative and augmentative communication. 2 Therefore, individuals with CP usually present constraints while performing daily living activities, including mobility, eating, and other activities, such as oral hygiene procedures. 4 © 2019 Special Care Dentistry Association and Wiley Periodicals, Inc. CP by definition is a stable lesion, and the disorders are persistent, but they can change with age.…”

Section: Introductionmentioning

confidence: 99%

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A 4‐year follow‐up case of extrusive luxation in a patient with cerebral palsy

Ramírez

Krämer

Lopez

et al. 2019

Special Care in Dentistry

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Cerebral palsy (CP) is a condition caused by brain damage before, during, or shortly after birth. Communication can be a challenge when treating patients with CP. Some patients can communicate verbally, while others use augmentative alternative communication tools or have individualized means of communication. Therefore, professional dental treatment in individuals with CP is challenging, especially if the patient is affected by dental trauma and requires emergency treatment. This report shows how individualized communication skills assessment allowed us to successfully manage a 9‐year‐old patient with CP, who suffered extrusive luxation of the permanent lower incisor. In the present case, the teeth were repositioned briefly after the trauma had occurred and then stabilized with a flexible splint according to international guidelines. The teeth remained vital and periodontal repair was observed during the 4‐year follow‐up.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A 4‐year follow‐up case of extrusive luxation in a patient with cerebral palsy

Ramírez

Krämer

Lopez

et al. 2019

Special Care in Dentistry

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“…The numbers for postneonatal CP in HICs are small, and we have less confidence about these trends, particularly for children with a brain injury closer to the age of 2 years, which may be described as an acquired brain injury rather than postneonatal CP. LMICs with higher proportions of postneonatal CP (up to 36% in Nigeria, 36 compared with 6% in Australia 2 ), alert us to the differences in aetiologies of postneonatal CP (e.g. malaria, previous nutritional status) and potentially different opportunities for prevention strategies that are specific to each region 37,38 …”

Section: Discussionmentioning

confidence: 99%

“…Population‐based CP registers and prevalence studies have monitored the birth prevalence of CP for more than 60 years 2 . The most recent systematic review and meta‐analysis of birth prevalence, which mostly included births in the 1980s and 1990s, found prevalence was 2.1 per 1000 live births 3 .…”

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confidence: 99%

Global prevalence of cerebral palsy: A systematic analysis

McIntyre

Goldsmith

Webb

et al. 2022

Develop Med Child Neuro

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299

123

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Aim: To determine trends and current estimates in regional and global prevalence of cerebral palsy (CP).Method: A systematic analysis of data from participating CP registers/surveillance systems and population-based prevalence studies (from birth year 1995) was performed. Quality and risk of bias were assessed for both data sources. Analyses were conducted for pre-/perinatal, postnatal, neonatal, and overall CP. For each region, trends were statistically classified as increasing, decreasing, heterogeneous, or no change, and most recent prevalence estimates with 95% confidence intervals (CI) were calculated. Meta-analyses were conducted to determine current birth prevalence estimates (from birth year 2010).Results: Forty-one regions from 27 countries across five continents were represented. Pre-/perinatal birth prevalence declined significantly across Europe and Australia (11 out of 14 regions), with no change in postneonatal CP. From the limited but increasing data available from regions in low-and middle-income countries (LMICs), birth prevalence for pre-/perinatal CP was as high as 3.4 per 1000 (95% CI 3.0-3.9) live births. Following meta-analyses, birth prevalence for pre-/perinatal CP in regions from high-income countries (HICs) was 1.5 per 1000 (95% CI 1.4-1.6) live births, and 1.6 per 1000 (95% CI 1.5-1.7) live births when postneonatal CP was included.

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“…Cerebral palsy (CP) is the most common physical disability during childhood, affecting two in 1,000 children (1,2). CP is a neurodevelopmental disorder primarily affecting movement and posture and limiting activity due to non-progressive disturbances in the developing fetal or infant brain (3).…”

Section: Introductionmentioning

confidence: 99%

Parent-Infant Interactions Among Infants With High Risk of Cerebral Palsy: A Protocol for an Observational Study of Infant and Parental Factors for Dyadic Reciprocity

et al. 2021

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Background: An early diagnosis of chronic disability, such as risk of Cerebral Palsy (CP), is likely to affect the quality of parent-infant interactions by affecting both infant and parental factors. Due to adverse perinatal events, infants at high risk of CP may exhibit less engagement in interactions, while parents may experience increased mental health problems and disrupted parental representations that can have a negative effect on parental sensitivity. Recent clinical guidelines on early intervention among families with infants at risk of CP recommends supporting parental sensitivity and mutual enjoyable interactions more research is needed to inform such interventions. This includes understanding how infant and parental risk as well as resilience factors impact parent-infant interactions and how existing parenting programs developed among typical developing infants should be adapted to families with infants at risk of CP. In addition, as majority of research on infant neurohabilitation focus on improving motor and cognitive outcomes research on infant emotional development is needed. The study aim is to assess the quality of early parent-infant interactions in families with high-risk infants, compared to families with low-risk infants, and to explore how interaction quality is affected by infant and parental factors. Three potential mediating factors explaining the association between CP risk and less optimal parent-infant interactions will be explored: infant interactional capacities, parental mental health and well-being, and parents' representations of their child.Methods: The prospective, longitudinal design will follow infants at high risk for CP and their parents and a control group at three time points from 15 weeks to 15 months corrected infant age (CA). Measures comprise infant developmental assessments, questionnaires and interviews with both parents, and global ratings of video-recorded parent-infant interactions.Discussion: Study results will enhance our understanding of how parent-infant interactions may be affected by perinatal neurological risk and identify potential important mechanisms for observed associations. This knowledge could assist in planning future early screening and intervention programs and identifying families who should be offered targeted psychological interventions in addition to neurohabilitation programs.

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Epidemiology of Cerebral Palsy

Cited by 4 publications

References 79 publications

A 4‐year follow‐up case of extrusive luxation in a patient with cerebral palsy

A 4‐year follow‐up case of extrusive luxation in a patient with cerebral palsy

Global prevalence of cerebral palsy: A systematic analysis

Parent-Infant Interactions Among Infants With High Risk of Cerebral Palsy: A Protocol for an Observational Study of Infant and Parental Factors for Dyadic Reciprocity

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