Prevalence of Cerebral Palsy in 8-Year-Old Children in Three Areas of the United States in 2002: A Multisite Collaboration

Yeargin‐Allsopp, Marshalyn; Braun, Kim Van Naarden; Doernberg, Nancy; Benedict, Ruth E.; Kirby, Russell S.; Durkin, Maureen S.

doi:10.1542/peds.2007-1270

Cited by 396 publications

(290 citation statements)

References 33 publications

Supporting

Mentioning

267

Contrasting

Unclassified

Order By: Relevance

“…Among the disabled population, physically disabled persons report the most health problems [4]. Among children in Sweden, cerebral palsy is the most common cause of physical disability [7–9]. Approximately two of 1000 children aged 5–12 years are diagnosed with cerebral palsy [10], and boys are overrepresented by a factor of 1:1.4 in Sweden and western countries [11,12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives

Degerstedt

Wiklund

Enberg

2017

Global Health Action

View full text Add to dashboard Cite

Background: Young people with disabilities, especially physical disabilities, report worse health than others. This may be because of the disability, lower levels of physical activity, and discrimination. For children with cerebral palsy, access to physiotherapy and physical activity is a crucial prerequisite for good health and function. To date, there is limited knowledge regarding potential gender bias and inequity in habilitation services. Objectives: To map how physiotherapeutic interventions (PTI), physical leisure activity, and physical education are allocated for children with cerebral palsy regarding sex, age, level of gross motor function, and county council affiliation. This was done from a gender and equity perspective. Methods: A register study using data from the Cerebral Palsy follow-Up Program (CPUP). Data included 313 children ≤18 years with cerebral palsy from the five northern counties in Sweden during 2013. Motor impairment of the children was classified according to the expanded and revised Gross Motor Function Classification System (GMFCS). Results: In three county councils, boys received more physiotherapy interventions and received them more frequently than girls did. Differences between county councils were seen for frequency and reasons for physiotherapy interventions (p < 0.001). The physiotherapist was involved more often with children who had lower motor function and with children who had low physical leisure activity. Children with lower motor function level participated in physical leisure activity less often than children with less motor impairment (p < 0.001). Boys participated more frequently in physical education than did girls (p = 0.028). Conclusion: Gender and county council affiliation affect the distribution of physiotherapy interventions for children with cerebral palsy, and there are associations between gender and physical activity. Thus, the intervention is not always determined by the needs of the child or the degree of impairment. A gender-bias is indicated. Further studies are needed to ensure fair interventions.

show abstract

Section: Introductionmentioning

confidence: 99%

“…This brain damage may also impact cognitive function, perception, and sensation [7–9]. Diagnosis of CP is usually made around the age of four; the motor impairment is classified according to the expanded and revised Gross Motor Function Classification System [14].…”

Section: Introductionmentioning

confidence: 99%

Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives

Degerstedt

Wiklund

Enberg

2017

Global Health Action

View full text Add to dashboard Cite

show abstract

“…[1][2][3] Paresis and spasticity, resulting from the upper motor neuron lesion, are significant contributors to the motor deficit and can result in the development of joint contractures, which initially are dynamic but, if left untreated, can become fixed joint deformities. Equinus is the most common foot deformity and is often associated with spasticity in the gastrosoleus muscle complex (GSC).…”

mentioning

confidence: 99%

AbobotulinumtoxinA for Equinus Foot Deformity in Cerebral Palsy: A Randomized Controlled Trial

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Spasticity is present in more than 75% of CP cases and represents a major factor in the lifelong disability of affected patients. 20,22 Furthermore, severe spasticity can lead to bony deformity and contractures that result in progressive disability. 21 Reduction of abnormally high tone is a major therapeutic goal for CP patients with spasticity.…”

confidence: 99%

Reduction in upper-extremity tone after lumbar selective dorsal rhizotomy in children with spastic cerebral palsy

Gigante¹,

McDowell

Bruce

et al. 2013

PED

View full text Add to dashboard Cite

Object Randomized clinical trials have established that lumbar selective dorsal rhizotomy (SDR) reduces lower-extremity tone and improves functional outcome in children with spastic cerebral palsy. Significant data exist to support a secondary effect on upper-extremity function in patients with upper-extremity spasticity. The effects of SDR on upper-extremity tone, however, are not well characterized. In this report, the authors sought to assess changes in upper-extremity tone in individual muscle groups after SDR and tried to determine if these changes could be predicted preoperatively. Methods The authors retrospectively reviewed 42 children who underwent SDR at Columbia University Medical Center/Morgan Stanley Children's Hospital of NewYork-Presbyterian between 2005 and 2011. Twenty-five had upper-extremity spasticity. All underwent pre- and postoperative examination for measuring tone (Modified Ashworth Scale) and assessing functional outcome. Follow-up examinations with therapists were performed at least once at a minimum of 2 months postoperatively (mean 15 months). Results In the upper extremities, 23 (92%) of 25 patients had improvements of at least 1 Ashworth point in 2 or more independent motor groups on the Modified Ashworth Scale, and 12 (71%) of 17 families surveyed reported increases in motor control or spontaneous movement. The mean Modified Ashworth Scale scores for all upper-extremity muscle groups demonstrated an improvement from 1.34 to 1.22 (p < 0.001). Patients with a mean preoperative upper-extremity tone of 1.25–1.75 were most likely to benefit from reduction in tone (p = 0.0019). Proximal and pronator muscle groups were most likely to demonstrate reduced tone. Conclusions In addition to improvements in lower-extremity tone and function, SDR has demonstrable effects on upper extremities. Greater than 90% of our patients with elevated upper-extremity tone demonstrated reduction in tone in at least 2 muscle groups postoperatively. Patients with a mean Modified Ashworth Scale upper-extremity score of 1.25–1.75 may encounter the greatest reduction in upper-extremity tone.

show abstract

Prevalence of Cerebral Palsy in 8-Year-Old Children in Three Areas of the United States in 2002: A Multisite Collaboration

Cited by 396 publications

References 33 publications

Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives

Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives

AbobotulinumtoxinA for Equinus Foot Deformity in Cerebral Palsy: A Randomized Controlled Trial

Reduction in upper-extremity tone after lumbar selective dorsal rhizotomy in children with spastic cerebral palsy

Contact Info

Product

Resources

About