scholarly journals Motor impairments and activity limitations in children with spastic cerebral palsy: A Dutch population-based study

2009 ◽  
Vol 41 (5) ◽  
pp. 367-374 ◽  
Author(s):  
M Wichers ◽  
S Hilberink ◽  
ME Roebroeck ◽  
O van Nieuwenhuizen ◽  
HJ Stam
Keyword(s):  
Cerebral Palsy ◽  
Population Based ◽  
Spastic Cerebral Palsy ◽  
Activity Limitations ◽  
Dutch Population ◽  
Motor Impairments ◽  
Population Based Study

scholarly journals Excessive premature mortality among children with cerebral palsy in rural Uganda: A longitudinal, population-based study

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243948
Author(s):  
Lukia H. Namaganda ◽  
Rita Almeida ◽  
Dan Kajungu ◽  
Fred Wabwire-Mangen ◽  
Stefan Peterson ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
General Population ◽  
Population Based ◽  
Sub Saharan Africa ◽  
Severe Malnutrition ◽  
Motor Impairments ◽  
Population Based Study ◽  
Risk Of Death ◽  
Children With Cerebral Palsy ◽  
Sub Saharan

Background Studies from high-income countries reported reduced life expectancy in children with cerebral palsy (CP), while no population-based study has evaluated mortality of children with CP in sub-Saharan Africa. This study aimed to estimate the mortality rate (MR) of children with CP in a rural region of Uganda and identify risk factors and causes of death (CODs). Methods and findings This population-based, longitudinal cohort study was based on data from Iganga-Mayuge Health and Demographic Surveillance System in eastern Uganda. We identified 97 children (aged 2–17 years) with CP in 2015, whom we followed to 2019. They were compared with an age-matched cohort from the general population (n = 41 319). MRs, MR ratios (MRRs), hazard ratios (HRs), and immediate CODs were determined. MR was 3952 per 100 000 person years (95% CI 2212–6519) in children with CP and 137 per 100 000 person years (95% CI 117–159) in the general population. Standardized MRR was 25·3 in the CP cohort, compared with the general population. In children with CP, risk of death was higher in those with severe gross motor impairments than in those with milder impairments (HR 6·8; p = 0·007) and in those with severe malnutrition than in those less malnourished (HR = 3·7; p = 0·052). MR was higher in females in the CP cohort, with a higher MRR in females (53·0; 95% CI 26·4–106·3) than in males (16·3; 95% CI 7·2–37·2). Age had no significant effect on MR in the CP cohort, but MRR was higher at 10–18 years (39·6; 95% CI 14·2–110·0) than at 2–6 years (21·0; 95% CI 10·2–43·2). Anaemia, malaria, and other infections were the most common CODs in the CP cohort. Conclusions Risk of premature death was excessively high in children with CP in rural sub-Saharan Africa, especially in those with severe motor impairments or malnutrition. While global childhood mortality has significantly decreased during recent decades, this observed excessive mortality is a hidden humanitarian crisis that needs to be addressed.

Increasing Prevalence of Cerebral Palsy Among Very Preterm Infants: A Population-Based Study

PEDIATRICS ◽  
2006 ◽  
Vol 118 (6) ◽  
pp. e1621-e1626 ◽  
Author(s):  
M. J. Vincer ◽  
A. C. Allen ◽  
K. S. Joseph ◽  
D. A. Stinson ◽  
H. Scott ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Preterm Infants ◽  
Population Based ◽  
Population Based Study ◽  
Very Preterm Infants ◽  
Very Preterm

scholarly journals Impairments of Visuospatial Attention in Children with Unilateral Spastic Cerebral Palsy

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Gaétan Ickx ◽  
Samar M. Hatem ◽  
Inmaculada Riquelme ◽  
Kathleen M. Friel ◽  
Camille Henne ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Brain Lesion ◽  
Visuospatial Attention ◽  
Attention Deficits ◽  
Spastic Cerebral Palsy ◽  
Motor Impairments ◽  
Rehabilitation Process ◽  
Visuospatial Deficits ◽  
Periventricular Lesion ◽  
The Brain

Aim. This observational study aimed at assessing the prevalence of visuospatial attention deficits in children with unilateral spastic cerebral palsy (USCP), taking into consideration the affected hemibody and the localization of the brain lesion. Method. Seventy-five children with USCP were assessed with four visuospatial attention tests: star cancellation, Ogden figure copy, line bisection, and proprioceptive pointing. Results. A majority (64%) of children with USCP presented a deficit in at least one test compared to the reference values. The alterations observed in children with left or right USCP were related to egocentric or allocentric neglect, respectively. Children with cortico/subcortical lesion presented more often visuospatial attention deficits than children with periventricular lesion. Visuospatial attention deficits were not associated with brain lesion locations. Interpretation. Visuospatial attention deficits are prevalent in children with USCP and should be taken into account during their rehabilitation process. The present results shed new light on the interpretation of motor impairments in children with USCP as they may be influenced by the frequent presence of visuospatial deficits.

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