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One‐third of school‐aged children with cerebral palsy have neuropsychiatric impairments in a population‐based study
Author(s) -
Påhlman Magnus,
Gillberg Christopher,
Himmelmann Kate
Publication year - 2019
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14844
Subject(s) - medicine , cerebral palsy , pediatrics , population , physical medicine and rehabilitation , physical therapy , environmental health
Aim To describe motor function and associated impairments, particularly autism spectrum disorder (ASD) and attention‐deficit/hyperactivity disorder (ADHD), in school‐aged children with cerebral palsy (CP). Methods Population‐based study of all children with CP born 1999–2006 from the county of Västra Götaland, Sweden; 264 children (141 males, 123 females). Information was obtained from the CP Register of western Sweden (data collected at 4–8 years of age) and all medical records at 10–17 years of age. Results Cerebral palsy was spastic in 76%, dyskinetic in 17% and ataxic in 7% of all children. Sixty‐three per cent were independent walkers. Associated impairments were present in 75%. Vision was impaired in 19%, hearing in 8% and speech in 54%. Intellectual disability (ID) was present in 53% and epilepsy in 41%. ID had increased from 42% to 53% since preschool‐age. Neuropsychiatric impairments were present in 32% of the children; ASD in 18%; and ADHD in 21%. All impairments, except for ASD and ADHD, increased with more severe motor impairment. Conclusion Three in four school‐aged children with CP have associated impairments, underscoring the need to broadly assess every child. The high rate of ASD and ADHD points to the importance of in‐depth studies of such impairments in CP.