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Stability of motor function and associated impairments between childhood and adolescence in young people with cerebral palsy in E urope
Author(s) -
Nystrand Malin,
Beckung Eva,
Dickinson Heather,
Colver Allan
Publication year - 2014
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12435
Subject(s) - cerebral palsy , confidence interval , population , psychology , pediatrics , gross motor function classification system , audiology , kappa , medicine , physical therapy , linguistics , philosophy , environmental health
Aim The aim of the study was to investigate whether impairments associated with cerebral palsy were stable between childhood and adolescence. Method The Study of P articipation of C hildren with C erebral P alsy L iving in E urope ( SPARCLE ) longitudinal study was conducted in nine E uropean regions. In total, 818 children aged 8 to 12 years were randomly selected from population‐based registers; 594 (73%) were followed up at the age of 13 to 17 years (344 males, 250 females; median age 10y 4mo) Research associates visited them in their homes and recorded their motor function and additional impairments. Stability of impairment was assessed using the weighted kappa coefficient. Results The proportion of participants whose level of impairment remained unchanged varied from 63% for fine motor function to 98% for hearing. For gross motor function, communication, and cognitive level, the kappa and the lower bound of its 95% confidence interval ( CI ) were above 0.75, indicating stability between childhood and adolescence; for fine motor function and feeding, the kappa was above 0.75 but the lower bound of the 95% CI was below 0.75, indicating probable stability; for seizures and vision, the kappa was below 0.75, although the upper bound of the 95% CI was above 0.75, indicating possible change; for hearing the kappa and its entire CI were below 0.75, indicating change. Overall, 81% of participants had no seizures in childhood, of whom 93% were seizure‐free in adolescence. Interpretation Motor function and additional impairments were generally stable between childhood and adolescence.