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Cerebral palsy prevalence, subtypes, and associated impairments: a population‐based comparison study of adults and children
Author(s) -
Jonsson Ulrica,
Eek Meta N,
Sunnerhagen Katharina S,
Himmelmann Kate
Publication year - 2019
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.14229
Subject(s) - cerebral palsy , cohort , epilepsy , medicine , population , pediatrics , intellectual disability , cohort study , demography , physical therapy , psychiatry , environmental health , sociology
Aim To describe the prevalence of cerebral palsy ( CP ), subtype distribution, motor and intellectual impairment, and epilepsy in adults with CP compared with children with CP . Method CP subtype and impairment data from the population‐based CP register of western Sweden and population data from Statistics Sweden were used to compare surviving adults ( n =581; 244 females, 337 males) born between 1959 and 1978, with the same cohort as children ( n =723; 307 females, 416 males), and with the most recent cohort, born from 2007 to 2010 ( n =205; 84 females, 121 males). Results Prevalence of CP in adults born between 1959 and 1978 was 1.14 per 1000. The occurrence of impairments differed between CP subtypes. Motor and intellectual impairment were closely related, regardless of subtype. Subtype distribution among survivors differed significantly from the original cohorts ( p =0.002), and the most recent cohort ( p <0.01), tetraplegia and dyskinetic CP being less common in survivors. Severe motor impairment, intellectual disability, and epilepsy were less common among survivors than in the original cohorts ( p =0.004, p =0.002, p =0.037) and the most recent cohort ( p =0.004, p =0.008, p <0.01). Interpretation Data on prevalence, subtype distribution, and impairments in children with CP are not applicable to adults with CP . Population‐based studies of adults with CP are needed. What this paper adds Cerebral palsy (CP) subtypes are differently distributed in adults compared to children. The prevalence of impairments in adults with CP is related to CP subtype. Spastic tetraplegia and dyskinetic CP are less common in adults than children. Severe motor impairment, intellectual disability, and epilepsy are less common in adults.