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Epidemiology of cerebral palsy in Sumba Island, Indonesia
Author(s) -
Jahan Israt,
Al Imam Mahmudul Hassan,
Karim Tasneem,
Muhit Mohammad,
Hardianto Denny,
Das Manik Chandra,
SmithersSheedy Hayley,
Badawi Nadia,
Khandaker Gulam
Publication year - 2020
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.14616
Subject(s) - cerebral palsy , rehabilitation , medicine , etiology , epidemiology , pediatrics , spastic , gross motor skill , spastic quadriplegia , physical therapy , motor skill , psychiatry
Aim To define the epidemiology, clinical characteristics, and rehabilitation status of children with cerebral palsy (CP) in Sumba Island, Indonesia. Method A community‐based key informant method survey among children (aged <18y) with CP was conducted between March and August 2017. Children with suspected CP underwent detailed neurodevelopmental assessment by a multidisciplinary medical team. Socio‐demographic characteristics, aetiology, motor type, motor severity, associated impairments, educational, and rehabilitation status were documented. Results There were 130 children with clinically confirmed CP. The mean age at assessment was 8 years 11 months and 43.8% ( n =57) of the children were female. The mean age at CP diagnosis was 6 years 5 months. Of these children, 46.9% ( n =61) had post‐neonatally acquired CP, most frequently because of vaccine‐preventable infectious encephalopathy (73.8%, n =45). In total, 80.8% ( n =105) had a predominantly spastic motor type of CP and 83.8% ( n =109) were classified in Gross Motor Functional Classification System levels III to V. A total of 77.7% ( n =101) had at least one associated impairment (speech 77.5%, intellectual 29.2%, visual 13.8%, hearing 20.0%, and epilepsy 13.5%). And 66.2% ( n =86) had never received rehabilitation services. Interpretation Post‐neonatally acquired CP was common in this setting. Addressing preventable post‐neonatally acquired risk factors for CP should be a public health priority. Earlier identification and diagnosis of CP would also provide new opportunities for early intervention and targeted rehabilitation services.