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The epidemiology of cerebral palsy: Incidence, impairments and risk factors

Odding, Else, Roebroeck, Marij E., Stam, Hendrik J.·2006·Disability and Rehabilitation

Abstract

PURPOSE: Describing the epidemiology of cerebral palsy (CP), its impairments and risk factors. METHOD: Literature review 1965-2004. Search terms: Cerebral palsy, incidence, prevalence, impairments, risk factors. RESULTS: In the last 40 years the prevalence of CP has risen to well above 2.0 per 1000 life births. In this time span the proportion of low-birthweight infants rose, the proportion of diplegia decreased, while the proportion of hemiplegia increased. CP is more prevalent in more deprived socio-economic populations. The majority of people with CP have the spastic syndrome of which the diplegic group is the smallest. Dependent on the subgroup of CP, 25-80% have additional impairments. A large proportion has some kind of cognitive impairment; the prevalence varies with the type of CP and especially increases when epilepsy is present. Epilepsy is present in 20-40%; it is most common among the hemi- and tetraplegics. Sensibility of the hands is impaired in about half. Chronic pain is reported by more than a quarter of the adults. Up to 80% have at least some impairment of speech. Low visual acuity is reported in almost three-quarters of all children. Half of all children have gastrointestinal and feeding problems. Stunted growth occurs in a quarter, while under- or overweight problems are present in half of the children. Almost 70% of people with spastic CP have abnormal brain CT findings; abnormal cranial ultrasounds is most strongly associated with hemiplegia, normal cranial ultrasounds with diplegia. The most important risk factors for CP are low birthweight, intrauterine infections and multiple gestation.

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Crossref · 10.1080/09638280500158422

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Metadata

Authors
Odding, E., Roebroeck, M. E., & Stam, H. J.
Venue
Disability and Rehabilitation
Published
2006-01
Volume
28
Issue
4
Pages
183-191
ISSN
  • 0963-8288 (ISSN-L)
  • 1464-5165
OpenAlex
W2070508173
Cited by
1,082
References
1
FWCI
15.91
Type
journal article
Language
en
Open access
closed

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