[MS3-2C-2] A cross-sectional survey of 0-18 years old children with cerebral palsy in West China
[Aim] To describe subtypes, gross and fine motor functions and associated impairments of children with cerebral palsy (CP) in Chengdu, West China.
[Methods] A single-center, cross-sectional survey was performed for children registered as CP in China Disabled Persons’ Federation (CDPF) branch in Chengdu. A self-made questionnaire was used to collect demographic data. The Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) were used to assess the motor function.
[Results] A total of 422 children were ascertained with CP from 578 registered children. Mean age of children with CP was 7.7±3.8 years. Mean birth weight was 2.6±0.7 kg, and mean gestational age was 35.1±4.1 weeks. Thirty-five percent of the children had spastic diplegic CP, 22% spastic quadriplegic, 14% spastic hemiplegic, 8% dyskinetic, 3% ataxic CP and 19% were mixed type. With respect to the GMFCS classification, level II and level III were the most common at 30% and 24%. Manual ability was assessed in 343 children, and most children were in MACS level I to level III (74%). Mental retardation was one of the most common comorbidities, presenting in 60% of the children, following by speech disorder in 41%, epilepsy in 25%, visual impairment in 29%, behavior problems in 19%, and hearing impairment in 1%.
[Conclusion] The proportions of subtypes, gross and fine motor impairments were similar to the others populations, whereas associated impairments especially mental retardation, speech disorder were more common. The classification of children with mixed types of CP is still a challenge.
[Methods] A single-center, cross-sectional survey was performed for children registered as CP in China Disabled Persons’ Federation (CDPF) branch in Chengdu. A self-made questionnaire was used to collect demographic data. The Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) were used to assess the motor function.
[Results] A total of 422 children were ascertained with CP from 578 registered children. Mean age of children with CP was 7.7±3.8 years. Mean birth weight was 2.6±0.7 kg, and mean gestational age was 35.1±4.1 weeks. Thirty-five percent of the children had spastic diplegic CP, 22% spastic quadriplegic, 14% spastic hemiplegic, 8% dyskinetic, 3% ataxic CP and 19% were mixed type. With respect to the GMFCS classification, level II and level III were the most common at 30% and 24%. Manual ability was assessed in 343 children, and most children were in MACS level I to level III (74%). Mental retardation was one of the most common comorbidities, presenting in 60% of the children, following by speech disorder in 41%, epilepsy in 25%, visual impairment in 29%, behavior problems in 19%, and hearing impairment in 1%.
[Conclusion] The proportions of subtypes, gross and fine motor impairments were similar to the others populations, whereas associated impairments especially mental retardation, speech disorder were more common. The classification of children with mixed types of CP is still a challenge.