Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 27 , ISSUE 1 ( March, 2016 ) > List of Articles

RESEARCH ARTICLE

Changing Trends in Clinical Profile of Cerebral Palsy

Vinay Goyal, Nonica Laisram, Tufail Muzaffar, Shikha Bhatnagar

Citation Information : Goyal V, Laisram N, Muzaffar T, Bhatnagar S. Changing Trends in Clinical Profile of Cerebral Palsy. Indian J Phy Med Rehab 2016; 27 (1):10-13.

DOI: 10.5005/ijopmr-27-1-10

Published Online: 00-03-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

There may be change in clinical spectrum of cerebral palsy (CP) due to improvement in maternal and child care health service. The clinical profi le, aetiological factors and comorbidities of children with CP attending Department of PMR, VMMC & Safdarjang Hospital during the years 1981- 1989 and 2008 - 2012 were therefore compared and analysis done.

Methods

Four hundred and ten (group B) children with CP registered in last 4 years (2008 - 2012) at PMR Department of VMMC & Safdarjang Hospital were compared with previous study of 544 (group A) children during year 1981 - 1989 from same centre.

Results

Spastic CP remained most common in both the groups. Diplegia is commonest type of CP (38.78%) as compared to previous group where quadriplegia (34.9%) was most common. The mixed type showed a statistical signifi cant increase in percentage (group A: 0.18 % versus group B: 3.7 %).

In aetiology, there is decrease in prenatal and postnatal causes and increase in natal causes which were statistically signifi cant. Birth asphyxia (50.3 %) remains the main aetiological factor as earlier (24.5%). Speech problems (59.7%), mental retardation (31.7%) and seizures (26.8%) are common comorbidities as compared to previous studies where mental retardation (47.2 %) was found to be most common followed by speech impairment (37%), visual impairment (9%) and seizures (8.8%).

Conclusions

Clinical profile of CP has evolved with an increase in diplegic and a decrease in quadriplegic CP.


PDF Share
  1. A review of the incidence and prevalence, types and etiology of childhood cerebral palsy in resource-poor settings. Ann Trop Paediatr 2010;30:181-96.
  2. A report: The definition and classifi cation of Cerebral Palsy April 2006. Dev Med Child Neurol Suppl 2007;109:8-14.
  3. Clinical spectrum of cerebral palsy in North India – an analysis of 1000 cases. J Trop Pediatr 2002;48:162-6.
  4. Clinical spectrum of cerebral palsy in South Jordan; analysis of 122 cases. Pediatr Ther 2011;1:101-4.
  5. Changes in clinical spectrum of cerebral palsy over two decades in north India – analysis of 1212 cases. J Trop Pediatr 2013;59:434-40.
  6. Cerebral palsy. Indian Pediatr 1992;29:993-6.
  7. Cerebral palsy. In: Braddom RL, editor. Physical Medicine and Rehabilitation. New Delhi: Elsevier, 2008:1243-67.
  8. Cerebral palsy – clinical profi le and predisposing factors. Indian Paediatr 1999;36:1038-42.
  9. The changing epidemiology of cerebral plasy. Arch Dis Child 1996;75:F169-F173.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.