Clinical Spectrum of Cerebral Palsy and Associated Disability in South Egypt: A Local Survey Study

Osama Abas; Faten Abdelaziem; Ayman Kilany

doi:10.3889/oamjms.2017.020

Authors

Osama Abas Physical Therapy, Ministry of Health, Cairo
Faten Abdelaziem Department of Physical Therapy for Growth and Development Disorders in Children and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo
Ayman Kilany Department of Research on Children with Special Needs, National Research Centre, Cairo

DOI:

https://doi.org/10.3889/oamjms.2017.020

Keywords:

Cerebral palsy, prevalence, subtypes, comorbidity, Egypt

Abstract

BACKGROUND: Cerebral palsy is the most common cause of motor disability in children with a prevalence of 2-10/1,000 live births in the developing areas.

AIM: The epidemiology, clinical picture, and associated comorbidities in CP have been extensively studied in high-resource countries, but in low-resource areas, including Africa, those studies are still lacking.

METHODS: Cerebral palsy cases were prospectively recruited from every physiotherapy centre in Bani-Mazar city, Egypt, in a cross-sectional study from May 2015 to November 2015.

RESULTS: Two hundred cases were enrolled with a prevalence of 1 per 1000 live births. Within the study population, 72.5% were the spastic type, 16% were dyskinetic, 7% were ataxic, and 4.5% were hypotonic. The most common comorbidities were cognitive impairment and epilepsy affecting 77% and 38%, respectively.

CONCLUSION: Cerebral palsy in developing countries has a higher prevalence and different clinical profile regarding severity and associated disability. The perinatal and high-quality neonatal care together with physical therapy and rehabilitation programs is still lacking in developing countries.

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References

Graham HK, Rosenbaum P, Paneth N, Dan B, Lin JP, Damiano DL, Becher JG, Gaebler-Spira D, Colver A, Reddihough DS, Crompton KE, Lieber RL. Cerebral palsy. Nat Rev Dis Primers. 2016;2:15082. https://doi.org/10.1038/nrdp.2015.82 PMid:27188686 DOI: https://doi.org/10.1038/nrdp.2016.5

Durkin MS, Benedict RE, Christensen D, Dubois LA, Fitzgerald RT, Kirby RS, Maenner MJ, Van Naarden Braun K, Wingate MS, Yeargin-Allsopp M. Prevalence of Cerebral Palsy among 8-Year-Old Children in 2010 and Preliminary Evidence of Trends in Its Relationship to Low Birthweight. Paediatr Perinat Epidemiol. 2016;30(5):496-510. https://doi.org/10.1111/ppe.12299 PMid:27215680 DOI: https://doi.org/10.1111/ppe.12299

El-Tallawy HN, Farghaly WM, Shehata GA. Cerebral palsy in Al-Quseir City, Egypt: prevalence, subtypes, and risk factors. Neuropsychiatric Disease and Treatment. 2014;10:1267-1272. PMid:25045270 PMCid:PMC4099193 DOI: https://doi.org/10.2147/NDT.S59599

Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Surveillance of Cerebral Palsy in Europe (SCPE). Dev Med Child Neurol. 2000; 42(12):816-24. PMid:11132255 DOI: https://doi.org/10.1017/S0012162200001511

Bax M. Proposal definition and classification of cerebral palsy. Dev Med Child Neurol. 2005;47: 571-6. https://doi.org/10.1017/S001216220500112X PMid:16108461 DOI: https://doi.org/10.1017/S001216220500112X

Johnson, A. Prevalence and Characteristics of Children with Cerebral Palsy in Europe. Developmental Medicine Child Neurology. 2002; 44: 633-640. https://doi.org/10.1017/S0012162201002675 DOI: https://doi.org/10.1111/j.1469-8749.2002.tb00848.x

El Tallawy HN, Farghaly WM, Rageh TA, Shehata GA, Metwaly NA, Abo Elfto N, et al. Epidemiology of major neurological disorders project in Al Kharga District, New Valley, Egypt. Neuroepidemiol. 2010; 35:291â€“7. https://doi.org/10.1159/000320240 PMid:20948236 DOI: https://doi.org/10.1159/000320240

Bearden DR, Monokwane B, Khurana E, Baier J, Baranov E, Westmoreland K, Mazhani L, Steenhoff AP. Pediatric Cerebral Palsy in Botswana: Etiology, Outcomes, and Comorbidities. Pediatr Neurol. 2016; 59:23-9. https://doi.org/10.1016/j.pediatrneurol.2016.03.002 PMid:27114082 DOI: https://doi.org/10.1016/j.pediatrneurol.2016.03.002

Kakooza-Mwesige A, Forssberg H, Eliasson AC, Tumwine JK. Cerebral palsy in children in Kampala, Uganda: clinical subtypes, motor function and co-morbidities. BMC Res Notes. 2015; 23;8:166. DOI: https://doi.org/10.1186/s13104-015-1125-9

Guro L. Andersena, Lorentz M. Irgensb, Ivar Haagaasa, Jon S. Skranesc, Alf E. Mebergd, Torstein Vike Cerebral palsy in Norway: Prevalence, subtypes and severity Eur J Paediatr Neurol. 2008;12(1):4-13. DOI: https://doi.org/10.1016/j.ejpn.2007.05.001

Hundozi-Hysenaj H, Boshnjaku-Dallku I. Epilepsy in children with cerebral palsy. Journal of Pediatric Neurology. 2008;6(1):43-6. https://doi.org/10.1055/s-0035-1557423 DOI: https://doi.org/10.1055/s-0035-1557423

Dalvand H, Dehghan L, Hadian MR, Feizy A, Hosseini SA. Relationship between gross motor and intellectual function in children with cerebral palsy: a cross-sectional study. Arch Phys Med Rehabil. 2012; 93(3):480-4. https://doi.org/10.1016/j.apmr.2011.10.019 PMid:22265344 DOI: https://doi.org/10.1016/j.apmr.2011.10.019

Himmelmann K, Beckung E, Hagberg G, Uvebrant P. Gross and fine motor function and accompanying impairments in cerebral palsy. Dev Med Child Neurol. 2006; 48:417-23. https://doi.org/10.1017/S0012162206000922 PMid:16700930 DOI: https://doi.org/10.1111/j.1469-8749.2006.tb01289.x