Developmental anomalies and associated impairments in Saudi children with cerebral palsy: a registry-based, multicenter study

Egyptian Rheumatology and Rehabilitation - 2021
Saeed Al-Garni1, Shereen Hefny Derbala2, Hatem M. H. Saad3, Ahmed I. Maaty4
1Department of Rehabilitation, Armed Forces Rehabilitation Center, Taif, Saudi Arabia
2Rheumatology and Rehabilitation Department, Faculty of Medicine, Misr University for Science and Technology, Giza, Egypt
3Rheumatology and Rehabilitation, Al-Azhar Faculty of Medicine, Cairo, Egypt
4Physical Medicine, Rheumatology, and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Tóm tắt

Abstract Background There are few epidemiological data to support rehabilitation programs for cerebral palsy (CP). Scarce international studies described the developmental anomalies (DAs) among children with CP. To our knowledge, the Arab countries did not publish data regarding this topic. This study aimed to describe the percentage of DAs among children with CP and detect the association between clinical subtypes and impairment severity in children with various DAs. We collected registry data of 679 children with cerebral palsy, between 2014 and 2019, from Armed Forces Hospitals, Taif, Kingdom of Saudi Arabia (KSA). We recorded demographic, perinatal, postnatal, developmental anomalies, subtypes, and impairment characteristics. We utilized the chi-square test to calculate the differences between groups. Results We reported significant differences between the children with and without anomalies regarding the percentages of consanguinity, preterm labor, low birth weight, and neonatal intensive care unit admission (P = 0.001, 0.002, 0.003, 0.005, respectively). Congenital dysplasia of the hip and hydrocephalus was the most frequent skeletal and nervous anomalies among children with DAs (19.1% and 12.8%, respectively). The spastic bilateral pattern was significantly higher among children with skeletal anomalies than the central nervous system/other groups (P < 0.001). The nervous anomalies group had higher frequencies of severe intellectual, motor, speech, and visual disabilities and a higher percentage of seizures than all other groups. Conclusions The frequency of children with anomalies in this study was comparable to previous studies. Children with CP and nervous system anomalies had more severe motor disabilities and associated impairments.

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Tài liệu tham khảo

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