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Impact of child and family characteristics on cerebral palsy treatment

RACKAUSKAITE G; ULDALL PW; BECH BH; OSTERGAARD JR
DEV MED CHILD NEUROL , 2015, vol. 57, n° 10, p. 948-954
Doc n°: 177182
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/dmcn.12791
Descripteurs : AJ23 - PARALYSIE CEREBRALE, JL13 - HANDICAP ET FAMILLE

The aim of the study was to describe the relationship between the child's
and family's characteristics and the most common treatment modalities in a
national population-based sample of 8- to 15-year-old children with cerebral
palsy. METHOD: A cross-sectional study, based on the Danish Cerebral Palsy
Registry. The parents of 462 children answered a questionnaire about their
child's treatment and the family's characteristics
(living with a single parent,
having siblings, living in a city, parental education level). Descriptive and
logistic regression analyses were performed for every treatment modality,
stratified by Gross Motor Function Classification System (GMFCS) level. RESULTS:
An IQ below 85 was associated with weekly therapy in GMFCS level I (adjusted odds
ratio [ORadj ] 2.5 [CI 1.1-5.7]) and the use of oral spasmolytics in GMFCS levels
III to V (ORadj 3.1 [CI 1.3-7.4]). Older children in GMFCS levels III to V used
daily orthoses less frequently (ORadj 0.7 [CI 0.6-0.9] per year). Of all of the
family characteristics studied, only the parents' education level had significant
associations with more than one treatment modality. INTERPRETATION: A child's
cognitive function showed an impact on treatment of the motor impairment in
children 8 to 15 years of age with cerebral palsy. Parental education level may
influence the choice of treatment.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS

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