ICNC Abstracts, ICNC 2018

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Association of comorbidities in cerebral palsy with GMFCS, CP type and Quality of life : An observational study at a tertiary care hospital
JAYANTI PRABHA, areesha alam, Rashmi Kumar, Chandrakanta kumar, neera kohli

Last modified: 2018-09-09

Abstract


Background: Much work exists on comorbidities in cerebral palsy (CP), but only a few studies have explored their correlation with GMFCS, CP type and quality of life (QoL).

Objective:  Clinical correlation between comorbidities and GMFCS  levels, CP type and QoL.

Methods :  Prospective observational study at Pediatric Neurology Clinic at tertiary care public hospital in northern India.  The first 3 new cases of CP diagnosed by pediatric neurologists were enrolled and mothers administered the Caregiver’s Quality of Life questionnaire. Functional mobility was classified (GMFCS ). Comorbidities were pre-defined.

Results: 138 cases of CP [mean age 2.71 (SD=1.91)  years; range  2 months to 15 years], with spastic diplegia (39, 28.5%), spastic quadriplegia (66, 47.8%), spastic hemiplegia (16, 11.6%), extrapyramidal (9, 6.5%) and ataxic/hypotonic (8, 5.8%).  Co- morbidities like feeding difficulty (p=0.005), drooling(p=0.005), hearing impairment (p=0.032), sleep problems (0.004), squint (0.014), malnutrition (0.005) were significantly correlated to GMFCS  5.  There was significant association between seizures (p=0.027), feeding difficulty (p=0.001), sleep problems (0.004) contractures, drooling, constipation, vision and hearing impairments, squint and malnutrition with spastic quadriplegia.  Comorbidities [seizures (p=0.004), feeding difficulty (0.002), drooling (0.002), constipation (p=0.01), vision impairment (p=0.001), Autism (0.001) , ADHD (0.005), moderate malnutrition(p=0.01 )] were also significantly related to QoL.

Conclusion: Comorbidities were significantly related to CP type , GMFCS and QoL.  This information is  useful in prognostication.


Keywords


cerebral palsy; comorbidities;GMFCS;CP type

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