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Health status of children with moderate to severe cerebral palsy

Published online by Cambridge University Press:  12 June 2001

Gregory S Liptak
Affiliation:
University of Rochester Medical Center, USA.
Maureen O'Donnell
Affiliation:
Sunny Hill Health Centre for Children, USA.
Mark Conaway
Affiliation:
University of Virginia, USA.
W Cameron Chumlea
Affiliation:
Wright University, USA.
Gordon Worley
Affiliation:
Duke University Medical Center, USA.
Richard C Henderson
Affiliation:
University of North Carolina, USA.
Ellen Fung
Affiliation:
The Children's Hospital Oakland, USA.
Virginia A Stallings
Affiliation:
Children's Hospital of Philadelphia, USA.
Lisa Samson-Fang
Affiliation:
University of Utah, USA.
Randy Calvert
Affiliation:
Children's Exercise & Nutrition Centre, Hamilton, Ontario, Canada.
Peter Rosenbaum
Affiliation:
McMaster University, Canada.
Richard D Stevenson
Affiliation:
University of Virginia, USA.
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Abstract

The aim of the study was to evaluate the health of children with cerebral palsy (CP) using a global assessment of quality of life, condition-specific measures, and assessments of health care use. A multicenter population-based cross-sectional survey of 235 children, aged 2 to 18 years, with moderate to severe impairment, was carried out using Gross Motor Function Classification System (GMFCS) levels III (n=56), IV (n=55), and V (n=122). This study group scored significantly below the mean on the Child Health Questionnaire (CHQ) for Pain, General Health, Physical Functioning, and Impact on Parents. These children used more medications than children without CP from a national sample. Fifty-nine children used feeding tubes. Children in GMFCS level V who used a feeding tube had the lowest estimate of mental age, required the most health care resources, used the most medications, had the most respiratory problems, and had the lowest Global Health scores. Children with the most severe motor disability who have feeding tubes are an especially frail group who require numerous health-related resources and treatments. Also, there is a relationship among measures of health status such as the CHQ, functional abilities, use of resources, and mental age, but each appears to measure different aspects of health and well-being and should be used in combination to reflect children's overall health status.

Type
Original Articles
Copyright
© 2001 Mac Keith Press

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