Cerebral palsy in children with prematurity and its comorbidities
10.3760/cma.j.issn.0254-1424.2010.12.008
- VernacularTitle:早产脑性瘫痪儿的共患病及其相关因素分析
- Author:
Dianrong SUN
;
Mei HOU
;
Wenyan LI
;
Tanfeng DOU
;
Rong YU
;
Ke WANG
- Publication Type:Journal Article
- Keywords:
Cerebral palsy;
Prematurity;
Comorbidity;
Gross motor function classification system
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2010;32(12):911-914
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the comorbidities and gross motor function classifications (GMFCs) of premature children with cerebral palsy (CP) in terms of neurological subtype and gestational age in search of some relationship. Methods Children with cerebral palsy treated at the Qingdao Children's Hospital from 2006 to mid2009 received intelligence capacity tests, ophthalmological consultations, language/speech tests, brainstem auditory evoked potential measurements, electroencephalograms and GMFC evaluations. All of the children were stratified according to neurological subtype, gestational age, comorbidities and gross motor function classification. Results Of all 258 children, spastic diplegic cerebral palsy predominated (183 case, 70.9% ). 124 cases (48.1% ) had visual disorders, 121 (46.9%) had language or speech disorders and 103 (39.9%) showed mental retardation. The frequencies of individual comorbidities were distributed disproportionately between the different neurologic subtypes.GMFC levels also differed with the different CP types. The GMFC levels of diplegics were significantly better than those of the other types. The distribution of comorbidities such as visual disorders, language or speech disorders, and mental retardation was not related to gestational age or type of CP. Conclusions There is some correlation between the neurological subtype, comorbidities and the GMFC levels. But there is no significant correlation between gestation age and the severity of CP.
