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Factors Associated with Walking Ability in Child with Cerebral Palsy

Purpose: To determine the odds ratio a child in Europe with cerebral palsy being uanble to walk based on the study of Beckung et al.

Description

Beckung et al identified factors associated with an inability to walk in a child with cerebral palsy. This can help separate children into groups with a chance or little chance of walking. The authors are from multiple hospitals in Europe contributing to the Surveillance of Cerebral Palsy in Europe (SCPE).


 

Severe cerebral palsy is defined as both an inability to walk and an IQ < 50.

 

Parameters:

(1) SCPE type of cerebral palsy (unilateral spastic, bilateral spastic, dyskinetic, ataxic)

(2) intelligence quotient (IQ)

(3) visual impairment

(4) epilepsy (active if any during past year or if receiving antiepilepsy medications)

 

Unilateral Spastic

 

Parameter

Finding

Odds Ratio

IQ

< 50

55.8

 

>= 50

1

visual impairment

none to moderate

1

 

severe

7.7

epilepsy

none or inactive

1

 

active

3.0

 

Bilateral Spastic

 

Parameter

Finding

Odds Ratio

IQ

< 50

9.4

 

>= 50

1

visual impairment

none to moderate

1

 

severe

2.9

epilepsy

none or inactive

1

 

active

3.0

 

Dyskinetic

 

Parameter

Finding

Odds Ratio

IQ

< 50

5.4

 

>= 50

1

visual impairment

none to moderate

1

 

severe

2.9

epilepsy

none or inactive

1

 

active

2.1

 

Ataxic

 

Parameter

Finding

Odds Ratio

IQ

< 50

5.2

 

>= 50

1

 

cumulative odds ratio for an inability to walk =

= PRODUCT(odds ratios for the different parameters)

 


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Specialty

Objective

ICD-10