Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional study

Background: More than 100 million children in the world have at least one type of disability. Among disabled children, approximately 25% of chronic disabilities are of neurological origin. Cerebral Palsy is the leading cause of chronic disability in children, making them not only physically and ment...

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Main Authors: Shraddha Badgujar, Jagannath Dixit, Bina M. Kuril, L.S. Deshmukh, Prabha Khaire, Varsha Vaidya, Madhavi Shelke
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957224000718
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author Shraddha Badgujar
Jagannath Dixit
Bina M. Kuril
L.S. Deshmukh
Prabha Khaire
Varsha Vaidya
Madhavi Shelke
author_facet Shraddha Badgujar
Jagannath Dixit
Bina M. Kuril
L.S. Deshmukh
Prabha Khaire
Varsha Vaidya
Madhavi Shelke
author_sort Shraddha Badgujar
collection DOAJ
description Background: More than 100 million children in the world have at least one type of disability. Among disabled children, approximately 25% of chronic disabilities are of neurological origin. Cerebral Palsy is the leading cause of chronic disability in children, making them not only physically and mentally handicapped but also socially aloof. Methods: This study was conducted among 200 eligible participants from three centers with Child Guidance or Cerebral Palsy clinics in the outpatient department. All the participants were included in the analysis of the epidemiological profile and the role of early markers. Of these, 70 participants were assessed for quality of life according to the age criteria of a pre-tested Cerebral Palsy Quality of Life questionnaire (CP-QOL). Results: Mean ± S.D. age in years was 3.7 ± 2.8. Birth history included 182 (39%) neonatal etiopathology, followed by 173 (38%) perinatal, and 106 (23%) antenatal causes. Mean ± S.D. birth weight was 2.3 ± 1.2 kg. The positive predictors of various domains of Quality of Life were an absence of any associated sensory, neurological, communication, or psychological disorder or disability. While, the negative predictors were decreasing functional capacity, involvement of number of limbs in increasing order, high therapeutic requirements, and dependency. Conclusion: The association between early diagnosis of cerebral palsy and improved functional capacity, involvement of a lesser number of limbs, better quality of life, and absence of associated disabilities is established from the findings of our study.
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spelling doaj-art-0123fd8b1b4e4098988014ca63afea252025-01-25T04:11:03ZengElsevierPediatrics and Neonatology1875-95722025-01-016611824Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional studyShraddha Badgujar0Jagannath Dixit1Bina M. Kuril2L.S. Deshmukh3Prabha Khaire4Varsha Vaidya5Madhavi Shelke6Government Medical College, Aurangabad, India; Corresponding author. Maharashtra, 431005, India.Department of Community Medicine, B.J Government Medical College, Pune, IndiaDepartment of Community Medicine, Government Medical College, Aurangabad, IndiaDepartment of Neonatology, Government Medical College, Aurangabad, IndiaDepartment of Pediatrics, Government Medical College, Aurangabad, IndiaKpond Children’ Superspeciality Hospital, Aurangabad, IndiaICON Centre, Aurangabad, IndiaBackground: More than 100 million children in the world have at least one type of disability. Among disabled children, approximately 25% of chronic disabilities are of neurological origin. Cerebral Palsy is the leading cause of chronic disability in children, making them not only physically and mentally handicapped but also socially aloof. Methods: This study was conducted among 200 eligible participants from three centers with Child Guidance or Cerebral Palsy clinics in the outpatient department. All the participants were included in the analysis of the epidemiological profile and the role of early markers. Of these, 70 participants were assessed for quality of life according to the age criteria of a pre-tested Cerebral Palsy Quality of Life questionnaire (CP-QOL). Results: Mean ± S.D. age in years was 3.7 ± 2.8. Birth history included 182 (39%) neonatal etiopathology, followed by 173 (38%) perinatal, and 106 (23%) antenatal causes. Mean ± S.D. birth weight was 2.3 ± 1.2 kg. The positive predictors of various domains of Quality of Life were an absence of any associated sensory, neurological, communication, or psychological disorder or disability. While, the negative predictors were decreasing functional capacity, involvement of number of limbs in increasing order, high therapeutic requirements, and dependency. Conclusion: The association between early diagnosis of cerebral palsy and improved functional capacity, involvement of a lesser number of limbs, better quality of life, and absence of associated disabilities is established from the findings of our study.http://www.sciencedirect.com/science/article/pii/S1875957224000718Spastic diplegiaFunctional disabilityRehabilitationPhysiotherapyCerebral Palsy
spellingShingle Shraddha Badgujar
Jagannath Dixit
Bina M. Kuril
L.S. Deshmukh
Prabha Khaire
Varsha Vaidya
Madhavi Shelke
Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional study
Pediatrics and Neonatology
Spastic diplegia
Functional disability
Rehabilitation
Physiotherapy
Cerebral Palsy
title Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional study
title_full Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional study
title_fullStr Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional study
title_full_unstemmed Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional study
title_short Epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy: A multi-centric cross-sectional study
title_sort epidemiological predictors of quality of life and the role of early markers in children with cerebral palsy a multi centric cross sectional study
topic Spastic diplegia
Functional disability
Rehabilitation
Physiotherapy
Cerebral Palsy
url http://www.sciencedirect.com/science/article/pii/S1875957224000718
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