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)
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.
Specialty: Sports Medicine & Rehabilitation
Objective: severity, prognosis, stage, disability and performance
ICD-10: G80, R26,
