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A population-based study of communication impairment in cerebral palsy.

Authors
  • Zhang, James Yue
  • Oskoui, Maryam
  • Shevell, Michael
Type
Published Article
Journal
Journal of Child Neurology
Publisher
SAGE Publications
Publication Date
Mar 01, 2015
Volume
30
Issue
3
Pages
277–284
Identifiers
DOI: 10.1177/0883073814538497
PMID: 25051968
Source
Medline
Keywords
License
Unknown

Abstract

To explore factors associated with communication impairments in children with cerebral palsy. Data were obtained on children born between 1999 and 2008 from the Quebec Cerebral Palsy Registry (REPACQ). Out of 535 children with cerebral palsy, 297 were identified to have communication impairments (55.5%). Of these, 96 were unable to communicate verbally (32.3%), 195 had some verbal communication (65.7%), and 6 were unspecified (2.0%). These children were significantly more likely to have a more severe motor deficit (Gross Motor Function Classification System levels IV and V and Manual Ability Classification System levels IV and V), to have spastic quadriplegia or dyskinetic subtypes of cerebral palsy, and gray matter injury on neuroimaging. Communication impairment is a common comorbidity in cerebral palsy and is associated with a more severe motor deficit, spastic quadriplegic or dyskinetic subtype of cerebral palsy, and gray matter injury on neuroimaging. This information allows clinicians to better predict and manage communication impairment in children with cerebral palsy.

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