Walking function, pain, and fatigue in adults with cerebral palsy: a 7‐year follow‐up study
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Open Access
- 6 April 2009
- journal article
- research article
- Published by Wiley in Developmental Medicine and Child Neurology
- Vol. 51 (5), 381-388
- https://doi.org/10.1111/j.1469-8749.2008.03250.x
Abstract
To compare walking function, pain, and fatigue in adults with cerebral palsy (CP) 7 years after an initial survey. A multidimensional questionnaire was mailed to 226 people with unilateral (hemiplegic) or bilateral (diplegic) spastic CP who had participated in a 1999 survey. People with additional diagnoses were excluded. Special emphasis was placed on participants with deterioration in walking. The questionnaire was the same as in 1999. One hundred and forty-nine participants (76 males, 73 females; mean age 40y 5mo, SD 10y 7mo, range 24-76y) with a diagnosis of unilateral (n=81) or bilateral (n=68) spastic CP responded. Fifty-two per cent of all participants reported deterioration in walking function since debut of walking, compared with 39% 7 years previously. In participants with bilateral CP, 71% reported deteriorated walking, compared with 37% of participants with unilateral CP. Participants with deteriorated walking function had greater pain frequency, pain intensity, impact of pain on daily activities, and physical fatigue and reduced balance. The number of people reporting overall mobility problems was almost double compared with 7 years previously. The main finding was an increased prevalence of deteriorated walking, significantly associated with bilateral spastic CP, pain, fatigue, and reduced balance. Rehabilitation programmes addressing these areas are needed.This publication has 26 references indexed in Scilit:
- Gross Motor Function Classification System used in adults with cerebral palsy: agreement of self-reported versus professional ratingDevelopmental Medicine and Child Neurology, 2007
- Gross Motor Function Classification System used in adults with cerebral palsy: agreement of self-reported versus professional ratingDevelopmental Medicine and Child Neurology, 2006
- Locomotion skills in adults with cerebral palsyClinical Rehabilitation, 2004
- Fatigue in adults with cerebral palsy in Norway compared with the general populationDevelopmental Medicine and Child Neurology, 2003
- Functional status of adults with cerebral palsy and implications for treatment of childrenDevelopmental Medicine and Child Neurology, 2001
- Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotionDevelopmental Medicine and Child Neurology, 2001
- Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotionDevelopmental Medicine and Child Neurology, 2001
- Musculoskeletal symptoms in a local communityThe European Journal of General Practice, 1995
- Development of a fatigue scaleJournal of Psychosomatic Research, 1993
- Pain measurement: an overviewPain, 1985