Abas Osama, Abdelaziem Faten, Kilany Ayman
Physical Therapy, Ministry of Health, Cairo, Egypt.
Department of Physical Therapy for Growth and Development Disorders in Children and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Open Access Maced J Med Sci. 2017 Mar 15;5(1):37-41. doi: 10.3889/oamjms.2017.020. Epub 2017 Feb 4.
Cerebral palsy is the most common cause of motor disability in children with a prevalence of 2-10/1,000 live births in the developing areas.
The epidemiology, clinical picture, and associated comorbidities in CP have been extensively studied in high-resource countries, but in low-resource areas, including Africa, those studies are still lacking.
Cerebral palsy cases were prospectively recruited from every physiotherapy centre in Bani-Mazar city, Egypt, in a cross-sectional study from May 2015 to November 2015.
Two hundred cases were enrolled with a prevalence of 1 per 1000 live births. Within the study population, 72.5% were the spastic type, 16% were dyskinetic, 7% were ataxic, and 4.5% were hypotonic. The most common comorbidities were cognitive impairment and epilepsy affecting 77% and 38%, respectively.
Cerebral palsy in developing countries has a higher prevalence and different clinical profile regarding severity and associated disability. The perinatal and high-quality neonatal care together with physical therapy and rehabilitation programs is still lacking in developing countries.
脑瘫是儿童运动残疾最常见的原因，在发展中地区的患病率为每1000例活产中有2 - 10例。
在资源丰富的国家，对脑瘫的流行病学、临床表现及相关合并症进行了广泛研究，但在包括非洲在内的资源匮乏地区，此类研究仍很缺乏。
在2015年5月至2015年11月的一项横断面研究中，从埃及巴尼 - 马扎尔市的每个物理治疗中心前瞻性招募脑瘫病例。
共纳入200例病例，患病率为每1000例活产中有1例。在研究人群中，痉挛型占72.5%，运动障碍型占16%，共济失调型占7%，低张型占4.5%。最常见的合并症是认知障碍和癫痫，分别影响77%和38%的病例。
发展中国家的脑瘫患病率较高，在严重程度和相关残疾方面具有不同的临床特征。发展中国家仍缺乏围产期和高质量的新生儿护理以及物理治疗和康复项目。
