Bugler Kate E, Gaston Mark S, Robb James E
1 Specialty Trainee Registrar, Royal Hospital for Sick Children, Scotland.
2 Consultant Orthopaedic Surgeon, Royal Hospital for Sick Children, Scotland.
Scott Med J. 2019 Feb;64(1):16-21. doi: 10.1177/0036933018805897. Epub 2018 Oct 18.
Cerebral palsy is the commonest long-term physical disability in children with a prevalence of between 1.77 and 2.11/1000 live births. In 2013, the Cerebral Palsy Integrated Pathway Scotland (CPIPS) surveillance programme was introduced in all 14 Health Boards in Scotland and provides a standardised musculoskeletal examination of the spine and lower limbs. The purpose of this study was to report the prevalence, subtypes, motor classification and motor ability of children with cerebral palsy in Scotland.
The family/carer's postal address, the child's neurological classification, motor subtypes, Gross Motor Functional Classification (GMFCS) Level and Functional Mobility Scale of 1972 children at first registration in CPIPS 2013-2018 were analysed. Their mean age at first assessment was 7.6 years. There was an overall prevalence of cerebral palsy in Scotland of 2.02/1000. GMFCS levels and Functional Mobility Scale data and prevalence were reported by Health Board and were comparable to that reported elsewhere.
For the first time, data are available on the motor abilities of the total population of children with cerebral palsy in Scotland. This information will be highly relevant to resource management of current and future motor needs of these children.
脑瘫是儿童中最常见的长期身体残疾,活产儿患病率在1.77至2.11/1000之间。2013年,苏格兰脑瘫综合诊疗路径(CPIPS)监测项目在苏格兰所有14个卫生委员会中推行,该项目提供了标准化的脊柱和下肢肌肉骨骼检查。本研究的目的是报告苏格兰脑瘫儿童的患病率、亚型、运动分类和运动能力。
对1972名在2013 - 2018年首次登记参加CPIPS的儿童的家庭/照料者邮政地址、儿童神经学分类、运动亚型、粗大运动功能分类(GMFCS)水平和功能活动量表进行了分析。他们首次评估时的平均年龄为7.6岁。苏格兰脑瘫的总体患病率为2.02/1000。卫生委员会报告了GMFCS水平、功能活动量表数据和患病率,这些数据与其他地方报告的数据具有可比性。
首次获得了苏格兰脑瘫儿童总体人群运动能力的数据。这些信息对于这些儿童当前和未来运动需求的资源管理将具有高度相关性。