Pettersson Katina, Johansen Mette, Jahnsen Reidun, Rodby-Bousquet Elisabet
Centre for Clinical Research, Uppsala University - Region Västmanland, Västerås, Sweden.
Department of Clinical Sciences Lund, Ortopaedics, Lund University, Lund, Sweden.
BMC Pediatr. 2025 Apr 29;25(1):335. doi: 10.1186/s12887-025-05681-x.
To compare the characteristics, functional levels, and comorbidities of children with ataxic cerebral palsy (CP), with those of children with other CP subtypes.
A cross-sectional study of children with CP born between 2000 and 2019 as reported in the Scandinavian national CP follow-up programmes and quality registries. Data for age, sex, levels of the Gross Motor Function Classification System (GMFCS), the Manual Ability Classification System (MACS), the Communication Function Classification System (CFCS), epilepsy, intellectual disability, and pain were extracted.
There were 302 children (3.9%) with ataxic CP and 7336 children (96.1%) with other subtypes. Children with ataxic CP differed significantly from other subtypes, with a greater proportion classified in GMFCS II (37.7% vs. 15%), MACS II (41.4% vs. 24.8%), and CFCS II (24.7% vs. 10.5%), more girls (50.7% vs. 41.7%), school-aged (47% vs. 41.6%), adolescents (33.4% vs. 25.4%), or had an intellectual disability (51.2% vs. 38.4%), but the prevalence of pain and epilepsy was similar between the subtypes.
Children with ataxic CP have different characteristics and functional levels than children with other subtypes. We recommend a thorough examination of motor performance, communication, and intellectual disability to meet the individual needs of children with ataxic CP.
比较共济失调型脑瘫(CP)患儿与其他CP亚型患儿的特征、功能水平和合并症。
对斯堪的纳维亚国家CP随访项目和质量登记处报告的2000年至2019年出生的CP患儿进行横断面研究。提取年龄、性别、粗大运动功能分类系统(GMFCS)水平、手动能力分类系统(MACS)水平、沟通功能分类系统(CFCS)水平、癫痫、智力残疾和疼痛的数据。
有302名(3.9%)共济失调型CP患儿和7336名(96.1%)其他亚型患儿。共济失调型CP患儿与其他亚型患儿有显著差异,GMFCS II级(37.7%对15%)、MACS II级(41.4%对24.8%)和CFCS II级(24.7%对10.5%)分类比例更高,女孩更多(50.7%对41.7%),学龄儿童更多(47%对41.6%),青少年更多(33.4%对25.4%),或有智力残疾的比例更高(51.2%对38.4%),但各亚型之间疼痛和癫痫的患病率相似。
共济失调型CP患儿与其他亚型患儿具有不同的特征和功能水平。我们建议对运动表现、沟通和智力残疾进行全面检查,以满足共济失调型CP患儿的个体需求。