Assessment of Abilities and Comorbidities in Children With Cerebral Palsy

作     者：Gabis, Lidia V. Tsubary, Netta Misgav Leon, Odelia Ashkenasi, Arie Shefer, Shahar 

作者机构：Safra Childrens Hosp Weinberg Dev Ctr Tel Hashomer Israel Tel Aviv Univ Sakler Sch Med IL-69978 Tel Aviv Israel 

出 版 物：《JOURNAL OF CHILD NEUROLOGY》 (儿童神经病学)

年 卷 期：2015年第30卷第12期

页      面：1640-1645页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：epilepsy intelligence cerebral palsy comorbidities Gross Motor Function Classification System 

摘      要：This study examines major comorbidities in children with severe cerebral palsy and the feasibility of psychological tests for measuring abilities in a more impaired population. Eighty psychological evaluations of children with cerebral palsy aged 1.8 to 15.4 years (mean = 5.6) were analyzed. Major comorbid disorders were correlated with severity of motor disability. More than half of the cohort were diagnosed with severe cerebral palsy according to the Gross Motor Function Classification System. Multiple subtests were combined in order to assess the intellectual level. Normal intelligence was found in 22.5%, and 41.3% had moderate or severe intellectual impairment. Epilepsy occurred in 32.5% and attention-deficit hyperactivity disorder (ADHD) in 22.5%. Intellectual disability correlated with motor ability and with epilepsy. In a logistic regression model, epilepsy and motor ability score predicted 29.9% of IQ score variance. Intellectual impairment and epilepsy are common comorbidities. Subtests from different scales should be applied and interpreted with caution.