Growth characteristics in cerebral palsy subtypes: a comparative assessment
Jeremy L Stanek1, Jane A Emerson1, Fred A Murdock1
1Department of Physical Medicine and Rehabilitation, University of Missouri, Columbia, MO, USA.
Insights
Children with hemiplegic cerebral palsy (CP) showed greater growth than those with diplegic or quadriplegic CP. This study highlights distinct growth patterns across different CP types.
Area of Science:
- Pediatric neurology
- Developmental pediatrics
- Growth and development studies
Background:
- Children with cerebral palsy (CP) exhibit varying growth patterns compared to typically developing children.
- Limited research exists on growth differences among hemiplegic, diplegic, and quadriplegic CP subtypes.
Purpose of the Study:
- To compare the growth trajectories of children diagnosed with hemiplegic, diplegic, and quadriplegic cerebral palsy.
Main Methods:
- Retrospective analysis of electronic medical records from an outpatient CP center.
- Utilized linear mixed models to analyze growth data stratified by CP diagnosis (ICD-9 codes 343.0, 343.1, 343.2).
Main Results:
- Children with quadriplegic CP demonstrated consistently lower heights and weights compared to hemiplegic and diplegic CP.
- Hemiplegic CP was associated with greater height and weight measurements than other subtypes.
- Statistically significant differences in weight gain curves were observed among the three CP diagnoses in males (p<0.05).
Conclusions:
- The study confirms significant differences in growth rates among hemiplegic, diplegic, and quadriplegic cerebral palsy subtypes.
- Findings underscore the importance of considering specific CP classifications when monitoring growth and development in affected children.
Aim:
Children with quadriplegic cerebral palsy (CP) have been found to have growth rates that differ from those of children with typical development. Little research has been performed to distinguish whether growth patterns in hemiplegic, diplegic, and quadriplegic CP differ from one another. The purpose of this study was to compare growth of children with quadriplegic, hemiplegic, and diplegic CP.
Method:
Retrospective data were collected from the electronic medical record of patients with CP at an outpatient center. Linear mixed models were used to examine growth by diagnosis, using International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes 343.0 (diplegia), 343.1 (hemiplegia), and 343.2 (quadriplegia).
Results:
Heights and weights of children with quadriplegic CP were consistently lower than those with hemiplegic or diplegic CP. Children with hemiplegic CP had greater heights and weights than other CP subtypes. There were statistically significant differences in weight gain curves among the three diagnoses for males (p<0.05).
Interpretation:
Our study reveals differences in growth rates between hemiplegic, diplegic, and quadriplegic CP subtypes.
