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Cerebral palsy in Brazil: A multicentre, cross-sectional, descriptive study.

Eliana Valverde Magro Borigato1, Bruno Leonardo Scofano Dias1, Erica Ueno Imamura1

  • 1SARAH Network of Rehabilitation Hospitals, Brasília, Brazil.

Developmental Medicine and Child Neurology
|December 4, 2025
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Summary

This study describes individuals with cerebral palsy (CP) in Brazil, finding that despite advances, most have severe motor impairments. Supporting registries in low- and middle-income countries is crucial for family-centered care.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Pediatrics

Background:

  • Cerebral palsy (CP) is a complex neurological disorder affecting movement and posture.
  • Understanding the demographics and clinical characteristics of individuals with CP is essential for effective healthcare planning.

Purpose of the Study:

  • To characterize individuals with cerebral palsy (CP) receiving care at the SARAH Network of Rehabilitation Hospitals in Brazil.

Main Methods:

  • A multicentre, cross-sectional, descriptive study was conducted.
  • Data from 17,771 individuals diagnosed with CP were analyzed.

Main Results:

  • The predominant form was spastic CP (75.5%) with bilateral involvement (75.9%).
  • Perinatal risk factors like preterm birth (48.4%) and low birthweight (48.0%) were highly prevalent.
  • Over half of the participants (57.8%) presented with severe motor impairment (Gross Motor Function Classification System levels III-V).

Conclusions:

  • Demographic and clinical findings align with those from low- and middle-income countries (LMICs).
  • Despite improvements in prenatal and perinatal care, severe motor deficits persist in individuals with CP.
  • Establishing multicentre and national registries in LMICs is vital to tailor family-centered rehabilitation strategies, considering the impact of psychosocial factors.