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Published on: January 11, 2016

Factors influencing poor communication function in children with cerebral palsy: a multivariate analysis

Lingxiao Tong1, Baofeng Yan1, Songhai Biedelehan1

  • 1Cerebral Palsy Center in Neurosurgery, Second Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.

Frontiers in Neurology
|July 6, 2026
PubMed

Insights

Factors like younger age, low birth weight, maternal smoking, and not breastfeeding are linked to poor communication in children with cerebral palsy (CP). A positive family history also increases this risk.

Area of Science:

  • Pediatrics
  • Neurology
  • Speech and Language Pathology

Background:

  • Cerebral palsy (CP) significantly impacts child development, particularly communication.
  • Understanding factors associated with poor communication outcomes is crucial for early intervention.

Purpose of the Study:

  • To identify demographic, perinatal, maternal, feeding, and family history factors associated with poor communication function in children with CP.
  • To inform targeted support strategies for children at higher risk.

Main Methods:

  • Retrospective analysis of 402 children with CP.
  • Communication function assessed using the Communication Function Classification System (CFCS).
  • Multivariable logistic regression used to determine independent predictors of poor communication.

Main Results:

  • 156 out of 402 children (38.8%) exhibited poor communication function (CFCS levels IV-V).
  • Younger age at assessment was significantly associated with poor communication.
  • Low birth weight, maternal smoking during pregnancy, non-breastfeeding, and a positive family history were independent risk factors.

Conclusions:

  • Early identification of risk factors is key for children with cerebral palsy.
  • Maternal health behaviors and infant feeding practices play a role in communication development.
  • Genetic predisposition, indicated by family history, may influence communication outcomes in CP.
Abstract

Keywords:
cerebral palsycommunication functioncommunication function classification systeminfluencing factorsprognosis

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