TY - JOUR
T1 - Epidemiology of Cerebral Palsy in Adulthood
T2 - A Systematic Review and Meta-analysis of the Most Frequently Studied Outcomes
AU - van Gorp, Marloes
AU - Hilberink, Sander R.
AU - Noten, Suzie
AU - Benner, Joyce L.
AU - Stam, Henk J.
AU - van Der Slot, Wilma M. A.
AU - Roebroeck, Marij E.
PY - 2020/6
Y1 - 2020/6
N2 - Objective: To describe the epidemiology of health status, impairments, activities and participation in adults with cerebral palsy (CP).Data Sources: Embase, MEDLINE, Web of Science, PsycINFO, Cumulative Index to Nursing and Allied Health, Cochrane, and Google Scholar were searched for 3 themes ("cerebral palsy," "adult," and "outcome assessment") in literature published between January 2000 and December 2018.Study Selection: Full-article peer-reviewed English journal articles on descriptive, observational, or experimental studies describing the most studied outcomes in adults with CP (n >= 25, age >= 18y) were included. Studies were included in the analyses if frequently studied outcomes were described in at least 3 studies using similar methods of assessment.Data Extraction: Data were extracted independently by 2 authors from 65 articles (total N=28,429) using a standardized score sheet.Data Synthesis: Meta-analyses revealed that overall, on average 65.1% (95% confidence interval [CI], 55.1-74.5) of adults with CP experienced pain, 57.9% (95% CI, 51.1-64.6) were ambulant, 65.5% (95% CI, 61.2-69.7) had little or no limitation in manual ability, 18.2% (95% CI, 10.6-27.2) had tertiary education, 39.2% (95% CI, 31.5;47.1) were employed, and 29.3% (95% CI, 9.0-55.3) lived independently. In adults without intellectual disability, proportions of individuals who were ambulant (72.6% [95% CI, 58.8-84.5]) and lived independently (90.0% [95% CI, 83.8-94.9]) were higher (P=.014 and P
AB - Objective: To describe the epidemiology of health status, impairments, activities and participation in adults with cerebral palsy (CP).Data Sources: Embase, MEDLINE, Web of Science, PsycINFO, Cumulative Index to Nursing and Allied Health, Cochrane, and Google Scholar were searched for 3 themes ("cerebral palsy," "adult," and "outcome assessment") in literature published between January 2000 and December 2018.Study Selection: Full-article peer-reviewed English journal articles on descriptive, observational, or experimental studies describing the most studied outcomes in adults with CP (n >= 25, age >= 18y) were included. Studies were included in the analyses if frequently studied outcomes were described in at least 3 studies using similar methods of assessment.Data Extraction: Data were extracted independently by 2 authors from 65 articles (total N=28,429) using a standardized score sheet.Data Synthesis: Meta-analyses revealed that overall, on average 65.1% (95% confidence interval [CI], 55.1-74.5) of adults with CP experienced pain, 57.9% (95% CI, 51.1-64.6) were ambulant, 65.5% (95% CI, 61.2-69.7) had little or no limitation in manual ability, 18.2% (95% CI, 10.6-27.2) had tertiary education, 39.2% (95% CI, 31.5;47.1) were employed, and 29.3% (95% CI, 9.0-55.3) lived independently. In adults without intellectual disability, proportions of individuals who were ambulant (72.6% [95% CI, 58.8-84.5]) and lived independently (90.0% [95% CI, 83.8-94.9]) were higher (P=.014 and P
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=eur_pure&SrcAuth=WosAPI&KeyUT=WOS:000543030600012&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1016/j.apmr.2020.01.009
DO - 10.1016/j.apmr.2020.01.009
M3 - Article
C2 - 32059945
SN - 0003-9993
VL - 101
SP - 1041
EP - 1052
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 6
ER -