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ID Design 2012/DOOEL Skopje, Republic of
Macedonia
Open Access Macedonian Journal of Medical Sciences.
https://doi.org/10.3889/oamjms.2017.020
eISSN: 1857-9655
Clinical Science
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Clinical Spectrum of Cerebral
Palsy and Associated Disability in South Egypt: A Local Survey Study
Osama Abas1, Faten Abdelaziem2,
Ayman Kilany3*
1Physical Therapy, Ministry of Health, Cairo, Egypt; 2Department
of Physical Therapy for Growth and Development Disorders in Children and Its
Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt; 3Department
of Research on Children with Special Needs, National Research Centre, Cairo,
Egypt
BACKGROUND: Cerebral palsy is the most common cause of motor
disability in children with a prevalence of 2-10/1,000 live births in the
developing areas.
AIM: The epidemiology, clinical picture, and associated comorbidities
in CP have been extensively studied in high-resource countries, but in
low-resource areas, including Africa, those studies are still lacking.
METHODS: Cerebral palsy cases were prospectively recruited from every
physiotherapy centre in Bani-Mazar city, Egypt, in a cross-sectional study
from May 2015 to November 2015.
RESULTS: Two hundred cases were enrolled with a prevalence of 1 per
1000 live births. Within the study population, 72.5% were the spastic type,
16% were dyskinetic, 7% were ataxic, and 4.5% were hypotonic. The most
common comorbidities were cognitive impairment and epilepsy affecting 77%
and 38%, respectively.
CONCLUSION: Cerebral palsy in developing countries has a higher
prevalence and different clinical profile regarding severity and associated
disability. The perinatal and high-quality neonatal care together with
physical therapy and rehabilitation programs is still lacking in developing
countries.
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Citation: Abas O, Abdelaziem F, Kilany A. Clinical
Spectrum of Cerebral Palsy and Associated Disability in South Egypt: A Local
Survey Study. Open Access Maced J Med Sci. https://doi.org/10.3889/oamjms.2017.020
Keywords: Cerebral palsy; prevalence; subtypes; comorbidity; Egypt.
*Correspondence: Ayman Kilany. Department of Research on Children
with Special Needs, National Research Centre, Cairo, Egypt. E-mail:
elkilany7000@yahoo.com
Received: 17-Dec-2016; Revised: 23-Jan-2017; Accepted: 24-Jan-2017; Online
first: 04-Feb-2017
Copyright: © 2017 Osama Abas, Faten Abdelaziem, Ayman Kilany. This is an
open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
Funding: This research did not receive any financial support.
Competing Interests: The authors have declared that no competing
interests exist.
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