Abstract
There is very little data pertaining to cerebral palsy (CP) from Nepal. In this retrospective study it was observed that dyskinetic CP was seen in 29 % and the sex ratio of males to females was two in the study population of children with CP. Both of these are much higher than data from developed countries. Hence, further randomized cross-sectional community based study is recommended to enquire into this pattern. Data regarding early identification was encouraging as majority of the cases (56 %) were diagnosed before 4 years of age. There is a stark necessity of early screening and rehabilitation program with provision for follow-up for the affected children, which must also be accessible to the disadvantaged and marginalized groups in Nepal.
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References
Bell, K. J., Ounpuu, S., DeLuca, P. A., & Romness, M. J. (2002). Natural progression of gait in children with cerebral palsy. Journal of Pediatric Orthopaedics, 22(5), 677–682.
Cans, C. (2000). Surveillance of cerebral palsy in Europe: A collaboration of cerebral palsy surveys and registers. Developmental Medicine and Child Neurology, 42, 816–824. doi:10.1111/j.1469-8749.2000.tb00695.x.
Central Bureau of Statistics (CBS), Nepal. (2012). National population and housing census 2011. National Report, 1, 211–225.
Central Bureau of Statistics (CBS), Nepal. (2014). Population monograph of nepal volume III. Economic Demography. Retrieved from http://cbs.gov.np/?p=2726.
Christensen, D., Van Naarden Braun, K., Doernberg, N. S., Maenner, M. J., Arneson, C. L., Durkin, M. S., et al. (2014). Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning—Autism and Developmental Disabilities Monitoring Network, USA, 2008. Developmental Medicine and Child Neurology, 56(1), 59–65.
Ellis, M., Bhattarai, S., & Pandey, J. (2007). Cerebral palsy in Nepal: A descriptive study of 136 disabled children presenting to a cerebral palsy centre in Kathmandu. Journal of Institute of Medicine, 20(1). Retrieved from http://www.jiom.com.np/index.php/jiomjournal/article/view/4/5.
Era, New. (2001). A situation analysis of disability in Nepal. Kathmamdu, Nepal: New Era, UNICEF and National Planning Commission.
Hou, M., Zhao, J. H., & Yu, R. (2006). Recent advances in dyskinetic cerebral palsy. World J Pediatr, 1, 23–28.
Johnson, D. C., Damiano, D. L., & Abel, M. F. (1997). The evolution of gait in childhood and adolescent cerebral palsy. Journal of Pediatric Orthopaedics, 17, 392–396.
Johnston, M. V., & Hagberg, H. (2007). Sex and the pathogenesis of cerebral palsy. Developmental Medicine and Child Neurology, 49, 74–78. doi:10.1017/S0012162207000199.
Jones, M. W., Morgan, E., Shelton, J. E., & Thorogood, C. (2007). Cerebral palsy: Introduction and diagnosis (part I). Journal of Pediatric Health Care, 21(3), 146–152.
McIntyre, S., Morgan, C., Walker, K., & Novak, I. (2011). Cerebral palsy–Don’t delay. Developmental Disabilities Research Reviews, 17(2), 114–129. doi:10.1002/ddrr.1106.PMID23362031.
Ministry of Health and Population. (2011a). Nepal Demographic Health Survey. Kathmandu: Government of Nepal.
Ministry of Health and Population. (2011b). Nepal population report. Kathmandu: Government of Nepal.
Oskoui, M., Coutinho, F., Dykeman, J., Jetté, N., & Pringsheim, T. (2013). An update on the prevalence of cerebral palsy: A systematic review and meta-analysis. Developmental Medicine and Child Neurology, 55(6), 509–519. doi:10.1111/dmcn.12080.PMID23346889.
Pharoah, P. O. D., Cooke, T., Johnson, M. A., King, R., & Mutch, L. (1998). Epidemiology of cerebral palsy in England and Scotland, 1984–9. Archives of Disease in Childhood-Fetal and Neonatal Edition, 79(1), F21–F25.
Rethlefsen, S. A., Ryan, D. D., & Kay, R. M. (2010). Classification systems in cerebral palsy. The Orthopedic Clinics of North America, 41(4), 457–467. doi:10.1016/j.ocl.2010.06.005.
Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., Bax, M., Damiano, D., et al. (2007). A report: the definition and classification of cerebral palsy April 2006. Developmental Medicine and Child Neurology Journal, 109(suppl 109), 8–14.
Rosenbloom, L. (1995). Diagnosis and management of cerebral palsy. Archives of Disease in Childhood, 72(4), 350–354.
Sanger, T. (2007). The definition and classification of cerebral palsy: A neurological perspective on definition and classification. Developmental Medicine and Child Neurology Journal, 49(Suppl. 109), 30–31.
Saul, R., & Phillips, D. (1998). Ghosts and germs: Cerebral palsy in Nepal—A cultural exploration of cosmology and disability. Center for Nepal and Asian Studies Journal, 25(2), 215–232.
Sauvey, S., Osrin, D., Manandhar, D. S., Costello, A. M., & Wirz, S. (2005). Prevalence of childhood and adolescent disabilities in rural Nepal. Indian Pediatrics, 42(17), 697–702.
Surveillance of Cerebral Palsy in Europe 3 (SCPE). (2007). EURO-PERISTAT II-Luxembourg.
United Nations and Government of Nepal. (2010). Nepal millennium development goals report 2010.
Yarnell, J. (2013). Epidemiology and disease prevention: A global approach (2nd ed., p. 190). Oxford: Oxford University Press.
Zarrinkalam, R., Russo, R. N., Gibson, C. S., van Essen, P., Peek, A. K., & Haan, E. (2010). CP or not CP? A review of diagnoses in a cerebral palsy register. Pediatric Neurology, 42(3), 177–180.
Acknowledgments
I would like to express my gratitude to Prof. Batuk Prasad Rajbhandari, the chairman of Self-help Group for cerebral palsy (SGCP), Nepal for his lifelong contribution to uplifting children with cerebral palsy in Nepal. The CEO of Self-help Group for cerebral palsy, Nepal deserves equal credit for his encouragement for preparation of this work. I would like to thank all the staffs of SGCP for their dedicated work in the service of children and parents of children affected with CP and other neurological diseases. Also, Dr. Chandra LekhaTuladhar deserves special thanks here, whose nudge to the young Rotaracts Anushree and Dipta was a big help in tabulation of data for this study.
Author Contributions
The author collected and tabulated all the data from the records of the institute. Help of two Rotary Club volunteers were enlisted for part of data entry into the spreadsheet, which was again rechecked by the author. The author then analyzed the data and wrote the paper after extensive literature review. The paper was then shown to a few experts from this field and their feedback was incorporated into the final manuscript.
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Thapa, R. Retrospective Descriptive Study of Cerebral Palsy in Nepal. J Autism Dev Disord 46, 2285–2291 (2016). https://doi.org/10.1007/s10803-016-2757-x
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DOI: https://doi.org/10.1007/s10803-016-2757-x