A DESCRIPTIVE STUDY ON RISK FACTORS AND COMORBID CONDITIONS OF CEREBRAL PALSY CASES ATTENDING DEIC, S.V.P.PG INSTITUTE (SISHU BHAWAN), CUTTACK

SANGHAMITRA SANDHIBIGRAHA; RAMA CHANDRA GIRI; NIVEDITA KARMEE; VIVEKANANDA ACHARYA

doi:10.22159/ajpcr.2025v18i6.50839

Authors

SANGHAMITRA SANDHIBIGRAHA Department of Community Medicine, FMMCH, Balasore, Odisha, India https://orcid.org/0009-0007-6145-9914
RAMA CHANDRA GIRI Department of Community Medicine, SJMCH, Puri, Odisha, India
NIVEDITA KARMEE Department of Community Medicine, FMMCH, Balasore, Odisha, India
VIVEKANANDA ACHARYA Department of ENT, IMS and SUM Hospital Campus II, Bhubaneswar, Odisha, India. https://orcid.org/0000-0002-9989-1530

DOI:

https://doi.org/10.22159/ajpcr.2025v18i6.50839

Keywords:

Cerebral palsy, Malnutrition, Birth asphyxia, Seizure

Abstract

Objectives: The objectives of the study were: (1) To study the sociodemographic profile of cerebral palsy (CP) cases attending the District Early Intervention Center (DEIC) at Sishu Bhawan. (2) To study the risk factors of CP. (3) To study the associated comorbid conditions of CP.

Methods: It is a hospital-based study conducted at DEIC, Sishu Bhawan, Cuttack, from July 2016 to June 2017. All cases (150) of CP children in the age group of 6 months–14 years attending DEIC during the study period were taken as study subjects. The mothers/caregivers of the children were interviewed, and the data thus collected were analyzed by the Statistical Package for the Social Sciences version 17.

Results: The mean age of the study subjects was 2.87 years±2.48 standard deviation. The male–female ratio was 2.4. The risk factors associated with CP were PIH, antepartum hemorrhage, low birth weight, hyperbilirubinemia, seizures, birth asphyxia, etc. The common comorbid conditions are malnutrition, mental retardation, seizure, hearing and vision impairment, speech difficulty, and behavioral problems.

Conclusion: Prevention of prenatal, perinatal, and postnatal risk factors of CP and better management of high-risk cases will reduce the occurrence of CP.

Downloads

Download data is not yet available.

References

Kliegman R, Stanton B, Geme JS, Schor N, Behrman RE, Nelson WE. Nelson Textbook of Pediatrics. 20th ed., Vol. 2., Ch. 598. Amsterdam: Elsevier; 2016. p. 2896.

Facts About Cerebral Palsy. Centres for Disease Control and Prevention. Available from: https://www.cdc.gov/ncbddd/ developmentaldisabilities/casedefinitions.html

Operational Guidelines, Government of India: National Health Mission. Available from: http://nhm.gov.in/nrhmcomponents/rmnch-a/child/ rbsk/2013-12-19-08-30-24.html

Data and Statistics for Cerebral Palsy. Available from: https://archive. cdc.gov/www_cdc_gov/ncbddd/cp/data.html

Nimbalkar S, Raithatha S, Shah R, Panchal DA. A qualitative study of psychosocial problems among parents of children with cerebral palsy attending two tertiary care hospitals in Western India. ISRN Family Med. 2014;2014:769619. doi: 10.1155/2014/769619

Ambareen F, Biswal RK. A Retrospective Study on the Prevalence and Socio-Demographic Profile of Children with Developmental Disability. Rourkela, Odisha: Department of Humanities and Social Sciences, National institute of technology; May 2016. Available from: https:// ethesis.nitrkl.ac.in/8498/1/2016_ma__414hs1001_fambareen.pdf

Mahmuda J, Hossain MM, Hossain MA, Islam N, Islam MS, Haque MO. Demographic Profile of Cerebral Palsy: A Retrospective Study, Bangladesh Health Professions Institute (BHPI), Department of Physiotherapy; February 2013.

Sharma P, Sharma U, Kabra A. Cerebral palsy--clinical profile and predisposing factors. Indian Pediatr. 1999;36(10):1038-42. PMID 10745315

Johnston MV, Hagberg H. Sex and the pathogenesis of cerebral palsy. Dev Med Child Neurol. 2007;49(1):74-8. doi: 10.1017/ s0012162207000199.x, PMID 17209983

Sharma R, Sinha A. Physical profile of children with cerebral palsy in Jalandhar district of Punjab India. Indian J Cereb Palsy. 2015;1(1):920. doi: 10.4103/2395-4264.153557

Gowda VK, Kumar A, Shivappa SK, Srikanteswara PK, Shivananda, Mahadeviah MS, et al. Clinical profile, predisposing factors, and associated comorbidities of children with cerebral palsy in South India. J Pediatr Neurosci. 2015 Apr-Jun;10(2):108-13. doi: 10.4103/1817- 1745.159191, PMID 26167210, PMCID PMC4489050

Ogunlesi T, Ogundeyi M, Ogunfowora O, Olowu A. Socio-clinical issues in cerebral palsy in Sagamu, Nigeria. South Afr J Child Health. 2008 Oct;2(3):120-2.