{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:15:53Z","timestamp":1784805353223,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,4,5]],"date-time":"2019-04-05T00:00:00Z","timestamp":1554422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe the prevalence of cerebral palsy (<jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>), subtype distribution, motor and intellectual impairment, and epilepsy in adults with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> compared with children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>CP subtype and impairment data from the population\u2010based <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> register of western Sweden and population data from Statistics Sweden were used to compare surviving adults (<jats:italic>n<\/jats:italic>=581; 244 females, 337 males) born between 1959 and 1978, with the same cohort as children (<jats:italic>n<\/jats:italic>=723; 307 females, 416 males), and\u00a0with\u00a0the most recent cohort, born from 2007 to 2010 (<jats:italic>n<\/jats:italic>=205; 84 females, 121 males).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prevalence of <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> in adults born between 1959 and 1978 was 1.14 per 1000. The occurrence of impairments differed between <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> subtypes. Motor and intellectual impairment were closely related, regardless of subtype. Subtype distribution among survivors differed significantly from the original cohorts (<jats:italic>p<\/jats:italic>=0.002), and the most recent cohort (<jats:italic>p<\/jats:italic>&lt;0.01), tetraplegia and dyskinetic <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> being less common in survivors. Severe motor impairment, intellectual disability, and epilepsy were less common among survivors than in the original cohorts (<jats:italic>p<\/jats:italic>=0.004, <jats:italic>p<\/jats:italic>=0.002, <jats:italic>p<\/jats:italic>=0.037) and the most recent cohort (<jats:italic>p<\/jats:italic>=0.004, <jats:italic>p<\/jats:italic>=0.008, <jats:italic>p<\/jats:italic>&lt;0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Data on prevalence, subtype distribution, and impairments in children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> are not applicable to adults with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>. Population\u2010based studies of adults with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> are needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Cerebral palsy (CP) subtypes are differently distributed in adults compared to children.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>The prevalence of impairments in adults with CP is related to CP subtype.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Spastic tetraplegia and dyskinetic CP are less common in adults than children.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Severe motor impairment, intellectual disability, and epilepsy are less common in adults.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.14229","type":"journal-article","created":{"date-parts":[[2019,4,6]],"date-time":"2019-04-06T05:00:54Z","timestamp":1554526854000},"page":"1162-1167","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Cerebral palsy prevalence, subtypes, and associated impairments: a population\u2010based comparison study of adults and children"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2431-1877","authenticated-orcid":false,"given":"Ulrica","family":"Jonsson","sequence":"first","affiliation":[{"name":"Region V\u00e4stra G\u00f6taland Habilitation &amp; Health Adult Habilitation Gothenburg Sweden"},{"name":"Department of Clinical Neuroscience Institute of Neuroscience and Physiology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6412-6097","authenticated-orcid":false,"given":"Meta N","family":"Eek","sequence":"additional","affiliation":[{"name":"Regional Rehabilitation Centre Queen Silvia Children's Hospital Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina S","family":"Sunnerhagen","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Institute of Neuroscience and Physiology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3959-9554","authenticated-orcid":false,"given":"Kate","family":"Himmelmann","sequence":"additional","affiliation":[{"name":"Regional Rehabilitation Centre Queen Silvia Children's Hospital Gothenburg Sweden"},{"name":"Department of Paediatrics Institute of Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2006.tb01289.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2009.03429.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2013.775359"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0b013e3282f6a499"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2012.04371.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.11025"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.11.044"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12718"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701622929"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/15017419.2012.703968"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2012.04218.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(11)70176-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1975.tb03820.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1984.tb09951.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14147"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1964.tb10791.x"},{"key":"e_1_2_7_18_1","first-page":"8","article-title":"A report: the definition and classification of cerebral palsy April\u00a02006","volume":"109","author":"Rosenbaum P","year":"2007","journal-title":"Dev Med Child Neurol Suppl"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162200001511"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03089.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2006.tb01333.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2001.tb00755.x"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0103"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162201002675"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.03.005"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-200204000-00009"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14003"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13180"}],"container-title":["Developmental Medicine &amp; 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