{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:42:48Z","timestamp":1791891768053,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To characterize motor disorders in children and young people with cerebral palsy (CP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a cross\u2010sectional study of 582 children and young people with CP (mean age 9\u2009years 7\u2009months; range 11\u2009months\u201319\u2009years 9\u2009months; standard deviation 4\u2009years 11\u2009months; 340 males) attending a rehabilitation clinic at a specialized children's hospital (May 2018\u2013March 2020). Data on motor disorders, topography, functional classifications, and non\u2010motor features, such as epilepsy, intellectual disability, and sensory impairments, were collected using the Australian Cerebral Palsy Register CP Description Form.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010five per cent (<jats:italic>n<\/jats:italic>\u2009=\u2009321) of children and young people with CP presented with multiple motor disorders, often affecting the same limb(s). The most common motor disorders were spasticity and dystonia (50%), spasticity only (36%), and dystonia only (6%), but 18 different combinations were identified, including choreoathetosis, ataxia, and generalized hypotonia with increased reflexes. Children with spasticity only had less severe functional deficits (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and lower rates of associated\u00a0intellectual disability (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and epilepsy (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) than those with both spasticity and dystonia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Multiple motor disorders in children and young people with CP are common and associated with more severe functional impairment. Accurate assessment of motor disorders is essential to guide prognosis and ensure personalized evidence\u2010based interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>More than half of children and young people with cerebral palsy presented with multiple motor disorders.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Dystonia was identified in 60% of study participants.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Dystonia was associated with more severe functional impairments and rates of non\u2010motor features.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.15730","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T17:54:12Z","timestamp":1692035652000},"page":"317-325","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Multiple motor disorders in cerebral palsy"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8821-1042","authenticated-orcid":false,"given":"Hayim","family":"Dar","sequence":"first","affiliation":[{"name":"Sydney University Medical School, The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8124-3631","authenticated-orcid":false,"given":"Kirsty","family":"Stewart","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Children's Hospital Westmead  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0234-1541","authenticated-orcid":false,"given":"Sarah","family":"McIntyre","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Children's Hospital Westmead  Sydney Australia"},{"name":"Specialty of Child and Adolescent Health Cerebral Palsy Alliance  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6605-3330","authenticated-orcid":false,"given":"Simon","family":"Paget","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Children's Hospital Westmead  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14011"},{"key":"e_1_2_8_3_1","unstructured":"Australian Cerebral Palsy Register.Australian Cerebral Palsy Register Report.2018; 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