{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T15:11:33Z","timestamp":1780585893237,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objetivo<\/jats:title>\n                    <jats:p>Descrever o perfil de indiv\u00edduos com paralisia cerebral (PC) acompanhados na Rede Sarah de Hospitais de Reabilita\u00e7\u00e3o (Brasil).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9todo<\/jats:title>\n                    <jats:p>Estudo multic\u00eantrico, transversal e descritivo. Foram inclu\u00eddos indiv\u00edduos com PC atendidos entre janeiro de 2023 e setembro de 2024 (N\u00a0=\u00a017\u2009771).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Resultados<\/jats:title>\n                    <jats:p>A m\u00e9dia de idade na primeira consulta foi de 3 anos e 5 meses (DP 3 anos e 1 m\u00eas), sendo 55,3% do sexo masculino. Ao nascer, 52,0% apresentaram peso normal e 50,3% foram a termo. Os fatores de risco perinatais foram os mais prevalentes: prematuridade (48,4%), baixo peso ao nascer (48,0%) e encefalopatia hip\u00f3xico\u2010isqu\u00eamica (40,1%). Predominaram acometimento esp\u00e1stico (75,5%), bilateral (75,9%) e Sistema de Classifica\u00e7\u00e3o da Fun\u00e7\u00e3o Motora Grossa (GMFCS) n\u00edveis III, IV e V (57,8%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpreta\u00e7\u00e3o<\/jats:title>\n                    <jats:p>Os dados demogr\u00e1ficos e cl\u00ednicos s\u00e3o compar\u00e1veis a relatos anteriores de pa\u00edses de baixa e m\u00e9dia renda (PBMR). Apesar dos avan\u00e7os cl\u00ednicos nos cuidados pr\u00e9\u2010natais e perinatais, a maioria dos indiv\u00edduos com PC apresentou comprometimento grave da fun\u00e7\u00e3o motora. Como a preval\u00eancia de PC \u00e9 maior em PBMR e considerando a influ\u00eancia direta de fatores psicossociais no perfil de crian\u00e7as com PC, \u00e9 essencial apoiar registros nacionais multic\u00eantricos em PBMR objetivando adaptar diretrizes de planejamento de reabilita\u00e7\u00e3o centradas na fam\u00edlia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.70095","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T16:10:18Z","timestamp":1764864618000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paralisia cerebral no Brasil: Um estudo multic\u00eantrico, transversal, e descritivo"],"prefix":"10.1111","volume":"68","author":[{"given":"Eliana Valverde","family":"Magro Borigato","sequence":"first","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno Leonardo","family":"Scofano Dias","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica Ueno","family":"Imamura","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro Barbosa","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika Carvalho","family":"Pires Arci","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra Lemos","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ac\u00e1cia Pinheiro \u00c1lvares","family":"Fernandes da Silva","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda Jord\u00e3o","family":"Pinto Marques","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia Willadino","family":"Braga","sequence":"additional","affiliation":[{"name":"SARAH Network of Rehabilitation Hospitals  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"SARAH Pediatric Rehabilitation Team","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15346"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2016.03.002"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14926"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.16274"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15798"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0883073819845272"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15086"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883\u2010015\u20100427\u20109"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.16477"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0012162200001511"},{"key":"e_1_2_10_12_1","volume-title":"International statistical classification of diseases and related health problems","author":"World Health Organization","year":"2010"},{"key":"e_1_2_10_13_1","volume-title":"The American College of Obstetricians and Gynecologists. Guidelines for perinatal care","author":"American Academy of Pediatrics","year":"2017"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S235165"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.12106"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/26"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552010000600013"},{"key":"e_1_2_10_18_1","volume-title":"Instituto Brasileiro de Geografia e Estat\u00edstica. Censo 2022 [Internet]","year":"2023"},{"issue":"2","key":"e_1_2_10_19_1","first-page":"17","article-title":"Caracter\u00edsticas epidemiol\u00f3gicas y cl\u00ednicas de pacientes pedi\u00e1tricos con par\u00e1lisis cerebral: Hospital Vicente Corral Moscoso: Cuenca, 2014\u20132015","volume":"38","author":"Arias Armijos MP","year":"2020","journal-title":"Rev Fac Cienc M\u00e9d Univ Cuenca [Internet]."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2023.02.005"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15195"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12865"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15878"},{"issue":"1","key":"e_1_2_10_24_1","first-page":"196","article-title":"Clinical profile of patients with cerebral palsy \u2010 a hospital\u2010based study","volume":"7","author":"Sharma P","year":"2019","journal-title":"Int J Sci Stud"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010022\u201003477\u2010x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.17843\/rpmesp.2016.334.2557"},{"issue":"1","key":"e_1_2_10_27_1","first-page":"34","article-title":"Factores de riesgo asociados a paralisis cerebral en una poblacion de ninos y jovenes mexicanos","volume":"27","author":"Barron\u2010Garza F","year":"2018","journal-title":"Rev Ecuat Neurol."},{"key":"e_1_2_10_28_1","unstructured":"Australasian Academy of Cerebral Palsy and Developmental Medicine.2018Australian cerebral palsy register report summary [Internet]. Fitzroy (VIC Australia): Australasian Academy of Cerebral Palsy and Developmental Medicine; 2018 [cited 2024 Nov 16]. Available from:https:\/\/www.ausacpdm.org.au\/resources\/australian\u2010cerebral\u2010palsy\u2010register\/"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14667"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2018.05.001"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21101286"}],"container-title":["Developmental Medicine &amp; Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dmcn.70095","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dmcn.70095","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dmcn.70095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:27:43Z","timestamp":1780583263000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dmcn.70095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,4]]},"references-count":30,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/dmcn.70095"],"URL":"https:\/\/doi.org\/10.1111\/dmcn.70095","archive":["Portico"],"relation":{},"ISSN":["0012-1622","1469-8749"],"issn-type":[{"value":"0012-1622","type":"print"},{"value":"1469-8749","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,4]]},"assertion":[{"value":"2025-11-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}