{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:29:54Z","timestamp":1791257394820,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012256","name":"Cerebral Palsy Alliance Research Foundation","doi-asserted-by":"publisher","award":["PRG00125"],"award-info":[{"award-number":["PRG00125"]}],"id":[{"id":"10.13039\/100012256","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["402601\/2024\u20106"],"award-info":[{"award-number":["402601\/2024\u20106"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"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>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To establish an overall description of people with cerebral palsy (CP) in Brazil, including the epidemiology, clinical features, functioning, and access to rehabilitation and equipment, through the lens of the International Classification of Functioning, Disability and Health (ICF) framework, using preliminary data from the Brazilian Cerebral Palsy Register (BrCPR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data were extracted from the ongoing BrCPR for individuals with CP aged 0 to 100\u00a0years. The information collected included aetiological risk factors and, from the ICF, personal and health\u2010related factors, environmental factors, body functions and structures, activity, and participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1098 participants were included (median age 9\u2009years [interquartile range 5\u201315\u2009years]; 57.6% male). Most brain injuries occurred pre\u2010 or perinatally (68.1%), with preterm birth (44.8%) and perinatal asphyxia (51.1%) being common risk factors. Postneonatal CP (&gt;28\u2009days) was often infection\u2010related (23.0%). One\u2010third of all children were diagnosed before 6\u2009months of age. Bilateral spastic CP predominated (59.4%), and 54.9% were classified in Gross Motor Function Classification System levels IV or V. Co\u2010occurring conditions included epilepsy (57.5%), hip dislocation (31.0%), and cognitive impairment (55.3%). Severe activity limitations were reported, for example dressing (58.9%). Considering participation, 10.0% never attended school. Among environmental barriers, 67.7% lacked home adaptations, 14.0% received no rehabilitation, and 44.7% lacked necessary assistive devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>The BrCPR highlights substantial unmet needs among individuals with CP in Brazil.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.70222","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T13:27:52Z","timestamp":1773322072000},"page":"990-1004","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Epidemiology of cerebral palsy in Brazil through the lens of the International Classification of Functioning, Disability and Health framework"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8977-8131","authenticated-orcid":false,"given":"H\u00e9rcules Ribeiro","family":"Leite","sequence":"first","affiliation":[{"name":"Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy Universidade Federal de Minas Gerais  Belo Horizonte Brazil"},{"name":"CanChild McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6063-2604","authenticated-orcid":false,"given":"Luana Cristina","family":"da Silva","sequence":"additional","affiliation":[{"name":"Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0506-5359","authenticated-orcid":false,"given":"Elton Duarte Dantas","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7077-3146","authenticated-orcid":false,"given":"Israt","family":"Jahan","sequence":"additional","affiliation":[{"name":"School of Health, Medical and Applied Sciences Central Queensland University  Rockhampton Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6828-1636","authenticated-orcid":false,"given":"Nadia","family":"Badawi","sequence":"additional","affiliation":[{"name":"Cerebral Palsy Alliance Research Institute, Specialty of Child &amp; Adolescent Health, Sydney Medical School, Faculty of Medicine &amp; Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0661-4113","authenticated-orcid":false,"given":"Gulam","family":"Khandaker","sequence":"additional","affiliation":[{"name":"Central Queensland Hospital and Health Service  Rockhampton Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7871-6987","authenticated-orcid":false,"given":"Maysa Ferreira Martins","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Undergraduate Program in Physical Therapy, Faculty of Physical Education and Physiotherapy Universidade Estadual de Goi\u00e1s  Goi\u00e2nia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5067-7536","authenticated-orcid":false,"given":"Juliana de Alc\u00e2ntara Moreira","family":"Pereira","sequence":"additional","affiliation":[{"name":"Brazilian Register of Cerebral Palsy Patient and Public Involvement Group, School of Physical Education, Physical Therapy and Occupational Therapy Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5593-322X","authenticated-orcid":false,"given":"Luma Sthephanine Viana Roque","family":"da Silva","sequence":"additional","affiliation":[{"name":"Brazilian Register of Cerebral Palsy Patient and Public Involvement Group, School of Physical Education, Physical Therapy and Occupational Therapy Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4022-6261","authenticated-orcid":false,"given":"Maria de las Mercedes Ruiz","family":"Brunner","sequence":"additional","affiliation":[{"name":"Institute of Clinical and Epidemiological Research (INICyE), Faculty of Medical Sciences National University of C\u00f3rdoba  C\u00f3rdoba Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4312-0403","authenticated-orcid":false,"given":"Paula Silva de Carvalho","family":"Chagas","sequence":"additional","affiliation":[{"name":"CanChild McMaster University  Hamilton Ontario Canada"},{"name":"Graduate Program in Rehabilitation Sciences and Physical\u2010Functional Performance, Faculty of Physical Therapy Universidade Federal de Juiz de Fora  Juiz de Fora Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.70149"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14926"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15346"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14013"},{"key":"e_1_2_10_6_1","first-page":"2025","article-title":"Australian Cerebral Palsy Register","year":"2025","journal-title":"Bulletin."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21101286"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15897"},{"key":"e_1_2_10_9_1","unstructured":"IBGE.Censo2022.https:\/\/censo2022.ibge.gov.br\/panorama\/. 2025."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-024-05210-2"},{"key":"e_1_2_10_11_1","first-page":"42","article-title":"Characterization of environmental factors in children and adolescents with cerebral palsy in Minas Gerais: Participa Minas. 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