G58(P) Defining cerebral palsy- consensus or controversy?. (25th October 2020)

• Record Type: Journal Article
• Authors: Condon, T; Boyd Crotty, A; Brennan, R; George, SR; Gray, E; O'Donnell, A; O'Sullivan, N; Olaniyi, J; Allen, J; Lagan, N; Meehan, J; Molloy, EJ
• Is Part Of: Archives of disease in childhood. Volume 105(2020)Supplement 1
• Page Start: A18
• Page End: A18
• Publication Date: 2020-10-25
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2020-rcpch.44
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Introduction: Cerebral Palsy (CP) is a well-recognised neurodevelopmental disorder beginning in early childhood and persisting through life. CP registries from developed countries suggest its prevalence is 2–3 per 1000 live births. It has consistently proven a challenge to define CP, as documented by the numerous attempts. This review aimed to investigate both the consensus and controversy surrounding the definition of CP and to investigate which definition is currently the mostly widely accepted and applied. Methods: A literature search was conducted using EMBASE, CINAHL and SCOPUS. The search was limited to articles available in English and peer-reviewed journals. Articles were screened in four stages by two independent reviewers and the Preferred Reporting Items for Systematic Reviews (PRISMA) was used. Results: 375 articles were identified, and 41 full-text articles were included in the study. The literature outlined numerous definitions of CP. Most recently, a new consensus definition was proposed by Rosenbaum et al. which emerged from an international workshop on the definition and classification of CP, held in Maryland, July 2004. However, while widely accepted, this definition still faces criticism. Conclusions: Overall, there has been a marked evolution from the first definition of CP by Little to the current consensus definition of Rosenbaum et al. Use of epidemiological data collected by CP registers and modern diagnostic techniques has paved the way for adjustments of previously scrutinised definitions. However, there is a need for a worldwide consensus to maintain a high accuracy rate of diagnosis and management.