Ann Rehabil Med.  2017 Aug;41(4):638-649. 10.5535/arm.2017.41.4.638.

Korean Database of Cerebral Palsy: A Report on Characteristics of Cerebral Palsy in South Korea

• Yim SY
• Yang CY
• Park JH
• Kim MY
• Shin YB
• Kang EY
• Lee ZI
• Kwon BS
• Chang JC
• Kim SW
• Kim MO
• Kwon JY
• Jung HY
• Sung IY
• Society of Pediatric Rehabilitation and Developmental Medicine, Korea.

• KMID: 2389410
• DOI: http://doi.org/10.5535/arm.2017.41.4.638

Abstract

OBJECTIVE
To introduce the Korean Database of Cerebral Palsy (KDCP) and to provide the first report on characteristics of subjects with cerebral palsy (CP).
METHODS
The KDCP is a nationwide database of subjects with CP, which includes a total of 773 subjects. Characteristics such as demography, birth history, onset and type of CP, brain magnetic resonance imaging (MRI) findings, functional ability and accompanying impairments, were extracted and analyzed.
RESULTS
Preterm delivery and low birth weight were found in 59.51% and 60.28% of subjects, respectively. Postnatally acquired CP was 15.3%. The distribution of CP was 87.32%, 5.17%, and 1.81% for spastic, dyskinetic, and ataxic types, respectively. Functional ability was the worst in dyskinetic CP, as compared to other types of CP. Speech-language disorder (43.9%), ophthalmologic impairment (32.9%), and intellectual disability (30.3%) were the three most common accompanying impairments. The number of accompanying impairments was elevated in subjects with preterm birth and low birth weight. Brain MRI showed normal findings, malformations, and non-malformations in 10.62%, 9.56%, and 77.35% of subjects, respectively. Subjects with normal MRI findings had better functional ability than subjects with other MRI findings. MRI findings of a non-malformation origin, such as periventricular leukomalacia, were more common in subjects with preterm birth and low birth weight.
CONCLUSION
The KDCP and its first report are introduced in this report, wherein the KDCP established agreement on terminologies of CP. This study added information on the characteristics of subjects with CP in South Korea, which can now be compared to those of other countries and ethnicities.

Keyword

Cerebral palsy; Database; Classification

MeSH Terms

Brain
Cerebral Palsy*
Classification
Demography
Humans
Infant, Low Birth Weight
Infant, Newborn
Intellectual Disability
Korea*
Leukomalacia, Periventricular
Magnetic Resonance Imaging
Muscle Spasticity
Premature Birth
Reproductive History

Figure

• 

  Fig. 1 Flow diagram for record selection. KDCP1, Korean Database of Cerebral Palsy for subjects of age ≥1 year and <4 years; KDCP2, Korean Database of Cerebral Palsy for subjects of age ≥4 years.

• 

  Fig. 2 Distribution of the subjects by the Gross Motor Functional Classification System (A; n=773) and the Manual Ability Classification System (B; n=459).

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  Fig. 3 Accompanying impairments of the subjects with cerebral palsy. (A) Distribution of subjects by type of accompanying impairments. (B) Distribution of the subjects by the number of accompanying impairments.

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