Ann Rehabil Med.  2019 Jun;43(3):241-249. 10.5535/arm.2019.43.3.241.

Emerging Issues in Cerebral Palsy Associated With Aging: A Physiatrist Perspective

Affiliations
  • 1Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul University College of Medicine, Seoul, Korea. msbang@snu.ac.kr
  • 2Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.

Abstract

The population of adults diagnosed with cerebral palsy (CP) is increasing along with the survival rate of children born with the disability. Adults with CP need health services for the continued monitoring and management of their condition. Moreover, the development of additional health problems in adulthood increases the need for ongoing access to health services. Adults with CP manifest a higher rate of chronic health conditions and eventual decline in strength and functional reserve, deterioration in physical activity, increased risk of musculoskeletal complications, and gradual changes in swallowing ability. They are also reported to exhibit difficulty engaging socially and have a low health-related quality of life (QOL). However, there are a large number of adults with CP who cannot access medical services adequately and are therefore not effectively treated. To overcome these apparent challenges, we need to fully comprehend the healthcare needs of adults with CP to develop adult-focused health services. Further research is needed regarding the impact of physical activity, nutrition, sarcopenia, myeloradiculopathy, and swallowing function on QOL.

Keyword

Cerebral palsy; Adult; Quality of life; Deterioration

MeSH Terms

Adult
Aging*
Cerebral Palsy*
Child
Deglutition
Delivery of Health Care
Health Services
Humans
Motor Activity
Quality of Life
Sarcopenia
Survival Rate

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