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Cerebral palsy in southern Sweden II. Gross motor function and disabilities.

https://arctichealth.org/en/permalink/ahliterature31776
Source
Acta Paediatr. 2001 Nov;90(11):1277-82
Publication Type
Article
Date
Nov-2001
Author
E. Nordmark
G. Hägglund
J. Lagergren
Author Affiliation
Department of Physical Therapy, Lund University, Sweden. eva.nordmark@sjukgym.lu.se
Source
Acta Paediatr. 2001 Nov;90(11):1277-82
Date
Nov-2001
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Cerebral Palsy - epidemiology
Child
Child, Preschool
Dyskinesias - epidemiology - etiology
Female
Humans
Male
Motor Skills
Muscle Spasticity - epidemiology - etiology
Paralysis - epidemiology - etiology
Research Support, Non-U.S. Gov't
Residence Characteristics
Risk factors
Statistics, nonparametric
Sweden - epidemiology
Abstract
The gross motor function and disabilities in children with cerebral palsy in southern Sweden were investigated and related to clinical features. The study covered the birth year period 1990-1993 and comprised 167 children, 145 of them born in Sweden and 22 born abroad. The clinical features and gross motor function were analysed at a mean age of 6.8 y. Clinical features were obtained from a continuing healthcare follow-up programme. Gross motor function was classified according to the Gross Motor Function Classification System (GMFCS). Walking independently was possible for 86% of the hemiplegic, 63% of the pure ataxic, 61% of the diplegic and 21% of the dyskinetic children. None of the tetraplegic children was able to walk. The classification of gross motor function revealed that 59% of the children were categorized into levels I and II (mildly disabled), 14% into level III (moderately disabled) and 27% into levels IV and V (severely disabled). Children born abroad were more severely disabled. CONCLUSION: The standardized age-related classification system GMFCS enabled a specific description of gross motor function in relation to clinical features. Significant differences between GMFCS levels and subgroups of diagnosis, aetiology. intellectual capacity, epilepsy and visual impairment were found.
PubMed ID
11808899 View in PubMed
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Cerebral palsy in southern Sweden I. Prevalence and clinical features.

https://arctichealth.org/en/permalink/ahliterature31777
Source
Acta Paediatr. 2001 Nov;90(11):1271-6
Publication Type
Article
Date
Nov-2001
Author
E. Nordmark
G. Hägglund
J. Lagergren
Author Affiliation
Department of Physical Therapy, Lund University, Sweden. eva.nordmark@sjukgym.lu.se
Source
Acta Paediatr. 2001 Nov;90(11):1271-6
Date
Nov-2001
Language
English
Publication Type
Article
Keywords
Cerebral Palsy - classification - epidemiology - etiology - surgery
Child
Child, Preschool
Dyskinesias - epidemiology - etiology
Female
Humans
Hydrocephalus - epidemiology - etiology - surgery
Infant, Newborn
Infant, Premature
Male
Mental Retardation - epidemiology - etiology
Paralysis - epidemiology - etiology
Prevalence
Research Support, Non-U.S. Gov't
Residence Characteristics
Retrospective Studies
Sweden - epidemiology
Abstract
The prevalence, clinical features and gross motor function of children with cerebral palsy in southern Sweden were investigated. The study covered the birth year period 1990-1993, during which 65,514 livebirths were recorded in the area. On the census date (1 January 1998), 68366 children born in 1990-1993 lived in the area. The study comprised 167 children, 145 of them born in Sweden and 22 born abroad. The livebirth prevalence was 2.2 per 1,000, and the prevalence including children born abroad was 2.4 per 1,000. The distribution according to gestational age, birthweight and subdiagnoses was similar to that in earlier Swedish studies, except for a higher rate of dyskinetic syndromes in this study. CONCLUSION: The point prevalence of cerebral palsy was 2.4 and the livebirth prevalence was 2.2. Children born abroad had a higher prevalence and were more often severely disabled. Severe disability was often combined with associated impairments such as mental retardation, epilepsy and visual impairment.
PubMed ID
11808898 View in PubMed
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Incidence of total hip replacement for primary osteoarthrosis in Iceland 1982-1996.

https://arctichealth.org/en/permalink/ahliterature14156
Source
Acta Orthop Scand. 1999 Jun;70(3):229-33
Publication Type
Article
Date
Jun-1999
Author
T. Ingvarsson
G. Hägglund
H. Jónsson
L S Lohmander
Author Affiliation
Department of Orthopedics, Central Hospital, Akureyri, Iceland. thi@nett.is
Source
Acta Orthop Scand. 1999 Jun;70(3):229-33
Date
Jun-1999
Language
English
Publication Type
Article
Keywords
Adult
Age Distribution
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - statistics & numerical data - trends
Bone Cements - therapeutic use
Comparative Study
Female
Forecasting
Hip Prosthesis - statistics & numerical data
Humans
Iceland - epidemiology
Incidence
Male
Middle Aged
Osteoarthritis, Hip - epidemiology - surgery
Prevalence
Research Support, Non-U.S. Gov't
Sex Distribution
Sweden - epidemiology
Abstract
We report the incidence of total hip replacements performed in Iceland between 1982 and 1996. During this period, 3,403 hip arthroplasties were done. The annual number of procedures increased from 94 hips in 1982 to 323 hips in 1996. Annual rates of total hip replacements due to primary osteoarthrosis per 10(5) inhabitants were 68 in 1982-1986, 90 in 1987-1991, and 114 in 1992-1996. In the years 1992-1996, the age-standardized incidence of total hip replacements for primary osteoarthrosis was 3/10(5) among patients younger than 39 years of age, while it was 621/10(5) among those 70-79 years of age. The mean age at surgery for primary osteoarthrosis was 69 years in both men and women. Incidence rates in various countries are difficult to compare, but by using age-standardized data and correction for differences in population structures between Iceland and Sweden, we find that the incidence of total hip replacement for primary osteoarthrosis of the hip is at least 50% higher in Iceland than in Sweden. This difference is consistent with the higher prevalence of hip osteoarthrosis observed in Iceland than in Sweden.
PubMed ID
10429596 View in PubMed
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Prevalence of hip osteoarthritis in Iceland.

https://arctichealth.org/en/permalink/ahliterature14169
Source
Ann Rheum Dis. 1999 Apr;58(4):201-7
Publication Type
Article
Date
Apr-1999
Author
T. Ingvarsson
G. Hägglund
L S Lohmander
Author Affiliation
General Hospital, Akureyri, Iceland.
Source
Ann Rheum Dis. 1999 Apr;58(4):201-7
Date
Apr-1999
Language
English
Publication Type
Article
Keywords
Adult
Age Distribution
Aged
Aged, 80 and over
Comparative Study
Female
Hip Joint - radiography
Humans
Iceland - epidemiology
Male
Middle Aged
Osteoarthritis, Hip - epidemiology - radiography
Prevalence
Research Support, Non-U.S. Gov't
Sex Distribution
Sweden - epidemiology
Abstract
OBJECTIVE: To assess the prevalence of primary hip osteoarthritis (OA) in Iceland. To compare the prevalence of primary hip OA in Iceland with published rates of primary hip OA for related Scandinavian populations. METHODS: Roentgenographs were examined of 1530 Icelandic people 35 years or older (653 males, 877 females) subjected to colon radiography during the years 1990-1996. The radiographs examined represent approximately 40% of all colon radiographs taken in Iceland during this period. After exclusion of non-primary hip OA cases, the minimum hip joint space was measured with a mm ruler. Presence of hip OA was defined as a minimum joint space of 2.5 mm or less on an anteroposterior radiograph. Intraclass correlation coefficients for inter and intraobserver variability of assessment of mm joint space were 0.91 and 0.95, respectively. RESULTS: Of the 1517 people included, 227 hips in 165 patients (77 men, 88 women) were diagnosed as having radiological primary hip OA. The mean age at colon examination for these patients was 68 (35-89) years. The overall prevalence of coxarthrosis among all examined patients 35 years and older was 10.8% (12% for men, 10% for women), rising from 2% at 35-39 years to 35.4% for those 85 years or older. If the population structure (age and sex distribution) for those older than 35 years in Iceland was used to standardise prevalence for both Iceland and south Sweden (using previously published data for south Sweden), the age and sex standardised prevalence of hip OA for those older than 35 years in Iceland was 8%, compared with 1.2% for south Sweden. CONCLUSIONS: The prevalence of radiological primary hip OA is very high in Iceland, and in excess of fivefold higher than the prevalence found by using similar techniques in studies on related populations in southern Scandinavia. The rate difference is particularly notable for those younger than 70 years.
PubMed ID
10364897 View in PubMed
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Prevention of dislocation of the hip in children with cerebral palsy: 20-year results of a population-based prevention programme.

https://arctichealth.org/en/permalink/ahliterature259448
Source
Bone Joint J. 2014 Nov;96-B(11):1546-52
Publication Type
Article
Date
Nov-2014
Author
G. Hägglund
A. Alriksson-Schmidt
H. Lauge-Pedersen
E. Rodby-Bousquet
P. Wagner
L. Westbom
Source
Bone Joint J. 2014 Nov;96-B(11):1546-52
Date
Nov-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Cerebral Palsy - complications - diagnosis - epidemiology
Child
Female
Forecasting
Hip Dislocation - epidemiology - etiology - prevention & control
Humans
Incidence
Male
Orthopedic Procedures - methods
Population Surveillance
Prognosis
Registries
Retrospective Studies
Severity of Illness Index
Sweden - epidemiology
Young Adult
Abstract
In 1994 a cerebral palsy (CP) register and healthcare programme was established in southern Sweden with the primary aim of preventing dislocation of the hip in these children. The results from the first ten years were published in 2005 and showed a decrease in the incidence of dislocation of the hip, from 8% in a historical control group of 103 children born between 1990 and 1991 to 0.5% in a group of 258 children born between 1992 and 1997. These two cohorts have now been re-evaluated and an additional group of 431 children born between 1998 and 2007 has been added. By 1 January 2014, nine children in the control group, two in the first study group and none in the second study group had developed a dislocated hip (p
PubMed ID
25371472 View in PubMed
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Sex differences in cerebral palsy incidence and functional ability: a total population study.

https://arctichealth.org/en/permalink/ahliterature115016
Source
Acta Paediatr. 2013 Jul;102(7):712-7
Publication Type
Article
Date
Jul-2013
Author
A. Chounti
G. Hägglund
P. Wagner
L. Westbom
Author Affiliation
Euroclinic Children's Hospital, Lemesou, Athens, Greece.
Source
Acta Paediatr. 2013 Jul;102(7):712-7
Date
Jul-2013
Language
English
Publication Type
Article
Keywords
Cerebral Palsy - congenital - epidemiology
Female
Humans
Incidence
Male
Sex Characteristics
Sweden - epidemiology
Abstract
To describe gender difference in a total population of children with cerebral palsy (CP), related to subtype, gross and fine motor function, and to compare CP incidence trends in girls and boys.
All 590 children with CP born in southern Sweden 1990-2005 were included. CP subtype was classified according to the Surveillance of Cerebral Palsy in Europe, gross motor function according to Gross Motor Function Classification System (GMFCS) and manual ability according to Manual Ability Classification System (MACS). Trends in CP incidence by birth year were analysed using Poisson regression modelling.
There was a male predominance in all levels of GMFCS except level II, in all levels of MACS and in all CP subtypes except ataxic CP. There was no statistically significant difference between males and females regarding gross motor function or manual ability. The CP incidence trends in boys compared with girls did not change during the period 1990-2005.
No equalization was detected in the incidence of CP between girls and boys during recent years in this total population. We could not confirm any consistent sex difference in motor function levels. Male sex is a risk factor for CP.
PubMed ID
23551760 View in PubMed
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6 records – page 1 of 1.