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Research

The impact of ageing on adults with cerebral palsy: the results of a national online survey

Brian G Bell, Sonali Shah, Neil Coulson, Janice McLaughlin, Pip Logan, Richard Luke and Anthony J Avery
BJGP Open 2023; 7 (4): BJGPO.2023.0028. DOI: https://doi.org/10.3399/BJGPO.2023.0028
Brian G Bell
1 School of Medicine, University of Nottingham, Nottingham, UK
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  • For correspondence: brian.bell{at}nottingham.ac.uk
Sonali Shah
1 School of Medicine, University of Nottingham, Nottingham, UK
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Neil Coulson
1 School of Medicine, University of Nottingham, Nottingham, UK
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Janice McLaughlin
2 School of Geography, Politics, and Sociology, Newcastle University, Newcastle upon Tyne, UK
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Pip Logan
1 School of Medicine, University of Nottingham, Nottingham, UK
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Richard Luke
3 Scope Here East Press Centre, London, UK
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Anthony J Avery
1 School of Medicine, University of Nottingham, Nottingham, UK
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Article Figures & Data

Tables

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    Table 1. Domains of interest and where items were found
    DomainWhere items were foundFull scale used?
    MobilityMobility subscale of WHO Disability Assessment Schedule (WHODAS 2.0)26 Yes
    Dexterity3 items from Arthritis Impact Measurement Scales 2-Short Form27 No
    FatigueFatigue Severity Scale short form28 ,a Yes
    PainPain portion of Short Form (SF)-36 questionnaire23 Yes
    Speech3 items from the Living With Neurologically Based Speech Difficulties29 No
    Mental healthWHO-5 Well-Being Index30 Yes
    Health maintenance/self-careHealth Confidence Score31 Yes
    SwallowingPharyngeal symptoms from swallowing-quality of life (SWAL-QOL) questionnaire21 No
    • aAn item was added to this scale concerning the effects of fatigue on speech.

    • View popup
    Table 2. Demographic characteristics
    QuestionFrequencies and proportions, n (%)
    1) How would you describe your ethnicity or ethnic background?Arab1 (0.3%)
    Asian9 (2.3%)
    Black9 (2.3%)
    Mixed8 (2.0%)
    White365 (92.4%)
    Prefer not to say3 (0.8%)
    2) How would you describe your gender?Male98 (24.8%)
    Non-binary3 (0.8%)
    Female293 (74.2%)
    Any other gender1 (0.3%)
    3) How would you describe your sexual orientation?Asexual13 (3.3%)
    Bisexual32 (8.1%)
    Gay or Lesbian14 (3.5%)
    Heterosexual308 (78.0)
    Queer6 (1.5%)
    Prefer not to say21 (5.3%)
    Any other1 (0.3%)
    4) What type of CP do you have?Ataxic18 (4.6%)
    Dyskinetic27 (6.8%)
    Mixed81 (20.5%)
    Spastic252 (63.8%)
    Not sure or prefer not to say17 (4.3%)
    5) How old are you?18–24 years28 (7.1%)
    25–34 years103 (26.1%)
    35–44 years103 (26.1%)
    45–54 years74 (18.7%)
    55–64 years64 (16.2%)
    ≥65 years22 (5.6%)
    Prefer not to say1 (0.3%)
    6) What type of spastic CP do you have?Diplegia (two lower limbs affected)105 (41.7%)
    Hemiplegia (one side of the body affected)77 (30.6%)
    Triplegia (three limbs affected)9 (3.6%)
    Quadriplegia (four limbs affected)61 (24.2%)
    • CP = cerebral palsy.

    • View popup
    Table 3. Associations between age and outcomes
    Age, years (18–34, 35–54, ≥55)χ2,significance level,Phi coefficientPercentages
    Mobility
    I avoid activities due to a fear of fallingχ2 = 8.1, P<0.05Phi = 0.1455.7% (18–34) n = 7368.9% (35–54) n = 12272.1% (≥55) n = 62
    Difficulty walking a long distance, such as a mileχ2 = 8.2, P<0.05Phi = 0.1461.1% (18–34) n = 8070.6% (35–54) n = 12579.1% (≥55) n = 68
    Difficulty standing up from sitting downχ2 = 15.5, P<0.01Phi =0.2048.1% (18–34) n = 6362.1% (35–54) n = 11074.4% (≥55) n = 64
    Due to my fear of falling, I avoid lifting and carrying objectsχ2 = 9.5, P<0.01Phi = 0.1529.8% (18–34) n = 3946.9% (35–54) n = 8343.0% (≥55) n = 37
    Due to my fear of falling, I avoid walking on different surfacesχ2 = 8.0, P<0.05Phi = 0.1437.4% (18–34) n = 4953.7% (35–54) n = 9546.5% (≥55) n = 40
    Do you walk with an aid? (walking stick, walker or wheelchair)χ2 = 7.6, P<0.05Phi = 0.1444.3% (18–34) n = 5848.0% (35–54) n = 8562.8% (≥55) n = 54
    Pain
    My level of bodily pain is moderate or severeχ2 = 6.3, P<0.05Phi = 0.1359.5% (18–34) n = 7868.4% (35–54) n = 12175.6% (≥55) n = 65
    Pain interferes with my work (either outside the home or housework)χ2 = 8.1, P<0.05Phi = 0.1559.1% (18–34) n = 7573.3% (35–54) n = 12173.8% (≥55) n = 62
    Swallowing
    Problems with coughingχ2 = 7.5, P<0.05Phi = 0.1441.2% (18–34) n = 5452.5% (35–54) n = 9359.3% (≥55) n = 51
    • Totals for age groups: 18–34 years n = 131; 35–54 years n = 177; ≥55 years n = 86

Supplementary Data

  • BGB_10.3399BJGPO.2023.0028_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

  • BGB_10.3399BJGPO.2023.0028_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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The impact of ageing on adults with cerebral palsy: the results of a national online survey
Brian G Bell, Sonali Shah, Neil Coulson, Janice McLaughlin, Pip Logan, Richard Luke, Anthony J Avery
BJGP Open 2023; 7 (4): BJGPO.2023.0028. DOI: 10.3399/BJGPO.2023.0028

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The impact of ageing on adults with cerebral palsy: the results of a national online survey
Brian G Bell, Sonali Shah, Neil Coulson, Janice McLaughlin, Pip Logan, Richard Luke, Anthony J Avery
BJGP Open 2023; 7 (4): BJGPO.2023.0028. DOI: 10.3399/BJGPO.2023.0028
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Keywords

  • cerebral palsy
  • General Practice
  • ageing
  • adult
  • mobility
  • fatigue
  • Pain

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