title: A survey of medical and paramedical involvement in children with cerebral palsy in Britanny: preliminary results.
abstract: OBJECTIVE
  To describe the amount of medical and paramedical involvement in a sample of Breton children with cerebral palsy as a function of the Gross Motor Function Classification System (GMFCS).
  
  
  METHODS
  This is a transversal descriptive study. All children with cerebral palsy in Brittany were eligible. Parents who accepted to participate were asked to fill in a questionnaire regarding medical and paramedical involvement with their child.
  
  
  RESULTS
  One hundred and thirty-three parents participated. 40.6% of the children were level I on the GMFCS, 20.3% II, 12.03% III, 13.53% IV and 13.53% were level V. Thirty-nine percent of the children took at least one medication (of which 43% were antiepileptic drugs). 33.1% of the children had received at least one injection of botulinum toxin within the year. Forty-four percent used a mobility aid. Eighty-five percent of the children had at least one orthotic device, most often a night ankle-foot orthosis. The median number of rehabilitation sessions per week was 3.85 [0.5-11.5]. The frequency and type of sessions were mostly related to the GMFCS level.
  
  
  CONCLUSIONS
  This study reports high levels of medical and paramedical involvement. Studies must attempt to define optimal practice.
authors: Service de médecine physique et de réadaptation, CHU Morvan, 5, avenue Foch, 29609 Brest cedex, France.
authors: E
authors: E
authors: Sacaze
authors: R
authors: R
authors: Garlantezec
authors: O
authors: O
authors: Rémy-néris
authors: S
authors: S
authors: Peudenier
authors: H
authors: H
authors: Rauscent
authors: H
authors: H
authors: le Tallec
authors: V
authors: V
authors: Bernier-Francois
authors: D
authors: D
authors: Pichancourt
authors: S
authors: S
authors: Brochard
mesh_terms: D000293:Adolescent; D000927:Anticonvulsants / Q000627:therapeutic use; D001905:Botulinum Toxins / Q000627:therapeutic use; D002547:Cerebral Palsy / Q000145:classification* / Q000534:rehabilitation / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D009989:Orthotic Devices; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014910:Wheelchairs
chemical_list: D000927:Anticonvulsants; D001905:Botulinum Toxins