title: Medication, rehabilitation and health care consumption in adults with cerebral palsy: a population based study.
abstract: OBJECTIVE
  To evaluate medication, rehabilitation and healthcare consumption in adults with CP as a function of Gross Motor Function Classification System (GMFCS) level.
  
  
  METHODS
  Questionnaire-based cross-sectional study.
  
  
  METHODS
  Brittany, a French county.
  
  
  METHODS
  Adults with cerebral palsy.
  
  
  METHODS
  Questionnaires relating to drugs, orthotic devices, mobility aids, rehabilitation and medical input were sent to 435 members of a unique regional French network dedicated to adults with cerebral palsy. The questionnaire was completed by the participant or a helper if necessary.
  
  
  RESULTS
  Of the 282 responders, 7.8% had a GMFCS level of I, 14.2% II, 17.7% III, 29.1% IV and 31.2% V. Participants consumed a large amount of healthcare. Almost three-quarters took orally administered drugs, of which antispastic and antiepileptic drugs were among the most frequent. Nearly all patients had at least one type of rehabilitation, 87.2% had physiotherapy, 78% used at least one mobility aid and 69.5% used at least one orthotic device. The frequency of numerous inputs increased with GMFCS level. Specificities were found for each GMFCS level, e.g. participants with GMFCS level IV and V had a high level of medical input and a greater use of trunk-supporting devices, antireflux and laxative. Profiles could be established based on GMFCS levels.
  
  
  CONCLUSIONS
  Adults with cerebral palsy use a large amount of drugs, mobility aids, orthotic devices, rehabilitation and medical input. Healthcare is targeted at cerebral palsy-related issues. GMFCS is a determinant of healthcare consumption and thus a useful tool for clinical practice to target care appropriately.
authors: 1 Physical medicine and rehabilitation, CHRU Brest, France.|2 Fondation ILDYS, Brest, France.|3 Université de Bretagne Occidentale, Brest, France.|4 Laboratoire de Traitement de l'Information Médicale, Brest, France.
authors: Christelle
authors: C
authors: Pons
authors: 1 Physical medicine and rehabilitation, CHRU Brest, France.|2 Fondation ILDYS, Brest, France.|3 Université de Bretagne Occidentale, Brest, France.|4 Laboratoire de Traitement de l'Information Médicale, Brest, France.
authors: Sylvain
authors: S
authors: Brochard
authors: 5 Physical medicine and rehabilitation, Pôle MPR Saint Hélier, Rennes, France.
authors: Philippe
authors: P
authors: Gallien
authors: 5 Physical medicine and rehabilitation, Pôle MPR Saint Hélier, Rennes, France.
authors: Benoit
authors: B
authors: Nicolas
authors: 5 Physical medicine and rehabilitation, Pôle MPR Saint Hélier, Rennes, France.
authors: Aurélie
authors: A
authors: Duruflé
authors: 1 Physical medicine and rehabilitation, CHRU Brest, France.
authors: Marion
authors: M
authors: Roquet
authors: 1 Physical medicine and rehabilitation, CHRU Brest, France.|3 Université de Bretagne Occidentale, Brest, France.|4 Laboratoire de Traitement de l'Information Médicale, Brest, France.
authors: Olivier
authors: O
authors: Rémy-Néris
authors: 6 Public Health departement, CHU Rennes, University Rennes 1 Rennes, France.
authors: Ronan
authors: R
authors: Garlantezec
mesh_terms: D000328:Adult; D002547:Cerebral Palsy / Q000175:diagnosis / Q000188:drug therapy* / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D005602:France; D017048:Health Care Costs; D006296:Health Services / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009989:Orthotic Devices / Q000191:economics / Q000706:statistics & numerical data*; D004364:Pharmaceutical Preparations / Q000008:administration & dosage*; D026741:Physical Therapy Modalities / Q000191:economics / Q000706:statistics & numerical data; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D004364:Pharmaceutical Preparations
keywords: Adults; GMFCS; cerebral palsy; epidemiology; healthcare