title: Clinical Spectrum of Cerebral Palsy and Associated Disability in South Egypt: A Local Survey Study.
abstract: BACKGROUND
  Cerebral palsy is the most common cause of motor disability in children with a prevalence of 2-10/1,000 live births in the developing areas.
  
  
  OBJECTIVE
  The epidemiology, clinical picture, and associated comorbidities in CP have been extensively studied in high-resource countries, but in low-resource areas, including Africa, those studies are still lacking.
  
  
  METHODS
  Cerebral palsy cases were prospectively recruited from every physiotherapy centre in Bani-Mazar city, Egypt, in a cross-sectional study from May 2015 to November 2015.
  
  
  RESULTS
  Two hundred cases were enrolled with a prevalence of 1 per 1000 live births. Within the study population, 72.5% were the spastic type, 16% were dyskinetic, 7% were ataxic, and 4.5% were hypotonic. The most common comorbidities were cognitive impairment and epilepsy affecting 77% and 38%, respectively.
  
  
  CONCLUSIONS
  Cerebral palsy in developing countries has a higher prevalence and different clinical profile regarding severity and associated disability. The perinatal and high-quality neonatal care together with physical therapy and rehabilitation programs is still lacking in developing countries.
authors.affiliation: Physical Therapy, Ministry of Health, Cairo, Egypt.
authors.forename: Osama
authors.initials: O
authors.lastname: Abas
authors.affiliation: Department of Physical Therapy for Growth and Development Disorders in Children and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
authors.forename: Faten
authors.initials: F
authors.lastname: Abdelaziem
authors.affiliation: Department of Research on Children with Special Needs, National Research Centre, Cairo, Egypt.
authors.forename: Ayman
authors.initials: A
authors.lastname: Kilany
keywords: Cerebral palsy; Egypt; comorbidity; prevalence; subtypes