Cerebral palsy (CP) in adults increases risk of asthma, hypertension and arthritis

By: Emily Lunardo | Brain Function | Wednesday, December 02, 2015 - 12:00 PM

Cerebral palsy (CP) in adults increases risk of asthma, hypertension and arthritisCerebral palsy in adults increases the risk of asthma, hypertension and arthritis. Cerebral palsy (CP) is a muscle tone, movement, or posture disorder caused by an insult of the immature, developing brain prior to birth.

Cerebral palsy is known as a non-progressive disorder, meaning it does not get worse over time. Unfortunately, other conditions that co-exist with cerebral palsy, such as muscle tightness, can worsen over the years.

Individuals with cerebral palsy may have difficulty swallowing and have eye muscle imbalances. Their range of motion may be limited largely due to muscle stiffness. The range of function for a person with cerebral palsy greatly varies. Some individuals have the ability to walk, while others do not. Some have normal intellectual function, while others may have disabilities.

Adults with cerebral palsy (CP) have higher odds for chronic health conditions

New research has found that adults with cerebral palsy are at a greater risk of developing asthma, hypertension and arthritis. Research has shown that those with CP have higher rates of death due to ischemic heart disease and cancer. Tracking disease risk has not been done for those with CP until now with the Medical Expenditure Panel Survey (MEPS), which helps estimate the rate of chronic disease in adults with CP.

Eight chronic conditions were evaluated in those with and without CP, including diabetes, asthma, hypertension, other heart conditions (such as cardiovascular disease, heart attack, angina, and other cardiovascular conditions), stroke, emphysema, joint pain and arthritis.

Rates of these chronic illnesses were seen to be higher in adults with CP compared to adults without. The results were as follows: diabetes (9 percent vs 6 percent, respectively), asthma (21 percent vs 9 percent), hypertension (30 percent vs 22 percent), other heart conditions (15 percent vs 9 percent), stroke (5 percent vs 2 percent), emphysema (4 percent vs 1 percent), joint pain (44 percent vs 28 percent), and arthritis (31 percent vs 17 percent).

The authors wrote, “Accelerated functional losses are a concern in the aging CP population. A large percentage of individuals who were once mobile eventually stop ambulating due to fatigue, inefficiency of gait, and/or muscle and joint pain. The current findings demonstrated that level of mobility impairment was strongly associated with chronic conditions. Future efforts are needed to better understand the health care use associated with chronic conditions for persons with CP and to characterize the relationships among mobility impairments, sedentary lifestyles, and chronic conditions.”

Causes and risk factors of cerebral palsy

Cerebral palsy is an abnormality in the brain that forms prior to birth. Although the exact trigger of the abnormality is often unknown, below are some factors that can contribute to CP.

  • Causes and risk factors of cerebral palsyRandom mutations
  • Maternal infections
  • Fetal stroke
  • Lack of oxygen
  • Infant infections
  • Traumatic head injury

Risk factors for CP rely on the mother’s health, the infant’s health and the birthing process.

Maternal health risk factors for CP

  • German measles
  • Chickenpox
  • Cytomegalovirus – common flu-like virus that can cause birth defects
  • Toxoplasmosis – parasitic infection
  • Syphilis
  • Exposure to toxins
  • Other conditions like thyroid problems

Infant health risk factors for CP

  • Bacterial meningitis
  • Viral encephalitis – inflammation of the membranes that surround the brain and spinal cord
  • Severe or untreated jaundice

Other factors due to pregnancy and birth

  • Premature birth
  • Low birth weight
  • Breech births
  • Multiple babies

Functional changes in adults with CP

There are many functional changes that can occur with cerebral palsy, such as changes in motor function, communication function and eating and swallowing.

Functional changes in adults with CPChanges in motor functions: Symptoms of premature aging can occur as early as a person’s 20s. Musculoskeletal changes are a common complaint in those with CP. A decreased function of mobility, muscular flexibility, strength, endurance, increased spasticity, arthritis, falls and fractures, pain and fatigue are all reported in adults with CP.

Communication function: Communication functions, such as speech, hearing and language begin in children with CP and, because they cannot be reversed or fixed, they carry through into adulthood. These communication functions can decrease over time due to the aging process.

Eating and swallowing: The act of eating is seen as a motor function. Patients with CP may have trouble with one or more of the motor functions related to CP, therefore, receiving the proper nutrients and fluid can be difficult. Eating and swallowing impairments can get worse with aging and can worsen rapidly, so a watchful eye must be kept on those with CP to avoid complications like choking.

Common symptoms people with cerebral palsy experience as they get older

Common symptoms experienced by people with cerebral palsy can worsen with age. Common symptoms include:

  • Increased levels of pain
  • Increased difficulty walking
  • Increased chance of falls
  • Increased dental health problems
  • Long-term effects of medications
  • Trouble swallowing or eating
  • Other health problems may go undetected because those with CP do not receive many preventative care tests, such as mammograms, pap smears or prostate exams

Living with cerebral palsy as an adult

Living with cerebral palsy as an adultLiving with cerebral palsy as an adult can pose many challenges. With a decrease in motor skills performing basic tasks is far more challenging for someone with CP. These individuals may have problems dressing themselves, showering or bathing, or even feeding themselves. This can take away a person’s autonomy and hinder their sense of self.

Furthermore, maintaining personal relationships can be difficult as well. They may not be able to attend social functions or partake in social activities due to the limitations set by their condition. Furthermore, they may never find a partner or spouse, which can take a toll on their quality of life.

Additionally, living with cerebral palsy increases the risk of other serious health conditions that may be overlooked due to lack of testing. This increases the risk of developing chronic health conditions, which can take a greater toll on their overall health and further diminish their quality of life.

Living with a disability can be stressful, so the need for proper care and the assistance of caregivers is essential for a person with CP to live a normal, healthy life.

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