Developmental Medicine & Child Neurology



Review

Proposed definition and classification of cerebral palsy, April 2005


Martin Bax  a1, Murray Goldstein  a2 c1, Peter Rosenbaum  a3 c2, Alan Leviton  a4, Nigel Paneth  a5 c3, Bernard Dan  a6, Bo Jacobsson  a7 and Diane Damiano  a8
a1 Division of Paediatrics, Obstetrics and Gynaecology, Imperial College, London, UK.
a2 United Cerebral Palsy Research & Educational Foundation, Washington DC, USA.
a3 CanChild Centre for Childhood Disability Research, Hamilton, Ontario, Canada.
a4 Neuroepidemiology Unit, Children's Hospital, Carnegie, Boston, MA, USA.
a5 Department of Epidemiology, Michigan State University, East Lansing, MI, USA.
a6 Hôpital Universitaire des Enfants, Reine Fabiola, Université Libre de Bruxelles, Belgium.
a7 Perinatal Center, Sahlgrenska University Hospital East, Göteborg, Sweden.
a8 Washington University in St Louis, Department of Neurology, St Louis, MO, USA.

Abstract

Because of the availability of new knowledge about the neurobiology of developmental brain injury, information that epidemiology and modern brain imaging is providing, the availability of more precise measuring instruments of patient performance, and the increase in studies evaluating the efficacy of therapy for the consequences of injury, the need for reconsideration of the definition and classification of cerebral palsy (CP) has become evident. Pertinent material was reviewed at an international symposium participated in by selected leaders in the preclinical and clinical sciences. Suggestions were made about the content of a revised definition and classification of CP that would meet the needs of clinicians, investigators, and health officials, and provide a common language for improved communication. With leadership and direction from an Executive Committee, panels utilized this information and have generated a revised Definition and Classification of Cerebral Palsy. The Executive Committee presents this revision and welcomes substantive comments about it.

(Accepted April 25 2005)


Correspondence:
c1 United Cerebral Palsy Research & Educational Foundation, 1660 L Street NW, Suite 700, Washington DC 20036-5602, USA. E-mail: mgoldstein@ucp.org
c2 CanChild Centre for Childhood Disability Research, IAHS Building, Room 408, 1400 Main Street West, Hamilton L8S 1C7, Ontario, Canada. E-mail: rosenbau@mcmaster.ca
c3 Department of Epidemiology, Michigan State University, B636 West Fee Hall, East Lansing, MI 48824, USA. E-mail: paneth@msu.edu