Dataset Information

Physical and occupational therapy utilization and associated factors among adults with cerebral palsy: Longitudinal modelling to capture distinct utilization groups.

ABSTRACT:

Background

Adults with cerebral palsy (CP) experience functional declines. Clinical rehabilitation may preserve function for this population.

Objective

To identify longitudinal physical/occupational therapy use and associated factors among adults with CP, to inform health promotion strategies.

Methods

A retrospective cohort study including adults ≥ 18 years of age with CP was performed using a random 20% Medicare fee-for-service dataset. Participants with continuous medicare enrolment from 01/01/2016-12/31/2018 were included: 2016 was the one-year baseline period; 2017-2018 was the two-year follow-up. Therapy included an indication of physical, occupational, or other forms of therapy. Two-year therapy use patterns were identified using group-based trajectory modeling. Multivariable multinomial logistic regression models identified associations between baseline characteristics with trajectory groups.

Results

Of 17,441, 7231 (41.5%) adults with CP had therapy use across the three-year period, and six longitudinal therapy trajectories were identified: the majority (42.5%) were low-consistent users, 13.4% moderate-consistent users, 4.4% high-consistent users, and the remaining variable users. Associations between baseline characteristics (e.g., age, sex, comorbidities) with trajectory groups varied. For example, using the low-consistent users as the reference, Black versus White were 49% less likely, Northeast versus South residency were 7.52-fold more likely, and co-occurring neurologic conditions versus CP only were up to 118% more likely to be high-consistent users (all, P < 0.05). Bone fragility and some chronic comorbidities were associated with moderate consistent users.

Conclusions

The majority of adults with CP were not using physical/occupational therapy. Of those that did, there were unique longitudinal trajectories which associated differently with demographics and comorbidities.

SUBMITTER: Conner BC

PROVIDER: S-EPMC9308687 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Physical and occupational therapy utilization and associated factors among adults with cerebral palsy: Longitudinal modelling to capture distinct utilization groups.

Conner Benjamin C BC Xu Tao T Kamdar Neil S NS Haapala Heidi H Whitney Daniel G DG

Disability and health journal 20220215 3

<h4>Background</h4>Adults with cerebral palsy (CP) experience functional declines. Clinical rehabilitation may preserve function for this population.<h4>Objective</h4>To identify longitudinal physical/occupational therapy use and associated factors among adults with CP, to inform health promotion strategies.<h4>Methods</h4>A retrospective cohort study including adults ≥ 18 years of age with CP was performed using a random 20% Medicare fee-for-service dataset. Participants with continuous medicar ...[more]

PMID: 35264292

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Dataset Information

Physical and occupational therapy utilization and associated factors among adults with cerebral palsy: Longitudinal modelling to capture distinct utilization groups.

Background

Objective

Methods

Results

Conclusions

Publications

Physical and occupational therapy utilization and associated factors among adults with cerebral palsy: Longitudinal modelling to capture distinct utilization groups.

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