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Use of health services and unmet needs among adults with cerebral palsy in Ireland

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journal contribution
posted on 2022-04-11, 13:35 authored by Manjula ManikandanManjula Manikandan, Claire Casey, Anne Doyle, Claire Kerr, Michael Walsh, Aisling WalshAisling Walsh, Jennifer RyanJennifer Ryan


Aim: To describe use of health services, unmet needs relating to health services, and identify factors associated with service use among adults with cerebral palsy (CP) in Ireland.

Method: Data relating to demographics, secondary diagnoses, current use of health services and assistive devices, and unmet needs for both were obtained on adults with CP from the National Physical and Sensory Disability Database. Logistic regression was used to identify factors associated with service use.

Results: A total of 1268 adults with CP were included in this study. Over half were male (56%) and 78% lived with parents, siblings, or other family relatives. Physiotherapy, occupational therapy, and orthotics/prosthetic services were the most commonly used services, used by 57%, 48%, and 35% of the sample respectively. Unmet needs were highest for physiotherapy (23%) and occupational therapy services (13%). Age, sex, living arrangements, and wheelchair use were frequently associated with current service use.

Interpretation: Adults with CP used a wide range of health services and unmet needs were reported for all services. The findings highlight a need for planning and development of services to meet their needs, regardless of their age, mobility level, or living arrangements.


SPHeRE Programme under Grant No. SPHeRE/2018/1

Royal College of Surgeons in Ireland through the StAR programme



The original article is available at https://onlinelibrary.wiley.com/

Published Citation

Manikandan M. et al. Use of health services and unmet needs among adults with cerebral palsy in Ireland. Dev Med Child Neurol. 2022

Publication Date

8 April 2022

PubMed ID



  • Public Health and Epidemiology

Research Area

  • Population Health and Health Services




  • Published Version (Version of Record)