Development of disorder-specific normative data for growth in children with cerebral palsy

Philipp Egenolf, Ibrahim Duran, Christina Stark, Kyriakos Martakis, Stefanie Hamacher, Eckhard Schoenau, Oliver Semler*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


The purpose of this study was to create growth-percentiles for Caucasian children with cerebral palsy (CP). The studied parameters were height and age. In a retrospective analysis, we converted measurements collected in our center to create disorder-specific percentiles of normative data. Patients were stratified due to sex (male and female) and to mobility levels using the gross motor function classification system (GMFCS) (A=walking; GMFCS I-III, B=non walking; GMFCS IV-V) into four groups. In total, 2363 measurements in patients 0-18years were collected. The mean age for group Am was 6.8years (n=862), group Bm 7.6years (n=563), group Af 7.7years (n=600), and group Bf 8.2years (n=366). The created percentiles for all groups were below the reference percentiles for healthy Caucasian children (KiGGS). The median curve for children with GMFCS levels I-III is slightly above the 3rd percentile, whereas the 50th percentile for GMFCS levels IV-V is mostly below the 3rd KiGGS centile.Conclusion: In conclusion, children with cerebral palsy are smaller than healthy children. The difference between 50th percentile of CP patients compared to healthy children supports the need for the use of disorder-specific growth charts. Those charts can help clinicians differentiate growth disorders in patients with CP.

Original languageEnglish
Pages (from-to)811-822
Number of pages12
JournalEuropean Journal of Pediatrics
Issue number6
Publication statusPublished - Jun 2019


  • Cerebral palsy
  • Growth retardation
  • Body height
  • Reference data
  • LMS


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