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Neutrophil‑to‑lymphocyte ratio predicts the severity of motor impairment in cerebral palsy children living at home and the rehabilitation center: A comparative study

  • Authors:
    • Kanyakorn Riewruja
    • Chavarin Amarase
    • Phatcharapa Osateerakun
    • Soarawit Weerasopone
    • Noppachart Limpaphayom
    • Sittisak Honsawek

  • View Affiliations

  • Published online on: October 16, 2020     https://doi.org/10.3892/br.2020.1370
  • Article Number: 63
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Abstract

The aim of the present study was to investigate the neutrophil‑to‑lymphocyte ratio (NLR) level in children with cerebral palsy (CP) living at home or the rehabilitation center. The correlation of NLR with different severities of motor impairment was assessed. This was a single‑center, cross‑sectional, observational study. A total of 80 CP children who were either living at home (n=34) or at the rehabilitation center (n=46) were included. Demographic characteristics, anthropometric parameters and complete blood counts were recorded, and the NLR values were calculated. The severity of motor impairment was evaluated and categorized according to the Gross Motor Functional Classification System (GMFCS) level. The mean age of CP participants was 8.52±1.92 years. The percentage of children with CP who were malnourished (underweight, stunted and wasted) was higher amongst those at the rehabilitation center compared with those living at home. The mean NLR of children with CP in the rehabilitation center was significantly higher compared with the patients living at home (P=0.003). Participants from the rehabilitation center had severe motor impairment (GMFCS levels IV‑V) and significantly higher NLR values than those with mild motor impairments (GMFCS levels II‑III; P=0.006). However, there were no differences in NLR values in relation to severity of motor impairment in CP children living at home. CP children had some degree of neuroinflammation and systemic inflammation. NLR may be a potential simple inflammatory parameter that may be used to predict the severity of the motor impairment, particularly in CP children living at a rehabilitation center.
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December-2020
Volume 13 Issue 6

Print ISSN: 2049-9434
Online ISSN:2049-9442

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  • CiteScore: 3.7
  • CiteScore Rank: Q2: #23/79 Pharmacology, Toxicology and Pharmaceutics
  • Source Normalized Impact per Paper (SNIP): 0.742
  • SCImago Journal Rank (SJR): 0.488
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Spandidos Publications style
Riewruja K, Amarase C, Osateerakun P, Weerasopone S, Limpaphayom N and Honsawek S: Neutrophil‑to‑lymphocyte ratio predicts the severity of motor impairment in cerebral palsy children living at home and the rehabilitation center: A comparative study. Biomed Rep 13: 63, 2020
APA
Riewruja, K., Amarase, C., Osateerakun, P., Weerasopone, S., Limpaphayom, N., & Honsawek, S. (2020). Neutrophil‑to‑lymphocyte ratio predicts the severity of motor impairment in cerebral palsy children living at home and the rehabilitation center: A comparative study. Biomedical Reports, 13, 63. https://doi.org/10.3892/br.2020.1370
MLA
Riewruja, K., Amarase, C., Osateerakun, P., Weerasopone, S., Limpaphayom, N., Honsawek, S."Neutrophil‑to‑lymphocyte ratio predicts the severity of motor impairment in cerebral palsy children living at home and the rehabilitation center: A comparative study". Biomedical Reports 13.6 (2020): 63.
Chicago
Riewruja, K., Amarase, C., Osateerakun, P., Weerasopone, S., Limpaphayom, N., Honsawek, S."Neutrophil‑to‑lymphocyte ratio predicts the severity of motor impairment in cerebral palsy children living at home and the rehabilitation center: A comparative study". Biomedical Reports 13, no. 6 (2020): 63. https://doi.org/10.3892/br.2020.1370